Adherence in Clubfoot Treatment: Difference between revisions
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Treatment for Clubfoot requires the long-term commitment of parents and caregivers in order to achieve a successful outcome. Non-adherence is one of the key reasons for failure of clubfoot treatment. According to Göksan et al, patient and family adherence to brace use is a common problem, as nonadherence is directly related to relapse.<ref>Göksan SB, Bilgili F, Eren İ, Bursalı A, Koc E. Factors Affecting Adherence with Foot Abduction Orthosis Following Ponseti Method. Acta Orthopaedica et Traumatologica Turcica. 2014 Dec;49(6):620-6.</ref> | Treatment for Clubfoot requires the long-term commitment of parents and caregivers in order to achieve a successful outcome. Non-adherence is one of the key reasons for failure of clubfoot treatment. According to Göksan et al, patient and family adherence to brace use is a common problem, as nonadherence is directly related to relapse.<ref>Göksan SB, Bilgili F, Eren İ, Bursalı A, Koc E. Factors Affecting Adherence with Foot Abduction Orthosis Following Ponseti Method. Acta Orthopaedica et Traumatologica Turcica. 2014 Dec;49(6):620-6.</ref> | ||
== | == Reasons Non-Adherence == | ||
* Beliefs and Stigma | |||
* Community / Family Pressure to Consult Traditional Healers | |||
* Community / Family Pressure to Not Continue Treatment | |||
* Lack of Confidence in treatment | |||
* Lack of Understanding about Treatment and the Full Protocol | |||
* Believe Treatment is finished after Casting | |||
* Baby Cries with Cast or Braces on | |||
* Poverty - No Money for Transport or Treatment Costs | |||
* Long Distance to Clinic | |||
* Lack of Support by Fathers / Families | |||
* Family / Marital Conflict | |||
* Other Responsibilities e.g. Child Care, Work | |||
* Poor Communication from Health Workers | |||
* Poor Relationship with Health Workers | |||
* Cultural Practices e.g. Nomadic Tribes | |||
* Impatience | |||
* Poor Appointment Tracking and Follow-up after Missed Appointments | |||
* Incorrect Prescription of Braces: | |||
** Foot Not Yet Corrected | |||
** Shoe Does Not Fit Well | |||
* Lack of Clear Instructions on Braces: | |||
** Importance | |||
** How to Fit | |||
** Wearing Protocol | |||
== Sub Heading 3 == | == Sub Heading 3 == | ||
Revision as of 23:38, 27 July 2017
Original Editor - Africa Clubfoot Training Team as part of ICRC and GCI Clubfoot Content Development Project
Top Contributors - Naomi O'Reilly, Kim Jackson, Rachael Lowe, Simisola Ajeyalemi, Oyemi Sillo, Rucha Gadgil, Meaghan Rieke and Olajumoke Ogunleye
Introduction[edit | edit source]
Treatment for Clubfoot requires the long-term commitment of parents and caregivers in order to achieve a successful outcome. Non-adherence is one of the key reasons for failure of clubfoot treatment. According to Göksan et al, patient and family adherence to brace use is a common problem, as nonadherence is directly related to relapse.[1]
Reasons Non-Adherence[edit | edit source]
- Beliefs and Stigma
- Community / Family Pressure to Consult Traditional Healers
- Community / Family Pressure to Not Continue Treatment
- Lack of Confidence in treatment
- Lack of Understanding about Treatment and the Full Protocol
- Believe Treatment is finished after Casting
- Baby Cries with Cast or Braces on
- Poverty - No Money for Transport or Treatment Costs
- Long Distance to Clinic
- Lack of Support by Fathers / Families
- Family / Marital Conflict
- Other Responsibilities e.g. Child Care, Work
- Poor Communication from Health Workers
- Poor Relationship with Health Workers
- Cultural Practices e.g. Nomadic Tribes
- Impatience
- Poor Appointment Tracking and Follow-up after Missed Appointments
- Incorrect Prescription of Braces:
- Foot Not Yet Corrected
- Shoe Does Not Fit Well
- Lack of Clear Instructions on Braces:
- Importance
- How to Fit
- Wearing Protocol
Sub Heading 3[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Göksan SB, Bilgili F, Eren İ, Bursalı A, Koc E. Factors Affecting Adherence with Foot Abduction Orthosis Following Ponseti Method. Acta Orthopaedica et Traumatologica Turcica. 2014 Dec;49(6):620-6.
