ArticleAddiction science & clinical practice2025
Young people's perspectives on integrating physical activity interventions into youth substance use treatment practice: a mixed-methods study.
Article in Addiction science & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPhysical activity (PA) interventions may benefit youth with problematic substance use (SU); however, the acceptability of these interventions in young people is poorly understood. In this mixed-methods study, predictors and correlates of treatment acceptability of PA interventions as part of SU treatment were investigated, and young people's perspectives on PA intervention (e.g., perceived barriers and service-related needs) were explored.
methodsYoung people aged 16-25 years (n=145) with problematic SU completed a quantitative online survey on substance use, PA engagement, treatment acceptability, and perceived barriers and benefits of PA. Data were analysed using data mining and modelling approaches. Four participants aged 18-25 years participated in a subsequent, semi-structured focus group; data were analysed using qualitative content analysis. Quantitative and qualitative findings were integrated using an established model of behaviour change (COM-B).
resultsGeneralised additive modelling identified perceived PA barriers to be a predictor of treatment acceptability (p≤.001). Decision tree analyses confirmed that lower psychological distress (1
conclusionsPA levels and psychological distress predict perceived barriers to PA in young people with problematic SU. PA barriers predict treatment acceptability of PA interventions. Knowledge of such predictors may inform treatment decisions by clinicians. Young people's insights should be integrated into PA intervention research to inform intervention and understand the unique barriers, preferences and needs of youth affected by problematic SU. Integration of young people's perspectives may increase behaviour change, as well as motivation, engagement and positive feelings in young people participating in PA interventions within substance use treatment.
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