Patterns of Motivation and Ongoing Exercise Activity in Cardiac Rehabilitation Settings: A 24-Month Exploration from the TEACH Study

Sweet, Shane N; Tulloch, Heather; Fortier, Michelle; Pipe, Andrew; Reid, Robert D.

doi:10.1007/s12160-011-9264-2

Cited by 36 publications

(47 citation statements)

References 38 publications

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“…Extending these findings, Sweet, Tulloch, Fortier, Pipe, and Reid (2011) demonstrated that self-determined individuals were more likely to maintain exercise behaviour up to 24 months following CR (N = 251, 79% male, M age = 61.4 years).…”

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confidence: 72%

Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective

Rahman¹,

Hudson

Thøgersen‐Ntoumani

et al. 2015

Psychology, Health & Medicine

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This research examined the processes underpinning changes in psychological well-being and behavioural regulation in Cardiac Rehabilitation (CR) patients using Self-Determination Theory (SDT; Deci & Ryan, 1985). A repeated measures design was used to identify the longitudinal relationships between SDT variables, psychological well-being and exercise behaviour during and following a structured CR programme. Participants were 389 cardiac patients (aged 36-84 years; M age = 64 ± 9 years; 34.3% female) referred to a 12 week supervised CR programme. Psychological need satisfaction, behavioural regulation, healthrelated quality of life, physical self-worth, anxiety and depression were measured at programme entry, exit and 6 month post-programme. During the programme, increases in autonomy satisfaction predicted positive changes in behavioural regulation, and improvements in competence and relatedness satisfaction predicted improvements in behavioural regulation and well-being. Competence satisfaction also positively predicted habitual physical activity. Decreases in external regulation and, increases in intrinsic motivation, predicted improvements in physical self-worth and physical well-being respectively. Significant longitudinal relationships were identified whereby changes during the programme predicted changes in habitual physical activity and the mental quality of life from exit to 6 month follow-up. Findings provide insight into the factors explaining psychological changes seen during CR. They highlight the importance of increasing patients' perceptions of psychological need satisfaction and self-determined motivation to improve well-being during the structured component of a CR programme and longer-term physical activity.3

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confidence: 72%

Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective

Rahman¹,

Hudson

Thøgersen‐Ntoumani

et al. 2015

Psychology, Health & Medicine

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“…According to self-determination theory, incentives may help to build self-determined motivation primarily through their action on self-efficacy, especially for lower active people who exhibit fewer intrinsic motives to begin with (less motivation to crowd out) [44,45]. Regarding physical activity, one hypothesis is that incentives may increase a person’s self-efficacy to become more active by exposing them to a form of physical activity for the first time [29,30,44,45].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding physical activity, one hypothesis is that incentives may increase a person’s self-efficacy to become more active by exposing them to a form of physical activity for the first time [29,30,44,45]. Especially if the activity is an achievable one (eg, walk 1000 more steps per day vs walk 10,000 steps per day), individuals may find their confidence to be more active increases after just a few weeks [29,30,44,45].…”

Section: Discussionmentioning

confidence: 99%

Examining Incentives to Promote Physical Activity Maintenance Among Hospital Employees Not Achieving 10,000 Daily Steps: A Web-Based Randomized Controlled Trial Protocol

Mitchell¹,

White²,

Oh³

et al. 2016

JMIR Res Protoc

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BackgroundThe economic burden of physical inactivity in Canada is estimated at Can $6.8 billion (US $5 billion) per year. Employers bear a substantial proportion of the economic costs, as they pay more for inactive workers in health care and other organizational costs. In response, many Canadian employers offer wellness programs, though these are often underutilized. While financial health incentives have been proposed as one way of increasing participation, their longer term effects (ie postintervention effects) are not clear.ObjectiveThe objective of this paper is to outline the methodology for a randomized control trial (RCT) examining the longer term impact of an existing physical activity promotion program that is enhanced by adding guaranteed rewards (Can $1 [US $0.74] per day step goal met) in a lower active hospital employee population (less than 10,000 steps per day).MethodsA 12-week, parallel-arm RCT (with a 12-week postintervention follow-up) will be employed. Employees using Change4Life (a fully automated, incentive-based wellness program) and accumulating fewer than 10,000 steps per day at baseline (weeks 1 to 2) will be randomly allocated (1:1) to standard care (wellness program, accelerometer) or an intervention group (standard care plus guaranteed incentives). All study participants will be asked to wear the accelerometer and synchronize it to Change4Life daily, although only intervention group participants will receive guaranteed incentives for reaching tailored daily step count goals (Can $1 [US $0.74] per day; weeks 3 to 12). The primary study outcome will be mean proportion of participant-days step goal reached during the postintervention follow-up period (week 24). Mean proportion of participant-days step goal reached during the intervention period (week 12) will be a secondary outcome.ResultsEnrollment for the study will be completed in February 2017. Data analysis will commence in September 2017. Study results are to be published in the winter of 2018.ConclusionsThis protocol was designed to examine the impact of guaranteed rewards on physical activity maintenance in lower active hospital employees.ClinicalTrialClinicalTrials.gov NCT02638675; https://clinicaltrials.gov/ct2/show/NCT0 2638675 (Archived by WebCite at http://www.webcitation.org/6g4pvZvhW)

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“…If a person has a high sense of efficacy and positive outcome expectations, only minimal guidance is needed. People with self-doubt need more guidance and those with little feeling of control of lifestyle changes need the most structured programs to make healthy changes in life (Bandura 2004, see also Sweet et al 2011). By empowering methods the level of self-efficacy and the sense of control can be improved.…”

Section: Introductionmentioning

confidence: 99%

“…In lifestyle changes different stages of change require different interventions (Ogden 2007, 21–22). Unrealistic expectations may lead to disappointment and a decrease in activity (Sweet et al 2011). …”

Section: Introductionmentioning

confidence: 99%

In search of an empowering and motivating personal wellbeing pathway for Finnish heart patients

Tuohimaa

2014

SpringerPlus

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In this article, motivation for healthy living is discussed, with a special focus on empowerment and responsibility. The individual and his or her needs and preferences are taken as the starting point with an aim to sketch a holistic picture of the elements needed in a health promotive care process from the perspective of the individual, to enhance empowerment and motivation to lead a healthy life. Health and wellbeing related services are presented as an exemplar of a structural element by which society can work as an enabler of wellbeing, taking co-responsibility of the wellbeing of the individual. It is argued that this requires that the services of public, private and third sector service providers from different fields are seamlessly connected and easy to access, with support and information available throughout the personally tailored care pathway. Also the knowhow and attitudes of all the actors must be thought of. These aspects of a good care process have been identified through interviews with heart patients and workshops with actors in a region in southern Finland, as well as based on theoretical background information and prior research. These aspects form the personal wellbeing pathway model that is presented in this article as an ideal type of a service pathway to enhance taking actively charge of one’s own wellbeing.

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Patterns of Motivation and Ongoing Exercise Activity in Cardiac Rehabilitation Settings: A 24-Month Exploration from the TEACH Study

Abstract: Identifying a patient's exercise and motivational profile could help cardiac rehabilitation programmes tailor their intervention to optimize the potential for continued exercise activity.

Cited by 36 publications

References 38 publications

Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective

Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective

Examining Incentives to Promote Physical Activity Maintenance Among Hospital Employees Not Achieving 10,000 Daily Steps: A Web-Based Randomized Controlled Trial Protocol

In search of an empowering and motivating personal wellbeing pathway for Finnish heart patients

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