Preprint / Version 1

Physical Activity during a Treatment for Substance Use Disorder

A Qualitative Case Study

##article.authors##

DOI:

https://doi.org/10.51224/SRXIV.287

Keywords:

Exercise, addiction, treatment, drug abuse, sport, dependence, qualitative

Abstract

Background: Substance use disorders are frequently diagnosed mental disorders and patients have a higher mortality rate due to the presence of several chronic physical conditions. Physical activity is seen as a new solution to decrease mortality because of its benefits to overall health. Studies have observed improvement following physical activity, but most of them have omitted patients’ perception of physical activity. Objective: To understand the physical activity perception of people undergoing treatment for substance use disorder. Methods: Thirteen people (69% men; 33.4 ± 8.3 years old) were interviewed after experiencing at least 12 sessions of physical activity during their treatment. Results: Following the content analysis, three predominant themes emerged: physical activity was (1) a way to take care of themselves, through the perceived improvement of health; (2) used as a protective mechanism against relapse, through the occupation time, behavior replacement and the creation of a healthy network; (3) served as a facilitator of treatment retention because participant developed social support. Conclusion: Practicing physical activity during treatment helps to develop healthy lifestyle habits that may support retention to treatment and built confidence in the ability to cope with future relapse.

Metrics

Metrics Loading ...

References

Institute for Health Metrics and Evaluation, “GBD Results Tool | GHDx,” Global Heath Data Exchange, 2022. https://ghdx.healthdata.org/gbd-results-tool (accessed Mar. 17, 2022).

American Psychiatric Association, “Addiction and Related Disorders,” in DSM-V: Diagnostic and statistical manual of mental disorders, 5th ed.Washington: American Psychiatric Publishing, 2013.

R. D. Hayes et al., “Associations between substance use disorder sub-groups, life expectancy and all-cause mortality in a large British specialist mental healthcare service,” Drug Alcohol Depend., vol. 118, no. 1, pp. 56–61, Oct. 2011, doi: 10.1016/j.drugalcdep.2011.02.021.

M. Nordentoft et al., “Excess Mortality, Causes of Death and Life Expectancy in 270,770 Patients with Recent Onset of Mental Disorders in Denmark, Finland and Sweden,” PLoS ONE, vol. 8, no. 1, p. e55176, Jan. 2013, doi: 10.1371/journal.pone.0055176.

I. H. Heiberg et al., “Total and cause-specific standardized mortality ratios in patients with schizophrenia and/or substance use disorder,” PLOS ONE, vol. 13, no. 8, p. e0202028, Aug. 2018, doi: 10.1371/journal.pone.0202028.

E. Iturralde, N. Slama, A. H. Kline-Simon, K. C. Young-Wolff, D. Mordecai, and S. A. Sterling, “Premature mortality associated with severe mental illness or substance use disorder in an integrated health care system,” Gen. Hosp. Psychiatry, vol. 68, pp. 1–6, Jan. 2021, doi: 10.1016/j.genhosppsych.2020.11.002.

D. Wang, Y. Wang, Y. Wang, R. Li, and C. Zhou, “Impact of physical exercise on substance use disorders: A meta-analysis,” PLoS One, vol. 9, no. 10, pp. 1–15, 2014, doi: 10.1371/journal.pone.0110728.

R. Dowla, H. Sinmaz, Y. Mavros, B. Murnion, E. Cayanan, and K. Rooney, “The Effectiveness of Exercise as an Adjunct Intervention to Improve Quality of Life and Mood in Substance Use Disorder: A Systematic Review,” Subst. Use Misuse, vol. 57, no. 6, pp. 911–928, May 2022, doi: 10.1080/10826084.2022.2052098.

J. Giménez-Meseguer, J. Tortosa-Martínez, and M. de los Remedios Fernández-Valenciano, “Benefits of Exercise for the Quality of Life of Drug-Dependent Patients,” J. Psychoactive Drugs, vol. 47, no. 5, pp. 409–416, Oct. 2015, doi: 10.1080/02791072.2015.1102991.

K. K. Roessler, “Exercise treatment for drug abuse--a Danish pilot study,” Scand. J. Public Health, vol. 38, no. 6, pp. 664–9, Aug. 2010, doi: 10.1177/1403494810371249.

J. Horrell et al., “Qualitative systematic review of the acceptability, feasibility, barriers, facilitators and perceived utility of using physical activity in the reduction of and abstinence from alcohol and other drug use,” Ment Health Phys Act, vol. 19, 2020, doi: 10.1016/j.mhpa.2020.100355.

