Self‐determined motivation and exercise behaviour in COPD patients

• Published in: International journal of nursing practice 2017-06, Vol.23 (3), p.n/a
• Main Authors: Cho, Hui‐Ling, Tung, Heng‐Hsin, Lin, Ming‐Shian, Hsu, Wan‐Chun, Lee, Chi‐Pin
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Exercise; exercise behaviour; Female; Health Behavior; Humans; Logistic Models; Male; Middle Aged; Motivation; Nursing; Pulmonary Disease, Chronic Obstructive - psychology; Pulmonary Disease, Chronic Obstructive - rehabilitation; pulmonary rehabilitation; self‐determined motivation; Surveys and Questionnaires
• ISSN: 1322-7114; 1440-172X
• DOI: 10.1111/ijn.12530

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. SUMMARY STATEMENT What is already known about this topic? It is very important to establish a regular exercise routine for COPD patients. Many studies have shown that lack of regular exercise is due primarily to external factors. What this paper adds Self‐determination theory (SDT) was used to understand intrinsic exercise motivation and exercise behaviour outcomes of COPD patients. Notably, all self‐determined motivation types, including amotivation, external regulation, introjected regulation, identified regulation, and intrinsic regulation, were predictors of exercise behaviour. Implications of this paper Healthcare providers need to be aware of the importance of exercise motivation among COPD patients. Appropriate encouragement and support from healthcare providers might potentially enhance internal regulation as a means to maintain regular exercise behaviour and minimize the risk of some of the serious complications of COPD.