In fact, a study showed that patients start to slack in HEP adherence as early as after 2 weeks. Low HEP adherence is not entirely surprising as it is challenging for patients to stay on an HEP for an extended period. A recent meta-analysis in people with chronic health conditions supports this observation, as the authors reported only 33% full HEP adherence and 37% partial adherence, with no difference in adherence when follow-up was done face-to-face or over the phone. However, low HEP adherence is common, especially when exercising is required over a longer period. Most HEPs are delivered on paper to be practiced at home, and accountability is checked at the next physical therapy (PT) visit. Patients with chronic health conditions often must adhere to a long-term individualized home exercise program (HEP) to manage their symptoms and improve or maintain their cardiovascular health, flexibility, and/or strength. Approximately 200 million Americans have at least one chronic disease, and 80 million have multiple chronic diseases.
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