M. Haasova et al., “The acute effects of physical activity on cigarette cravings: systematic review and meta-analysis with individual participant data,” Addiction, vol. 108, no. 1, pp. 26–37, Jan. 2013, doi: 10.1111/j.1360-0443.2012.04034.x.

M. Haasova, F. C. Warren, T. Thompson, M. Ussher, and A. H. Taylor, “The association between habitual physical activity and cigarette cravings, and influence of smokers’ characteristics in disadvantaged smokers not ready to quit,” Psychopharmacology (Berl.), vol. 233, no. 14, pp. 2765–2774, Jul. 2016, doi: 10.1007/s00213-016-4326-6.

C. L. Dai, C. C. Chen, G. B. Richardson, and H. R. D. Gordon, “Managing Substance Use Disorder through a Walking/Running Training Program,” Subst. Abuse Res. Treat., vol. 14, p. 1178221820936681, 2020, doi: 10.1177/1178221820936681.

M. J. Fagan, K. Glowacki, and G. Faulkner, “‘You get that craving and you go for a half-hour run’: Exploring the acceptability of exercise as an adjunct treatment for substance use disorder,” Ment. Health Phys. Act., vol. 21, p. 100424, Oct. 2021, doi: 10.1016/j.mhpa.2021.100424.

S. E. Linke and M. Ussher, “Exercise-based treatments for substance use disorders: evidence, theory, and practicality,” Am. J. Drug Alcohol Abuse, vol. 41, no. 1, pp. 7–15, Jan. 2015, doi: 10.3109/00952990.2014.976708.

A. Booth, K. Hannes, A. Harden, J. Noyes, J. Harris, and A. Tong, “COREQ (Consolidated Criteria for Reporting Qualitative Studies),” in Guidelines for Reporting Health Research: A User’s Manual, John Wiley & Sons, Ltd, 2014, pp. 214–226. doi: 10.1002/9781118715598.ch21.

A. Tong, P. Sainsbury, and J. Craig, “Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups,” Int. J. Qual. Health Care, vol. 19, no. 6, pp. 349–357, Sep. 2007, doi: 10.1093/intqhc/mzm042.

H. Simons, Evolution and concept of case study research. Sage Publication, 2009.

R. E. Stake, “Qualitative Case Studies,” in Handbook of Qualitative Research, 3e ed.United Kingdom: SAGE Publications, 2005.

T. S. Moore, S. D. Lapan, and M. T. Quartaroli, “Case Study Research,” in Qualitative Research, F. J. Riemer, Ed., 1st ed.San Francisco: Jossey-Bass, 2012, p. 526.

R. K. Yin, Case Study Research, 5th ed. California: Sage Publication, 2014.

B. R. R. Oliveira, A. C. Deslandes, and T. M. Santos, “Differences in exercise intensity seems to influence the affective responses in self-selected and imposed exercise: a meta-analysis,” Front. Psychol., vol. 6, Aug. 2015, doi: 10.3389/fpsyg.2015.01105.

G. A. V. Borg, “Psychophysical bases of perceived exertion,” Med. Sci. Sports Exerc., vol. 14, no. 5, pp. 377–381, 1982.

A. Donabedian, “The Quality of Care,” JAMA, vol. 260, no. 12, pp. 1743–1748, 1988.

H.-F. Hsieh and S. E. Shannon, “Three Approaches to Qualitative Content Analysis,” Qual. Health Res., vol. 15, no. 9, pp. 1277–1288, Nov. 2005, doi: 10.1177/1049732305276687.

D. R. Thomas, “A General Inductive Approach for Analyzing Qualitative Evaluation Data,” Am. J. Eval., vol. 27, no. 2, pp. 237–246, 2016, doi: 10.1177/1098214005283748.

B. Saunders et al., “Saturation in qualitative research: exploring its conceptualization and operationalization,” Qual. Quant., vol. 52, no. 4, pp. 1893–1907, Jul. 2018, doi: 10.1007/s11135-017-0574-8.

L. Savoie-Zajc, “La recherche qualitative/interprétative,” in La recherche en éducation : Étapes et approches, T. Karsenti and L. Savoie-Zajc, Eds., 4th ed.Presses de l’Université de Montréal, 2018.

G. Ashdown-Franks et al., “Exercise as Medicine for Mental and Substance Use Disorders: A Meta-review of the Benefits for Neuropsychiatric and Cognitive Outcomes,” Sports Med., 2020, doi: 10.1007/s40279-019-01187-6.

M. Stoutenberg, J. Warne, D. Vidot, E. Jimenez, and J. P. Read, “Attitudes and preferences towards exercise training in individuals with alcohol use disorders in a residential treatment setting,” J Subst Abuse Treat, vol. 49, pp. 43–9, Feb. 2015, doi: 10.1016/j.jsat.2014.08.008.

