Background
The Bari-Active trial showed that a physical activity intervention (PAI), versus standard pre-surgical care control (SC), produced significant increases in daily bout-related moderate-to-vigorous PA (MVPA in ≥10-minutes bouts) preoperatively. The current study examined whether PAI also produces superior improvements in psychological/motivational processes that may be important for PA adoption.
Objectives
Compare PAI and SC on baseline to post-intervention changes in PA-related enjoyment, self-efficacy, and motivations; and examine whether greater bout-related MVPA changes are associated with greater improvements in these variables.
Setting
University Hospital, United States.
Methods
Participants [(87% female; Body Mass Index (BMI)=45.0±6.5 kg/m2] were randomly assigned to 6 weeks of PAI (n=40) or SC (n=35). PAI received weekly counseling sessions to increase daily walking exercise. At baseline and post-intervention, both groups completed 7-day objective PA monitoring and questionnaires to evaluate changes in bout-related MVPA and PA enjoyment, self-efficacy, and motivation.
Results
Retention was 84% at post-intervention. Intent-to-treat analyses showed that PAI on average reported more favorable changes than SC in PA enjoyment, self-efficacy, amotivation (i.e. lack of PA motivation), and identified and intrinsic regulations (i.e. more autonomous PA motivations) (p<0.01). In PAI completers (n=33), changes in bout-related MVPA and psychological/motivational variables were unrelated.
Conclusion
PAI produced greater improvements in PA-related enjoyment, self-efficacy, and motivations, than SC. The lack of association between objectively-measured PA changes and psychological/motivational processes highlights the need for future research to identify which processes are most important for PA adoption and maintenance, and to determine whether the method used to measure PA affects the pattern of association.