scholarly journals Physical Activity Can Enhance Treatment for Substance Use Disorder: A Systematic Review

2020 ◽  
Vol 3 ◽  
Author(s):  
Ethan Blake ◽  
Antonia Sawyer ◽  
Dennis Savaiano

Background/Objective: Substance use disorder is a significant yet treatable mental health disorder affecting approximately 20.3 million Americans in 2018. Its continued prevalence indicates the need for additional approaches to complement existing therapies. Physical activity is one potential nontraditional therapy that has been utilized. A qualitative systematic review was conducted to investigate the effects physical activity as a therapy adjunct for non-alcohol and non-tobacco substance use disorder treatment, evaluating effects on substance use and craving levels.   Methods: Using PRISMA guidelines, English language papers in CINAHL, PubMed, Embase, and APA PsycArticles were searched with no date restrictions. In total, 387 abstracts were screened, of which 342 were excluded because they investigated irrelevant outcomes, analyzed solely alcohol or tobacco use disorder, were not primary research, or were duplicates. The remaining 45 citations were reviewed independently by two authors, and 17 were included in the final review. The included studies were graded using a quality criteria checklist based on the quality constructs and domains for research studies reported by the Agency for Healthcare Research and Quality.  Results: Of the 17 included studies, 9 reported favorable outcomes of physical activity on reducing substance use. Four of these articles were of positive quality, and 5 were of neutral quality. Additionally, 4 studies reported favorable outcomes of physical activity on reducing craving levels. All 4 of these studies were of neutral quality. No studies reported unfavorable outcomes.  Conclusion: The findings indicate that exercise may help to reduce substance use and cravings in those undergoing treatment for substance use disorder, but research on which forms of exercise improve treatment for specific substances is needed.  Impact and Implications: This study helps to clarify that further research is needed to optimize the effects of exercise as an adjunct treatment for substance use disorder. 

2019 ◽  
Author(s):  
Sheeba Nadarajah ◽  
Susan Buchholz ◽  
Kristen Dickins

BACKGROUND Globally, cardiovascular disease is the leading cause of death. Cardiovascular mortality can be decreased by participation in cardiac rehabilitation. Researchers are exploring the use of mHealth technology in cardiac rehabilitation. OBJECTIVE The aim of this systematic review is to examine the effectiveness of randomized controlled trials that use a mHealth intervention as a part of an outpatient and/or home-based cardiac rehabilitation program on improving physical activity and physical fitness outcomes. METHODS For this systematic review, mHealth interventions were limited to text messaging, mobile apps, and use of a mobile phone network for data transmission, used to deliver cardiac rehabilitation program. Using six databases, the search strategy included published English language studies through 2016. Data was extracted independently by two reviewers, and then synthesized. RESULTS The initial search yielded 149 articles, of which 15 articles that represented nine studies met inclusion criteria. Articles were published from 2010 to 2016 and came from two continents. The majority (84%) of participants were male. Generally, the participant mean age was late 50s to early 60s. Text messaging was the most frequently used intervention. The results of the physical activity and physical fitness findings were mixed. Effect sizes for intervention as measured by the 6-minute walk test ranged from 0.46 to 0.58 and peak VO2 ranged from 0.03 to 1.35. CONCLUSIONS Globally, use of mHealth in outpatient and/or home-based cardiac rehabilitation is being studied with greater attention. However, these studies are limited by geography, gender, and age. Therefore, further research in the area of cardiac rehabilitation and mHealth is recommended, especially in developing countries, among women, and older adults.


Author(s):  
Margaret J.R. Gidgup ◽  
Marion Kickett ◽  
Tammy Weselman ◽  
Keith Hill ◽  
Julieann Coombes ◽  
...  

The objective of this qualitative systematic review was to synthesize all evidence to understand the barriers and enablers to older Indigenous peoples (aged 40 years and older) engaging in physical activity. Four databases were searched. Study quality was assessed from an Indigenous perspective, using an Aboriginal and Torres Strait Islander quality appraisal tool. Data were analyzed using thematic synthesis. There were 4,246 articles screened with 23 articles and one report included from over 30 Indigenous communities across four countries. Cultural Safety and Security was a key enabler, including developing physical activity programs which are led by Indigenous communities and preference Indigenous values. Colonization was a key barrier that created mistrust and uncertainty. Social Determinants of Health, including cost, were supported by successful programs, but if not addressed, were demotivators of engagement. Older Indigenous peoples identified barriers and enablers that can direct the development of sustainable, culturally appropriate physical activity programs.


Gamification ◽  
2015 ◽  
pp. 2022-2039 ◽  
Author(s):  
Tuomas Kari

This systematic review of systematic reviews evaluates the effectiveness of exergaming on physical fitness and physical activity. A systematic literature search was conducted on 10 databases, and 1040 articles were identified. Sixty-eight articles were found potentially relevant and were selected for closer screening. Cross-referencing was conducted to find other potentially relevant articles. The quality of all relevant articles was evaluated using the AMSTAR tool. After all the duplicates were removed and inclusion, exclusion, and quality criteria were implemented, six articles remained for review. The results indicate that exergaming is generally enjoyed and can evoke some benefits for physical fitness and physical activity, but the current evidence does not support the ability of exergaming to increase physical fitness or physical activity levels sufficiently for significant health benefits. This systematic review also revealed several gaps in previous research. Additional high-quality research and systematic reviews concerning exergaming are needed.


Author(s):  
Tuomas Kari

This updated systematic review of systematic reviews evaluates the effectiveness of exergaming on physical fitness and physical activity. A systematic literature search was conducted on 10 databases, first in 2014 and then repeated in 2016. In total, 1040 and 287 articles were identified. 68 and 31 articles were found potentially relevant and selected for closer screening. The quality of all relevant articles was evaluated using the AMSTAR tool. After the duplicates were removed and inclusion, exclusion, and quality criteria were implemented, six and three articles remained for review. The results indicate that exergaming is generally enjoyed and can evoke some benefits for physical fitness and physical activity, but the current evidence does not support the ability of exergaming to increase physical fitness or physical activity levels sufficiently for significant health benefits. This systematic review also revealed gaps in previous research. Additional high-quality research and systematic reviews concerning exergaming are needed.


2020 ◽  
Vol 111 ◽  
pp. 106549
Author(s):  
Dayle Raftery ◽  
Peter J. Kelly ◽  
Frank P. Deane ◽  
Amanda L. Baker ◽  
Isabella Ingram ◽  
...  

2015 ◽  
Vol 24 (9) ◽  
pp. 1215-1226 ◽  
Author(s):  
Michelle J. Zaso ◽  
Aesoon Park ◽  
Kevin M. Antshel

Objective: Comorbid ADHD and substance use disorder (SUD) presents frequently in adolescence, a developmental period that may promote the emergence of substance misuse among individuals with ADHD. Comorbid ADHD and SUD in adolescence results in significant and unique treatment challenges, necessitating examination into effective interventions. Method: This systematic review examined existing research into the treatment of comorbid adolescent ADHD and SUD. Results: Findings from a small number of pharmacological intervention studies suggest potential efficacy of extended-release stimulant and nonstimulant medications. Efficacy of psychotherapeutic interventions has not been systematically examined. Conclusion: Current research on treatments for comorbid ADHD and SUD in adolescence is limited. Future placebo-controlled clinical trials using large samples are needed to examine the efficacy of psychotherapeutic interventions, the heightened risk of prescription stimulant misuse, and the long-term maintenance of treatment gains in this population. Clinical guidelines for the treatment of comorbid ADHD and SUD are discussed.


Sign in / Sign up

Export Citation Format

Share Document