When you need an extra nudge, tie your exercise routine to someone or something.

Two years ago, Amy Gruenhut developed a near-fatal brain infection that put her into a coma for nearly two weeks. Since then, she has gone from learning how to eat, speak and walk again to running four marathons.

Ms. Gruenhut had been a casual runner before the coma, but after she left the hospital, returning to the jogging paths of Central Park felt like a return to life itself.

Making progress required patience and willpower that seemed almost superhuman. But, like everyone, Ms. Gruenhut sometimes struggled to get out of bed and lace up her sneakers. For those moments, she amassed a group of workout buddies to encourage her to get moving.

“I didn’t want to stand them up,” Ms. Gruenhut, 44, said, adding, “They were making that commitment to me as well.”

Regardless of how inspired people are to achieve their health and fitness goals, many face barriers to putting in the time, reps or steps. But experts say the difference between quitting and not quitting often comes down to having a person, group, app or other outside force that nudges you to keep going.

Most accountability tricks aren’t universal: One person might find it motivating to share run times on the fitness app Strava; another might find it deeply stressful. The key is to shop around until you find a strategy that works for you.

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