Understanding factors influencing exercise program adherence for youth with persistent post-concussive symptoms (PPCS).

Background: A significant portion of youth sustain a concussion every year, with around 30% experiencing persistent post-concussion symptoms (PPCS). Research has shown exercising just below the exertion level that provokes symptoms can lead to more rapid recovery. However, youth often struggle to ad...

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Publicado en:Brain Injury Vol. 39; no. 4; pp. 286 - 300
Autores principales: Bollinger, Beth J., Chrisman, Sara Pd, Sahlberg, Jordan, Mendoza, Jason A., Palermo, Tonya M., Zhou, Chuan, Brooks, M. Alison, Rivara, Frederick P., Pedersen, Payton, Prentice, Emily, Hansen, Colby
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Understanding factors influencing exercise program adherence for youth with persistent post-concussive symptoms (PPCS).
      aug:
        au:
          Bollinger, Beth J.
          Chrisman, Sara Pd
          Sahlberg, Jordan
          Mendoza, Jason A.
          Palermo, Tonya M.
          Zhou, Chuan
          Brooks, M. Alison
          Rivara, Frederick P.
          Pedersen, Payton
          Prentice, Emily
          Hansen, Colby
        affil: Center for Child Health, Behavior and Development, Seattle Children's Research Institute
      sug:
        subj:
          Patient Compliance In Adolescence
          Exercise Psychosocial Factors
          Postconcussion Syndrome Symptoms
          Motivation
          Human
          Funding Source
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Qualitative Studies
          Questionnaires
          Thematic Analysis
          Support, Social
          Accountability
          Goal-Setting
          Autonomy
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: A significant portion of youth sustain a concussion every year, with around 30% experiencing persistent post-concussion symptoms (PPCS). Research has shown exercising just below the exertion level that provokes symptoms can lead to more rapid recovery. However, youth often struggle to adhere to exercise recommendations following concussion. Methods: We conducted structured qualitative interviews (n = 32) with concussed youth and their parents to examine factors influencing motivation to engage in exercise post-concussion. Questions were framed through the lens of Self-Determination Theory (SDT) and Thematic Analysis was used to code and analyze transcripts. Results: Four primary factors appeared to motivate youth to exercise after receiving a concussion: 1) social support, 2) accountability, 3) goal setting, and 4) structure. Utilizing the lens of SDT, one could theorize that including social support and accountability helped fulfill the need of relatedness, setting goals helped fulfill the need of autonomy, and providing program structure helped fulfill the need for competence. Conclusions: Our results suggest that Self-Determination Theory may be a useful frame for examining exercise adherence post-concussion. Incorporating social support, accountability, goal setting and structure could increase the effectiveness of exercise prescription post-concussion and should be the focus of further study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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