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Accountability primarily impacts a client's exercise adherence positively by fostering a sense of responsibility toward their fitness goals and encouraging consistency. Clients who feel accountable to a trainer, workout partner, or community often show increased commitment and motivation. This means they are less likely to skip workouts or abandon their programs when faced with challenges. On the other hand, factors like self-efficacy, unrealistic expectations, and social facilitation directly relate to how likely a client is to stick with an exercise routine.

Self-efficacy involves a person's belief in their ability to successfully perform an exercise regimen, and higher self-efficacy correlates with greater adherence. Unrealistic expectations can lead to frustration and disappointment, negatively affecting a client's motivation to continue their program. Social facilitation refers to the influence of others on a person’s exercise habits; for example, working out in a supportive environment can improve adherence. Therefore, while accountability serves as a strong motivator for adherence, the other factors highlighted are more likely to impact a client's potential to maintain their exercise routine.