Understanding the barriers and facilitators of physical activity promotion for depression among healthcare professionals: A systematic review

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-03-01 DOI:10.1016/j.mhpa.2025.100674

Jemima Cooper, Georgina Wort, Fiona Gillison, Jeffrey Lambert

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引用次数: 0

Abstract

Despite the evidence-based benefits of physical activity (PA) as a treatment for depression, many Healthcare Professionals (HCPs) do not promote PA to patients. We conducted a systematic review to identify the barriers and/or facilitators reported by HCPs working with individuals with depression, either exclusively or alongside other health conditions. Data were extracted and thematically analysed using the Theoretical Domains Framework (TDF). From 10,619 articles identified, 23 studies involving 5711 HCPs across 12 countries met the inclusion criteria of; 1) HCPs working with individuals with depression, either exclusively or alongside other health conditions, and 2) primary data on barriers and/or facilitators experienced by HCPs for promoting PA for the treatment of depression. We identified three key themes: assumptions about patients, perceived HCP beliefs and capabilities, and contextual influences. From the studies included in this review, key barriers to the promotion of PA for depression are HCPs’ perceptions about barriers to patients becoming more active, and a lack of a supportive environment for HCPs to promote PA for depression. HCPs having good knowledge of the benefits of PA and perceiving PA as an effective treatment for depression were key facilitators.

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了解体育活动促进医疗保健专业人员抑郁症的障碍和促进因素：一项系统综述

尽管有证据表明体育活动（PA）作为抑郁症治疗的益处，但许多医疗保健专业人员（HCPs）并不向患者推广体育活动。我们进行了一项系统的回顾，以确定HCPs在治疗抑郁症患者时报告的障碍和/或促进因素，无论是单独的还是与其他健康状况一起。使用理论领域框架（TDF）提取数据并进行主题分析。从确定的10619篇文章中，有23项研究涉及12个国家的5711名卫生保健人员，符合纳入标准；1)与抑郁症患者一起工作的医务人员，无论是单独的还是与其他健康状况一起工作的；2)医务人员在促进PA治疗抑郁症方面遇到的障碍和/或促进因素的主要数据。我们确定了三个关键主题：对患者的假设，感知到的HCP信念和能力，以及环境影响。从本综述中纳入的研究来看，促进PA治疗抑郁症的主要障碍是医护人员对患者变得更活跃的障碍的认识，以及医护人员促进PA治疗抑郁症缺乏支持性环境。HCPs对PA的益处有很好的了解，并认为PA是一种有效的抑郁症治疗方法，这是关键的促进因素。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;