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. 2024 May 6;19(1):26.
doi: 10.1186/s13011-024-00607-9.

A qualitative study of experiences with physical activity among people receiving opioid agonist therapy

Einar Furulund  1   2   3 , Siv-Elin Leirvåg Carlsen  4   5 , Karl Trygve Druckrey-Fiskaaen  4   5 , Tesfaye Madebo  4   6   7 , Lars T Fadnes  4   5 , Torgeir Gilje Lid  8
Affiliations

A qualitative study of experiences with physical activity among people receiving opioid agonist therapy

Einar Furulund et al. Subst Abuse Treat Prev Policy. .

Abstract

Background: Physical or mental health comorbidities are common among people with substance use disorders undergoing opioid agonist therapy. As both a preventive and treatment strategy, exercise offers various health benefits for several conditions. Exercise interventions to people with substance use disorders receiving opioid agonist therapy are limited. This study aims to explore experiences with physical activity, perceived barriers, and facilitators among people receiving opioid agonist therapy.

Method: Fourteen qualitative interviews were conducted with individuals receiving opioid agonist therapy in outpatient clinics in Western Norway.

Results: Most were males in the age range 30 to 60 years. Participants had diverse and long-term substance use histories, and most received buprenorphine-based opioid agonist therapy. The identified themes were (1) Physical limitations: Participants experienced health-related problems like breathing difficulties, pain, and reduced physical function. (2) Social dynamics: Social support was essential for participating in physical activities and many argued for group exercises, but some were concerned about the possibility of meeting persons influenced by substances in a group setting, fearing temptations to use substances. (3) Shift in focus: As participants felt the weight of the health burden, their preference for activities shifted from sports aiming for "adrenaline" to a health promoting focus. (4) COVID-19's impact on exercise: because of the pandemic, group activities were suspended, and participants described it as challenging to resume. (5) Implementation preferences in clinics: Not interfering with opioid medication routines was reported to be essential.

Conclusion: This study offers valuable insights for the development of customized exercise interventions aimed at enhancing the health and well-being of patients undergoing opioid agonist therapy. These findings underscore the significance of addressing social dynamics, overcoming physical limitations, and implementing a practical and effective exercise regimen.

Keywords: Exercise therapy; Health services; Motivation; Opioid-related disorder; Outpatient; Substance-related disorder.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. Kelty E, Hulse G. Morbidity and mortality in opioid dependent patients after entering an opioid pharmacotherapy compared with a cohort of non-dependent controls. J Public Health (Oxf) 2018;40(2):409–14. doi: 10.1093/pubmed/fdx063. - DOI - PubMed
    1. Medved D, Clausen T, Bukten A, Bjørnestad R, Muller AE. Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients. Substance Abuse Treatment, Prevention, and Policy. 2020;15(1):87. - PMC - PubMed
    1. Lewer D, Jones NR, Hickman M, Nielsen S, Degenhardt L. Life expectancy of people who are dependent on opioids: a cohort study in New South Wales, Australia. J Psychiatr Res. 2020;130:435–40. doi: 10.1016/j.jpsychires.2020.08.013. - DOI - PubMed
    1. Organization WH. World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals. World Health Organization; 2019.
    1. Santo T, Jr, Clark B, Hickman M, Grebely J, Campbell G, Sordo L, et al. Association of Opioid Agonist Treatment with all-cause mortality and specific causes of death among people with opioid dependence: a systematic review and Meta-analysis. JAMA Psychiatry. 2021;78(9):979–93. doi: 10.1001/jamapsychiatry.2021.0976. - DOI - PMC - PubMed

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