Chapter 2 30 To achieve this, more research to the RAdMAT-NL is needed. Future studies should increase the reliability by using more raters from multiple primary physiotherapy practices. This will provide a more definitive conclusion regarding the inter-rater reliability of the RAdMAT-NL for patients with musculoskeletal injuries and with chronic diseases. Also, future research should perform a factor analysis to demonstrate the multidimensional character, the three subscales, of the RAdMAT-NL (attendance/participation, communication, and attitude/effort) [13]. Demonstrating these subscales would show the multidimensional character of the RAdMAT-NL and that it can be used to increase adherence through interventions for specific attitudes and behaviors. Conclusion In conclusion, the inter-rater reliability of the RAdMAT-NL is excellent in patients who are undertaking physiotherapeutic rehabilitation in a primary physiotherapy practice. References 1. Bassett, S. Measuring Patient Adherence to Physiotherapy. Journal of Novel Physiotherapies, 2012. 2, DOI: 10.4172/2165-7025.1000e124. 2. Campbell, R., M. Evans, M. Tucker, B. Quilty, P. Dieppe, and J.L. Donovan, Why don’t patients do their exercises? Understandig non-compliance with physiotherapy in patients with osteoarthritis of the knee. Journal of Epidemiology and Community Health, 2001. 55(2): p. 132-138. 3. McGuire, M. and A. Iuga, Adherence and health care costs Risk Management and Healthcare Policy, 2014. 7: p. 35-44. 4. Meichenbaum, D. and D. Turk, Facilitating treatment adherence. 1987, New York: Plenum. 5. Jack, K., S.M. McLean, J.K. Moffett, and E. Gardiner, Barriers to treatment adherence in physiotherapy outpatient clinics: A systematic review. Manual Therapy, 2010. 15, 220-228 DOI: 10.1016/j.math.2009.12.004. 6. Al-Eisa, E., Indicators of adherence to physiotherapy attendance among Saudi female patients with mechanical low back pain: a clinical audit. BMC Musckuloskeletal Disorders, 2010. 11(1). 7. Sabaté, E., Adherence to long-term therapies. Evidence for action 2003, Geneva: World Health Organization. 8. van Oostrom, S., R. Gijsen, I. Stirbu, J.C. Korevaar, F.G. Schellevis, H.S. Picavet, and N. Hoeymans, Time trends in prevalence of chronic diseases and multimorbidity not only due to aging: data from general practices and health surveys. PLoS One, 2016. 11(8): p. e0160264.
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