National Physical Therapy Examination (NPTE) Practice Exam

Which method is least effective for fostering adherence to an exercise program?

1. Pointing out exercise-related progress

2. Not addressing difficulties and barriers

3. Encouraging patient input on the nature and scope of the program

4. Explaining the rationale and importance of each exercise and functional activity

The correct answer is: Not addressing difficulties and barriers

The least effective method for fostering adherence to an exercise program is not addressing difficulties and barriers. When patients face challenges related to their exercise regimens—such as physical limitations, lack of time, or emotional barriers—ignoring these issues can lead to frustration and decreased motivation. Engaging with patients about their difficulties provides an opportunity to collaboratively identify solutions, tailor the program to better suit their needs, and reinforce their commitment to the program. Addressing difficulties and barriers is crucial because it helps patients feel supported and understood. They are more likely to adhere to an exercise program when they know their therapist acknowledges these challenges and is willing to work with them to overcome them. This approach fosters a positive therapeutic alliance and encourages open communication about the program, leading to better adherence and outcomes. In contrast, methods like pointing out exercise-related progress, encouraging patient input, and explaining the rationale for exercises promote engagement and motivation, making them more effective for adherence. These strategies empower patients, making them feel responsible for their progress and reinforcing the value of their efforts in the program.