Barriers and facilitators to physical activity and exercise among adults with depression: A scoping review |
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| Affiliation: | 1. University of British Columbia, D.H. Copp Building, 2146 Health Sciences Mall, Vancouver, V6T 1Z3, BC Canada;2. University of British Columbia Okanagan, ART- 1147 Research Road, Kelowna, V1V 1V7, BC Canada;1. Department of Psychology, The University of Texas at Austin, 108 E. Dean Keeton Stop A8000, Austin, TX 78712-1043, United States;2. Institute for Mental Health Research, The University of Texas at Austin, 305 E. 23rd St., Stop E9000, Austin, TX 78712, United States;1. Behavioral Health Research Program, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905 United States;2. Department of Psychology and Psychiatry, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, United States;3. Department of Biomedical Statistics and Informatics, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, United States;4. College of Medicine, Mayo Clinic Scottsdale, 13400 E Shea Blvd, Scottsdale, AZ, United States;5. St. Georges, University of London, Cranmer Terrace, London SW17 ORE, United Kingdom;1. Physical Therapy Program, Universidad Simón Bolívar, Barranquilla, Colombia;2. Physical Therapy Program, Universidad Autónoma de Manizales, Manizales, Colombia;1. Institute for Health Research, University of Exeter Medical School, St Luke''s Campus, Magdalen Road, Exeter, EX1 2LU, UK;2. Clinical Education, Development and Research (CEDAR), Psychology, University of Exeter, Exeter, EX4 4QG, UK;3. Centre for Exercise, Nutrition and Health Sciences, University of Bristol, 8 Priory Road, Bristol BS8 1TZ, UK;4. Plymouth University, N6, ITTC, Tamar Science Park, Plymouth, Devon, PL6 8BX, UK;1. Unilasalle, Canoas, Brazil;2. Escola de Educação Física, Fisioterapia e Dança, Porto Alegre, Brazil;3. Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil;4. KU Leuven – University of Leuven, Department of Rehabilitation Sciences, Leuven, Belgium;5. KU Leuven – University of Leuven, University Psychiatric Centre, Leuven-Kortenberg, Belgium;6. Institute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK;7. Department of Exercise Physiology, School of Medical Sciences, University of New South Wales, Liverpool NSW 2170, Sydney, Australia;8. The Black Dog Institute, University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick 2031, NSW, Australia;9. School of Psychiatry, US Australia, Sydney and Schizophrenia Research Unit, Ingham Institute of Applied Medical Research, Liverpool, NSW, Australia;10. Obstetrics and Gynecology Department, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil;11. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK;12. Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King''s College London, De Crespigny Park, London, UK |
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| Abstract: | BackgroundExercise is now recommended as a treatment for depression in Canada. What remains less clear is how best to encourage exercise uptake by individuals with mood disorders. The purpose of this scoping review is to identify barriers and facilitators to exercise and physical activity participation among individuals with depression.MethodA scoping review with systematic searches was conducted. Eligible studies required samples >50% diagnosed with depression or a mood disorder, and reported empirical data on barriers and/or facilitators to physical activity using quantitative and/or qualitative methods. Extracted barriers and facilitators were classified into the fourteen domains of the Theoretical Domains Framework (TDF).ResultsThirteen studies were included (seven quantitative, six qualitative). The most common barriers were classified under the TDF domains of Emotion, Environmental Context & Resources, Beliefs about Capabilities, and Intentions. The most common facilitators were classified under the domains of Beliefs about Consequences, Social Influences, Emotion and Behavioural Regulation.ConclusionsMost identified domains are all common determinants of health behaviours in various models and theories applied to physical activity participation. However, the Emotion domain appears to be particularly important to individuals with depression, and yet is not covered by these traditional theories of behaviour change, and may be overlooked when trying to promote physical activity among this population. Future research should investigate the effectiveness of behaviour change interventions that specifically target the Emotion domain, and clearly report the behaviour change techniques employed to do so. |
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| Keywords: | Depression Physical activity Barriers Facilitators Behaviour change Theoretical domains framework |
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