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Adolescents’ Experiences of Facilitators for and Barriers to Maintaining Exercise 12 Months after a Group-Based Intervention for Depression

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  • Evelina Sunesson

    (Center of Research on Welfare, Health and Sport, School of Health and Welfare, Halmstad University, SE-30118 Halmstad, Sweden
    Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden)

  • Emma Haglund

    (Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden
    Section of Rheumatology, Department of Clinical Sciences, Lund University, SE-22242 Lund, Sweden
    The Rydberg Laboratory for Applied Sciences, Halmstad University, SE-30118 Halmstad, Sweden)

  • Ann Bremander

    (Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden
    Section of Rheumatology, Department of Clinical Sciences, Lund University, SE-22242 Lund, Sweden
    The Rydberg Laboratory for Applied Sciences, Halmstad University, SE-30118 Halmstad, Sweden
    Department of Regional Health Research, University of Southern Denmark, DK-5230 Odense, Denmark)

  • Håkan Jarbin

    (Child and Adolescent Psychiatry, Department of Clinical Sciences Lund, Lund University, SE-22184 Lund, Sweden
    Child and Adolescent Psychiatry, Region Halland, SE-30185 Halmstad, Sweden)

  • Ingrid Larsson

    (Center of Research on Welfare, Health and Sport, School of Health and Welfare, Halmstad University, SE-30118 Halmstad, Sweden
    Spenshult Research and Development Centre, SE-30274 Halmstad, Sweden
    Section of Rheumatology, Department of Clinical Sciences, Lund University, SE-22242 Lund, Sweden)

Abstract

Exercise can improve health among adolescents with depression. Understanding facilitators for and barriers to maintaining exercise among adolescents with depression may increase adherence to exercise and consequently improve health. The aim was to explore adolescents’ experiences of facilitators for and barriers to maintaining exercise after a group-based exercise intervention for depression. Interviews ( n = 14) were conducted 12 months after the exercise intervention. A qualitative content analysis was used to extract facilitators and barriers. Facilitators for maintaining exercise among adolescents with depression were (1) greater self-esteem by having companionship while exercising and by achieving exercise results and (2) having a supportive environment in terms of accessibility and coaching. Barriers to maintaining exercise were (1) disease burden due to fatigue, social anxiety, and a lack of drive, and (2) lack of a supportive environment including a lack of social support, as well as structural support. In conclusion, facilitating enhanced self-esteem and continuous support for exercising are important for adolescents with depression to maintain exercise. The disease burden of depression is a substantial barrier that needs to be considered to maintain exercise. The findings can contribute to the development of services that promote and coordinate exercise as a treatment among adolescents with depression.

Suggested Citation

  • Evelina Sunesson & Emma Haglund & Ann Bremander & Håkan Jarbin & Ingrid Larsson, 2021. "Adolescents’ Experiences of Facilitators for and Barriers to Maintaining Exercise 12 Months after a Group-Based Intervention for Depression," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5427-:d:557808
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    References listed on IDEAS

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    1. Janet Currie & Mark Stabile, 2007. "Mental Health in Childhood and Human Capital," NBER Chapters, in: The Problems of Disadvantaged Youth: An Economic Perspective, pages 115-148, National Bureau of Economic Research, Inc.
    2. Munim Mannan & Abdullah Mamun & Suhail Doi & Alexandra Clavarino, 2016. "Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta-Analysis of Longitudinal Studies," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-18, June.
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    1. Sara Reinodt & Emma Haglund & Ann Bremander & Håkan Jarbin & Ingrid Larsson, 2022. "Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression," IJERPH, MDPI, vol. 19(5), pages 1-14, March.

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