Remco Arensman

176 Chapter 8 issues), communication skills (to gain a deeper understanding of patient perceptions and practicalities regarding their complaints, treatment, and adherence behavior), and coaching skills (to increase patient engagement and support adherence). Physiotherapy education should evolve to include training on these digital health interventions, emphasizing the development of communication skills to effectively convey the benefits and of HBE for their patients and assist patients with finding solutions for their practical barriers. Educators should also focus on fostering an understanding of behavior change techniques and the use of data-driven insights to support patient adherence. This approach not only prepares future physiotherapists to leverage technology in treatment but also equips them with the skills to address the multifaceted nature of patient adherence, and hopefully ultimately leading to improved outcomes in LBP treatment. Conclusion In this thesis we showed the multifaceted nature of adherence to HBE in the management of patients with LBP, underscoring the pivotal role of physiotherapists and the potential of digital tools in enhancing patient adherence and outcomes. Our exploration into the complexities of adherence, the development and refinement of measurement instruments, and the integration of technology into physiotherapy treatment offers valuable insights and directions for future research and clinical practice. As we move forward, a deeper understanding of patient adherence behaviors and embracing personalized, technologysupported interventions will be crucial in advancing the efficacy of treatment for patients with LBP.

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