Perception of users and their therapists on the factors that interfere with therapeutic adherence at home

Non-adherence to rehabilitation can reach 70%. This qualitative, phenomenological study explored the perceptions of 7 users and 6 therapists at a rehabilitation centre, identifying factors that influence therapeutic compliance at home. The results were organised into four dimensions: communication, personal factors, contextual factors, and resources. Among the positive aspects, the availability of time, favourable therapeutic relationships, and personal factors stand out. In contrast, lack of time, negative attitudes, and comorbidities act as barriers. It is concluded that adherence depends on the dynamic interaction between these dimensions. It is recommended to strengthen the communication skills of professionals, incorporate technologies for monitoring, and consider the personal and material aspects of each patient, in order to optimize treatment adherence and improve health outcomes.