Self-determined motivation and exercise behaviour in COPD patients
Hui-Ling Cho NP RN
Nursing Department, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
Search for more papers by this authorCorresponding Author
Heng-Hsin Tung PhD FNP RN
National Taipei University of Nursing and Health Science, Taipei, Taiwan
Correspondence
Heng-Hsin Tung, National Taipei University of Nursing and Health Science, Consultant, Tungs' Taichung MetroHarbor Hospital, Taiwan
Email: [email protected]
Search for more papers by this authorMing-Shian Lin MD
Doctor
Division of Chest Medicine, Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
Search for more papers by this authorWan-Chun Hsu NP RN
Doctor
Cardiovascular Intensive Care Unit, Mackay Memorial Hospital, Taipei, Taiwan
Search for more papers by this authorChi-Pin Lee MD
Doctor
Division of Cardiovascular Disease , Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
Search for more papers by this authorHui-Ling Cho NP RN
Nursing Department, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
Search for more papers by this authorCorresponding Author
Heng-Hsin Tung PhD FNP RN
National Taipei University of Nursing and Health Science, Taipei, Taiwan
Correspondence
Heng-Hsin Tung, National Taipei University of Nursing and Health Science, Consultant, Tungs' Taichung MetroHarbor Hospital, Taiwan
Email: [email protected]
Search for more papers by this authorMing-Shian Lin MD
Doctor
Division of Chest Medicine, Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
Search for more papers by this authorWan-Chun Hsu NP RN
Doctor
Cardiovascular Intensive Care Unit, Mackay Memorial Hospital, Taipei, Taiwan
Search for more papers by this authorChi-Pin Lee MD
Doctor
Division of Cardiovascular Disease , Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan
Search for more papers by this authorAbstract
The purpose of this study was to evaluate the self-determined motivation predictors of exercise behaviour following pulmonary rehabilitation in COPD recipients. This cross-sectional study was conducted with 135 COPD patients. A demographic questionnaire, clinical factors, behavioural regulations in exercise questionnaire, and leisure time exercise questionnaire were used to collect data. A logistic regression model was used to identify the predictors associated with demographics and self-determined motivation types regarding physical activity. Education level, episodes of acute exacerbation within 2 years, and identified regulation were significant predictors of executing physical activities with high metabolic equivalents. The results of this study imply that healthcare providers need to be aware of the importance of exercise motivation among COPD patients.
REFERENCES
- Almadana Pacheco, V., Pavon Masa, M., Gomez-Bastero Fernandez, A. P., Muniz Rodriguez, A. M., Tallon Moreno, R., & Montemayor Rubio, T. (2016). Patient profile of drop-outs from a pulmonary rehabilitation program. Archivos de Bronconeumología.
- Bestall, J., Paul, E., Garrod, R., Garnham, R., Jones, P., & Wedzicha, J. (1999). Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax, 54, 581–586.
- Blakemore, A., Dickens, C., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C., & Coventry, P. Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis. 2014.
- Burtin, C., Decramer, M., Gosselink, R., Janssens, W., & Troosters, T. (2011). Rehabilitation and acute exacerbations. European Respiratory Journal, 38, 702–712.
- Celli, B. R., Cote, C. G., Marin, J. M., Casanova, C., Montes de Oca, M., Mendez, R. A., … Cabral, H. J. (2004). The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. New England Journal of Medicine, 350, 1005–1012.
- Deci, E. L., & Ryan, R. M. (2000). The" what" and" why" of goal pursuits: human needs and the self-determination of behavior. Psychological Inquiry, 11, 227–268.
- Deci EL, Ryan RM. Handbook of self-determination research: University Rochester Press 2002.19. Deci EL, Ryan RM. Self-determination theory: A macrotheory of human motivation, development, and health. Canadian Psychology/Psychologie Canadienne 2008a; 49: 182.
- Deci, E. L., & Ryan, R. M. (2008b). Facilitating optimal motivation and psychological well-being across life's domains. Canadian Psychology/Psychologie Canadienne, 49, 14.
- Deci, E., & Ryan, R. M. (2011). Self-determination theory. Handbook of theories of social psychology, 1, 416–433.
- Duncan, L. R., Hall, C. R., Wilson, P. M., & Jenny, O. (2010). Exercise motivation: a cross-sectional analysis examining its relationships with frequency, intensity, and duration of exercise. International Journal of Behavioral Nutrition and Physical Activity, 7, 1–9.
- Edmunds, J., Ntoumanis, N., & Duda, J. L. (2006). A test of self-determination theory in the exercise domain. Journal of Applied Social Psychology, 36, 2240–2265.
- Fischer, M. J., Scharloo, M., Abbink, J. J., van't Hul, A. J., van Ranst, D., Rudolphus, A., … Kaptein, A. A. (2009). Drop-out and attendance in pulmonary rehabilitation: the role of clinical and psychosocial variables. Respiratory Medicine, 103, 1564–1571.
- Garcia-Aymerich, J., & Pitta, F. (2014). Promoting regular physical activity in pulmonary rehabilitation. Clinics in Chest Medicine, 35, 363–368.
- Ghanem, M., ELaal, E. A., Mehany, M., & Tolba, K. (2010). Home-based pulmonary rehabilitation program: effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients. Annals of thoracic medicine, 5, 18.
- Godin, G. (2011). The Godin-Shephard leisure-time physical activity questionnaire. The Health & Fitness Journal of Canada, 4, 18–22.
- Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian journal of applied sport sciences Journal canadien des sciences appliquees au sport, 10, 141–146.
- Godin, G., & Shephard, R. (1997). Godin leisure-time exercise questionnaire. Medicine and Science in Sports and Exercise, 29, 36–38.
10.1097/00005768-199706001-00009 Google Scholar
- Hayton, C., Clark, A., Olive, S., Browne, P., Galey, P., Knights, E., … Wilson, A. M. (2013). Barriers to pulmonary rehabilitation: characteristics that predict patient attendance and adherence. Respiratory Medicine, 107, 401–407.
- Ijiri, N., Kanazawa, H., Yoshikawa, T., & Hirata, K. (2014). Application of a new parameter in the 6-minute walk test for manifold analysis of exercise capacity in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 9, 1235.
- Jacobs, D. R. Jr., Ainsworth, B. E., Hartman, T. J., & Leon, A. S. (1993). A simultaneous evaluation of 10 commonly used physical activity questionnaires. Medicine and Science in Sports and Exercise, 25, 81–91.
- Kim, Y., Cardinal, B. J., & Lee, J. Y. (2006). Understanding exercise behavior among Korean adults: a test of the transtheoretical model. International Journal of Behavioral Medicine, 13, 295–303.
- Liu, X. L., Tan, J. Y., Wang, T., Zhang, Q., Zhang, M., Yao, L. Q., & Chen, J. X. (2014). Effectiveness of home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a meta-analysis of randomized controlled trials. Rehabilitation Nursing, 39, 36–59.
- Liu, J. D., Chung, P.-K., Zhang, C.-Q., & Si, G. (2015). Chinese-translated Behavioral Regulation in Exercise Questionnaire-2: Evidence from university students in the Mainland and Hong Kong of China. Journal of Sport and Health Science, 4, 228–234.
- Markland, D., & Tobin, V. (2004). A modification to the behavioural regulation in exercise questionnaire to include an assessment of amotivation. Journal of Sport and Exercise Psychology, 26, 191–196.
- Milne, H. M., Wallman, K. E., Guilfoyle, A., Gordon, S., & Corneya, K. S. (2008). Self-determination theory and physical activity among breast cancer survivors. Journal of Sport & Exercise Psychology, 30, 23–38.
- Ng, J. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012). Self-determination theory applied to health contexts a meta-analysis. Perspectives on Psychological Science, 7, 325–340.
- Peddle, C. J., Plotnikoff, R. C., Wild, T. C., Au, H. J., & Courneya, K. S. (2008). Medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors: an application of self-determination theory. Support Care Cancer, 16, 9–17.
- Picorelli, A. M. A., Pereira, L. S. M., Pereira, D. S., Felício, D., & Sherrington, C. (2014). Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. Journal of Physiotherapy.
- Reis, L. F., Guimaraes, F. S., Fernandes, S. J., Cantanhede, L. A., Dias, C. M., Lopes, A. J., & De Menezes, S. L. (2013). A long-term pulmonary rehabilitation program progressively improves exercise tolerance, quality of life and cardiovascular risk factors in patients with COPD. European Journal of Physical and Rehabilitation Medicine, 49, 491–497.
- Russell, K. L., & Bray, S. R. (2009). Self-determined motivation predicts independent, home-based exercise following cardiac rehabilitation. Rehabilitation Psychology, 54, 150–156.
- Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68.
- Spruit, M. A., Watkins, M. L., Edwards, L. D., Vestbo, J., Calverly, P. M., Pinto-Plata, V., … Wouters, E. F. (2010). Determinants of poor 6-min walking distance in patients with COPD: the ECLIPSE cohort. Respiratory Medicine, 104, 849–857.
- Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012). Exercise, physical activity, and self-determination theory: a systematic review. International Journal of Behavioral Nutrition and Physical Activity, 9, 78.
- Vallerand, R. J., Pelletier, L. G., & Koestner, R. (2008). Reflections on self-determination theory. Canadian Psychology/Psychologie Canadienne, 49, 257.
- Vieira, D. S., Maltais, F., & Bourbeau, J. (2010). Home-based pulmonary rehabilitation in chronic obstructive pulmonary disease patients. Current Opinion in Pulmonary Medicine, 16, 134–143.
- Wang, H.-C., Tsai, J.-C., Chao, Y.-F. C., Chung, M.-H., Yu, Y.-H., Chiu, K.-L., & Lee, S.-D (2013). An exploration of beliefs regarding exercise among Taiwanese patients with chronic obstructive pulmonary disease. Heart & Lung: The Journal of Acute and Critical Care, 42, 133–138.
- Watz, H., Waschki, B., Meyer, T., & Magnussen, H. (2009). Physical activity in patients with COPD. European Respiratory Journal, 33, 262–272.
- Wilson, P. M., & Rodgers, W. M. (2004). The relationship between perceived autonomy support, exercise regulations and behavioral intentions in women. Psychology of Sport and Exercise, 5, 229–242.
- Wilson, P. M., Rogers, W. T., Rodgers, W. M., & Wild, T. C. (2006). The psychological need satisfaction in exercise scale. Journal of Sport and Exercise Psychology, 28, 231.
- ZuWallack, R., & Hedges, H. (2008). Primary care of the patient with chronic obstructive pulmonary disease—part 3: pulmonary rehabilitation and comprehensive care for the patient with chronic obstructive pulmonary disease. The American Journal of Medicine, 121, S25–S32.
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