A. M. Joseph, D. B. Nelson, S. M. Nugent, and M. L. Willenbring, “Timing of Alcohol and Smoking Cessation (TASC): Smoking Among Substance Use Patients Screened and Enrolled in a Clinical Trial,” J. Addict. Dis., vol. 22, no. 4, pp. 87–107, Jan. 2004, doi: 10.1300/J069v22n04_08.

E. Zschucke, A. Heinz, and A. Strohle, “Exercise and physical activity in the therapy of substance use disorders,” ScientificWorldJournal, vol. 2012, p. 901741, 2012, doi: 10.1100/2012/901741.

J. Neale, S. Nettleton, and L. Pickering, “Heroin users’ views and experiences of physical activity, sport and exercise,” Int. J. Drug Policy, vol. 23, no. 2, pp. 120–127, Mar. 2012, doi: 10.1016/j.drugpo.2011.06.004.

B. Furzer et al., “Exercise is medicine … when you enjoy it: exercise enjoyment, relapse prevention efficacy, and health outcomes for youth within a drug and alcohol treatment service,” Psychol. Sport Exerc., 2020, doi: 10.1016/j.psychsport.2020.101800.

Substance Abuse and Mental Health Services Administration, Enhancing Motivation for Change in Substance Use Disorder Treatment: Updated 2019. in SAMHSA/CSAT Treatment Improvement Protocols. Rockville (MD): Substance Abuse and Mental Health Services Administration (US), 2019. Accessed: Nov. 01, 2022. [Online]. Available: http://www.ncbi.nlm.nih.gov/books/NBK571071/

M. E. Larimer, R. S. Palmer, and G. A. Marlatt, “Relapse Prevention,” Alcohol Res. Health, vol. 23, no. 2, pp. 151–160, 1999.

J. Cowan and C. Devine, “Food, eating, and weight concerns of men in recovery from substance addiction,” Appetite, vol. 50, no. 1, pp. 33–42, Jan. 2008, doi: 10.1016/j.appet.2007.05.006.

N. Mahboub, R. Rizk, M. Karavetian, and N. de Vries, “Nutritional status and eating habits of people who use drugs and/or are undergoing treatment for recovery: a narrative review,” Nutr. Rev., vol. 79, no. 6, pp. 627–635, Sep. 2020, doi: 10.1093/nutrit/nuaa095.

C. S. Warren, A. R. Lindsay, E. K. White, K. Claudat, and S. C. Velasquez, “Weight-related concerns related to drug use for women in substance abuse treatment: Prevalence and relationships with eating pathology,” J. Subst. Abuse Treat., vol. 44, no. 5, pp. 494–501, May 2013, doi: 10.1016/j.jsat.2012.08.222.

K. D. Jeynes and E. L. Gibson, “The importance of nutrition in aiding recovery from substance use disorders: A review,” Drug Alcohol Depend., vol. 179, pp. 229–239, Oct. 2017, doi: 10.1016/j.drugalcdep.2017.07.006.

P. J. Burke and J. E. Stets, Identity theory. Oxford ; New York: Oxford University Press, 2009.

S. Stryker and P. J. Burke, “The Past, Present, and Future of an Identity Theory,” Soc. Psychol. Q., vol. 63, no. 4, pp. 284–297, 2000, doi: 10.2307/2695840.

R. E. Rhodes, N. Kaushal, and A. Quinlan, “Is physical activity a part of who I am? A review and meta-analysis of identity, schema and physical activity,” Health Psychol. Rev., vol. 10, no. 2, pp. 204–225, Apr. 2016, doi: 10.1080/17437199.2016.1143334.

C. S. Priebe, M. Beauchamp, K. Wunderlich, and G. Faulkner, “‘I’m a runner not a smoker’: Changes in identity as predictors of smoking cessation and physical activity,” Psychol. Sport Exerc., vol. 49, p. 101702, Jul. 2020, doi: 10.1016/j.psychsport.2020.101702.

M. Stevens, T. Rees, P. Coffee, N. K. Steffens, S. A. Haslam, and R. Polman, “A Social Identity Approach to Understanding and Promoting Physical Activity,” Sports Med., vol. 47, no. 10, pp. 1911–1918, Oct. 2017, doi: 10.1007/s40279-017-0720-4.

S. Landale and M. Roderick, “Recovery from addiction and the potential role of sport: Using a life-course theory to study change,” Int. Rev. Sociol. Sport, vol. 49, no. 3–4, pp. 468–484, Jun. 2014, doi: 10.1177/1012690213507273.

Downloads

Posted

2023-04-22