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

Area of Science:

• Pediatric neurology
• Sports medicine
• Psychology

Background:

• Concussions are common in youth, with many experiencing persistent post-concussion symptoms (PPCS).
• Exercise below symptom-provoking levels aids recovery, but adherence is a challenge for young individuals.
• Understanding motivational factors is crucial for effective concussion management.

Purpose of the Study:

• To explore factors influencing exercise motivation in youth following a concussion.
• To examine these factors through the framework of Self-Determination Theory (SDT).

Main Methods:

• Structured qualitative interviews were conducted with 32 concussed youth and their parents.
• Thematic Analysis was employed to analyze interview transcripts.
• Interviews were guided by principles of Self-Determination Theory (SDT).

Main Results:

• Four primary motivational factors identified: social support, accountability, goal setting, and structure.
• Social support and accountability align with the SDT need for relatedness.
• Goal setting addresses the need for autonomy, while structure supports the need for competence.

Conclusions:

• Self-Determination Theory (SDT) provides a valuable framework for understanding exercise adherence post-concussion.
• Incorporating social support, accountability, goal setting, and structure may enhance exercise prescription effectiveness.
• Further research should focus on integrating these elements into concussion recovery programs.