Table 4.

Family Perspectives on Homework Barriers

Levels	Themes	No. of Families Raising Theme	No. of References to Theme
Patient
	Patient avoidance or symptoms	10	23
	Forget	9	14
	Don’t understand practical implementation (i.e., when, where, and how)	8	12
	Don’t understand the rationale	8	13
	Don’t see homework as an integral part of therapy or important	5	5
	Disinterested or don’t care	4	5
Task
	Assignment is viewed as boring	10	12
	Assignment does not align with patient values or treatment goals	3	3
	Paperwork is inconvenient	2	2
Environment
	Home life is busy and chaotic; no time	12	21
	Lack of reward or reinforcement	7	7
	Lack of caregiver involvement	2	2
	Lack of provider enthusiasm	2	2