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Related Experiment Video

Updated: Aug 10, 2025

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
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Measurement, determinants, barriers, and interventions for exercise adherence: A scoping review.

Amreen Mahmood1, Pradeepa Nayak1, Anagha Deshmukh2

  • 1Department of Health Professions, Manchester Metropolitan University, Birley Fields Campus, Bonsall Street, M15 6GX, Manchester, United Kingdom.

Journal of Bodywork and Movement Therapies
|February 12, 2023
PubMed
Summary

Improving exercise adherence is crucial for rehabilitation success. This review identifies common measurement tools, determinants, barriers, and effective interventions like behavioral strategies and mHealth to enhance patient adherence.

Keywords:
ExerciseExercise therapyPatient adherenceRehabilitationReview literature

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Area of Science:

  • Rehabilitation Medicine
  • Behavioral Science
  • Health Services Research

Background:

  • Exercise adherence is vital for rehabilitation outcomes.
  • Limited evidence exists on multifaceted components of exercise adherence.
  • This review synthesizes literature on exercise adherence measurement, determinants, barriers, and interventions.

Purpose of the Study:

  • To summarize existing literature on exercise adherence.
  • To identify measurement tools, determinants, and barriers.
  • To review evidence-based interventions supporting exercise adherence.

Main Methods:

  • Scoping review following PRISMA extension guidelines.
  • Searched major databases: PubMed, Cochrane, ScienceDirect, Web of Science.
  • Qualitative synthesis of 72 included articles.

Main Results:

  • No gold standard for measuring exercise adherence; questionnaires and logs are common.
  • Determinants include personal, disease, therapy, provider, and health system factors.
  • Barriers include lack of caregiver, low health literacy, poor communication, cost, and access issues.
  • Interventions include behavioral strategies, self-efficacy enhancement, motivational therapy, and mHealth.

Conclusions:

  • Non-adherence to exercise is a significant clinical challenge.
  • Standardized guidelines for exercise adherence evaluation and management are lacking.
  • Future research should focus on objective measures and long-term effects of interventions.