在药物使用障碍治疗机构中培养体育锻炼动机:以自我决定理论为基础的定性研究

IF 2.3 3区 医学 Q2 PSYCHIATRY
Sascha Thal , Chloe Graham , Nikos Ntoumanis , Bronwyn Myers , Stephen Bright , Jocelyn Jones , Eleanor Quested
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引用次数: 0

摘要

背景和目的研究发现,体育锻炼(PA)干预措施对药物使用障碍(SUDs)患者的药物使用、心理健康和生理健康的影响尚无定论。为了改善针对药物滥用障碍患者的体育锻炼干预,必须深入了解其潜在的动机过程。本研究以自我决定理论为框架,探讨了影响药物滥用性精神障碍(SUD)治疗过程中的动力因素。研究方法采用半结构式访谈的定性研究设计,探讨了西澳大利亚州药物滥用性精神障碍(SUD)治疗过程中的五位亲身经历者和五位利益相关者的经验和观点。数据分析采用了反思性主题分析法。结果形成了五个主题:(i) 归属社区,描述了集体 PA 所培养的社区感;(ii) 心灵、身体和灵魂,概述了 PA 对身心健康和自我意识的影响;(iii) 身体活动与康复融合,描述了有组织的 PA 如何支持个人从药物依赖治疗过渡到社区环境;(iv) 目标和奖励,说明了设定目标如何培养成就感;以及 (v) 安全空间,描述了为 PA 探索创造安全环境的重要性。结论从本研究中获得的启示可用于设计PA干预措施,以满足个人的基本心理需求,促进更自主的动机,同时培养同伴联系、PA知识和独立性。这些措施的实施可能会提高人们对体育锻炼的参与度和坚持度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fostering physical activity motivation at substance use disorder treatment facilities: A qualitative study grounded in self-determination theory

Background and aims

Studies have found inconclusive results for the effects of physical activity (PA) interventions on substance use, mental health, and physiological health of people experiencing substance use disorders (SUDs). To improve PA interventions for individuals with SUDs, a deeper understanding of the underlying motivational processes is imperative. This study employs self-determination theory as a framework to explore factors impacting PA motivation in SUD treatment contexts.

Methods

A qualitative research design utilising semi-structured interviews explored the experiences and perspectives of five people with lived or living experience of SUD treatment and five stakeholders within SUD treatment facilities across Western Australia. A reflexive thematic analysis was employed for the data analysis.

Results

Five themes were developed: (i) Belonging to a Community, describing the sense of community fostered by group PA (ii) Mind, Body, and Soul, outlining the impact of PA on mental and physical well-being and sense of self; (iii) Physical Activity and Recovery Integration, describing how structured PA supports individuals transitioning from SUD treatment to community environments, (iv) Goals and Rewards, illustrating how setting goals fosters a sense of accomplishment, and (v) Safe Space, describing the importance of creating safe environments for PA exploration.

Conclusion

Insights gained from this study could be used to design PA interventions that address individuals’ basic psychological needs and promote more autonomous motivation while fostering peer connections, PA knowledge, and independence. These implementations may lead to greater PA engagement and adherence.
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来源期刊
CiteScore
6.70
自引率
6.40%
发文量
43
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;
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