Why patients don't do their home programs

In this interview, a former clinician (Speaker A) recounts leaving clinical practice after experiencing burnout and high rates of appointment cancellations, especially from parents. Seeking to understand the root causes, they discovered that parents value relational qualities—empathy, collaboration, and clear communication—over the therapist’s technical expertise. This insight led to the creation of a training program aimed at occupational, physical, and speech therapists to develop these soft‑skill competencies. The conversation with Will Humphreys expands on the program’s core components: teaching therapists to explain the rationale behind home exercises, to ask patients about their daily lives, and to embed therapeutic activities into routine tasks (e.g., calf pumps while brushing teeth). The overall message emphasizes that improving patient adherence hinges on shifting from a purely clinical focus to a partnership model that makes home programs relevant, understandable, and motivating for patients and families.










