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首页> 外文期刊>BMC Family Practice >Exercising alcohol patients don’t lack motivation but struggle with structures, emotions and social context - a qualitative dropout study
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Exercising alcohol patients don’t lack motivation but struggle with structures, emotions and social context - a qualitative dropout study

机译：锻炼酒精患者并不缺乏动机，但与结构，情感和社会背景斗争 - 一个定性辍学研究

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Background Exercise is an important component of a healthy lifestyle, the development of which is a relapse prevention strategy for those with alcohol use disorder. However, it is a challenge to create exercise interventions with a persistent behavioural change. The aim of this qualitative study was to investigate perceived barriers to participation in an exercise intervention among alcohol use disorder patients, who dropped out of the intervention program. Furthermore, this study aims to propose possibilities for a better practice of future intervention studies based on the participants’ experiences and suggestions. Methods Qualitative interviews with 17 patients who dropped out from an exercise intervention in an outpatient treatment centre about their experiences and reasons for dropping out. Social cognitive theory informed the development of the interview guides and systematic text condensation was used for analysis. Results Analysis revealed three central themes: 1) Structural barriers described as the type of exercise and the timing of the intervention, 2) Social barriers described as need for accountability and unsupportive relations, and 3) Emotional barriers described as fear, guilt and shame, and negative affect of the intervention on long term. Conclusions Future exercise interventions should include socio-psychological support during the first weeks, begin shortly after treatment initiation instead of concurrently, and focus on garnering social support for participants in both the intervention context and among their existing network in order to best reduce barriers to participation. Trial registration This study was retrospectively registered at Current Controlled Trials ISRCTN74889852 on 11 July 2013.
机译：背景练习是健康生活方式的重要组成部分，发展是一种含酒精障碍的人的复发预防策略。但是，创造持续行为变革的运动干预是一项挑战。这种定性研究的目的是调查感知的障碍，参与酗酒障碍患者的运动干预，他退出干预计划。此外，本研究旨在根据参与者的经验和建议提出更好地做出更好的干预研究的可能性。方法对17名患者进行定性访谈，这些患者在门诊治疗中心的运动干预中脱落，了解了他们的经历和辍学原因。社会认知理论了解面试指南的发展和系统文本凝结用于分析。结果分析揭示了三个中央主题：1）结构障碍被描述为运动的类型和干预的时间，2）所描述的社会障碍被描述为责任和不支持关系，3）情绪障碍被描述为恐惧，内疚和羞耻，对长期干预的负面影响。结论未来的运动干预措施应包括在第一周中的社会心理支持，在治疗开始而不是同时开始，并专注于为参与者和现有网络中的参与者获得社会支持，以便最佳降低参与障碍。试验注册本研究在2013年7月11日在目前对照试验中回顾性地注册.P74889852。

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