Adherence has dropped two weeks in a row
Marcus completed 2 of 4 sessions in week 9 and 2 of 4 in week 10. His 4-week rolling adherence is now 62%, below the 70% threshold. Coach follow-up is overdue.
Pain score self-report has increased this week
Marcus rated pain at 5/10 in his last two sessions, up from 2/10 in weeks 7–8. Dr. Kim has been notified and a clinical check-in has been scheduled for Thursday.
Overall Adherence
68%
−9% vs last 4 wk
Sessions Completed
37
of 44 scheduled so far
Missed Sessions
7
4 in last 2 weeks
Avg Pain Score
4.2/10
Up from 2.1 last month
Weeks Remaining
5
Program ends Aug 16
Weekly Session Completion
Scheduled vs completed sessions per week · Weeks 1–11
Completed
Scheduled
4/4
Wk 1
4/4
Wk 2
3/4
Wk 3
4/4
Wk 4
4/4
Wk 5
3/4
Wk 6
4/4
Wk 7
4/4
Wk 8
2/4
Wk 9
2/4
Wk 10
1/2 ↗
Wk 11
70% adherence threshold — currently 62% (4-week rolling) Below target
Outcome Metrics
Customer-reported
Mobility (ROM) +18% since wk 1
Baseline: 48° flexion → Current: 57°
Pain score (avg) 4.2 / 10 ▲
Was 2.1 avg at weeks 7–8
Functional strength +31% vs baseline
Leg press: 40 kg → 52 kg
Sleep quality (self-rep.) 6.8 / 10
Improved from 4.5 at intake
Overall wellbeing 7.1 / 10
Stable over last 3 weeks
Program Progress
69%
Week 11 of 16
37 of 64 total sessions completed
Program ends Aug 16, 2024
37
Completed
7
Missed
1
Rescheduled
20
Remaining
Session Log
All scheduled sessions · Weeks 9–11 shown
Date Service Practitioner Scheduled Status Pain Score Customer Notes Follow-up
Mon 3 Jun Physiotherapy
Dr. Dana Kim
10:00 AM Completed
2/10
Feeling good, slight tightness None needed
Wed 5 Jun Strength & Conditioning
Tom B.
2:00 PM Missed No response to reminder Awaiting call
Fri 7 Jun Mobility Session
James R.
11:00 AM Completed 3/10 Good session, minor knee ache None needed
Week 10
Mon 10 Jun Physiotherapy
Dr. Dana Kim
10:00 AM Completed 5/10 Pain higher than usual, worried Done — Thu appt
Wed 12 Jun Strength & Conditioning
Tom B.
2:00 PM Missed Cancelled same morning, pain Awaiting call
Fri 14 Jun Physiotherapy
Dr. Dana Kim
10:00 AM Completed 5/10 Confirmed pain is muscular, not joint Reviewed in session
Week 11  Current
Mon 17 Jun Physiotherapy
Dr. Dana Kim
10:00 AM Completed 3/10 Better today, less tightness None needed
Wed 19 Jun Strength & Conditioning
Tom B.
2:00 PM Scheduled Upcoming
Showing weeks 9–11 · View all 44 sessions
Missed Sessions Detail
7 total · 4 in last 2 weeks
Action required
Wed 12 Jun — Strength & Conditioning
Cancelled same morning · Reason: increased pain · Tom B.
Follow-up pending
Wed 5 Jun — Strength & Conditioning
No-show · No prior notice · Tom B. · Reminder sent 24h before
Awaiting response
Fri 24 May — Mobility Session
Rescheduled to following Monday · James R. · Work conflict
Rescheduled & attended
4 earlier misses in weeks 1–8 · View full history
Suggested Interventions
3 actions
Schedule welfare check-in call
Two consecutive missed sessions with a pain-related cancellation. A brief practitioner call to understand barriers and offer support would be appropriate before week 12.
Review strength session intensity
Pain scores have risen during weeks involving strength conditioning. Consider temporarily reducing load and replacing one session with additional mobility or massage to allow recovery.
Send mid-program progress summary
Marcus is at the 11-week mark. Sharing his mobility and strength gains may help re-motivate attendance. Positive framing of progress to date can improve adherence in the final phase.
Coach Follow-up Log
Dr. Dana Kim noted pain is muscular in origin, not joint-related. Load review scheduled.
Fri 14 Jun · Post-session note
Tom B. sent follow-up SMS after Wed 12 Jun no-show. No response received yet.
Wed 12 Jun · SMS
Dr. Dana Kim flagged increased pain to clinic director. Thursday clinical check-in booked.
Mon 10 Jun · Internal note
System sent automated adherence alert — 4-week rolling rate fell below 70% threshold.
Mon 10 Jun · Automated