Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis

Background: Despite the awareness that regular exercise has a positive impact on maintaining health, patients with rheumatoid arthritis (RA) engage in markedly less exercise than do the general population. Weaimed to construct and test a structural equation model of exercise behavior in patients wit...

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Main Authors: Eun-Soo HAN, Young-Ran KWEON
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2020-08-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/19825
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author Eun-Soo HAN
Young-Ran KWEON
author_facet Eun-Soo HAN
Young-Ran KWEON
author_sort Eun-Soo HAN
collection DOAJ
description Background: Despite the awareness that regular exercise has a positive impact on maintaining health, patients with rheumatoid arthritis (RA) engage in markedly less exercise than do the general population. Weaimed to construct and test a structural equation model of exercise behavior in patients with RA based on self-determination theory and self-efficacy theory. Methods: Participants were 214 outpatients with RA at Chonnam National University Hospital located in the Gwangju City, South Korea from Mar to Apr 2018. A structured self-report questionnaire was used to assess autonomy support, autonomy, competence, relatedness, autonomous motivation, self-efficacy, and exercise behavior. Collected data were analyzed using SPSS 22.0 and AMOS 22.0 program. Results: The structural model showed a good fitness with the data (χ2= 727.27, df = 392, P<0.001, TLI = 0.92, CFI = 0.93, RMSEA = 0.07, SRMR = 0.07). Autonomous motivation and self-efficacy had a significant effect on exercise behavior in patients with RA. This model explained 21.2% of the variance of exercise behavior in patients with RA. Conclusion: Self-efficiency and autonomous motivation should be promoted in order to strengthen the exercise behavior of patients with RA.
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spelling doaj.art-b7de43ff2c6d4175b704703010682a462022-12-21T19:30:22ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932020-08-0149910.18502/ijph.v49i9.4083Construction of Exercise Behavior Model in Patients with Rheumatoid ArthritisEun-Soo HAN0Young-Ran KWEON1Department of Nursing, School of Medicine, Chodang University, Jeollanam-do, KoreaDepartment of Nursing, School of Medicine, Chonnam National University, Gwangju, KoreaBackground: Despite the awareness that regular exercise has a positive impact on maintaining health, patients with rheumatoid arthritis (RA) engage in markedly less exercise than do the general population. Weaimed to construct and test a structural equation model of exercise behavior in patients with RA based on self-determination theory and self-efficacy theory. Methods: Participants were 214 outpatients with RA at Chonnam National University Hospital located in the Gwangju City, South Korea from Mar to Apr 2018. A structured self-report questionnaire was used to assess autonomy support, autonomy, competence, relatedness, autonomous motivation, self-efficacy, and exercise behavior. Collected data were analyzed using SPSS 22.0 and AMOS 22.0 program. Results: The structural model showed a good fitness with the data (χ2= 727.27, df = 392, P<0.001, TLI = 0.92, CFI = 0.93, RMSEA = 0.07, SRMR = 0.07). Autonomous motivation and self-efficacy had a significant effect on exercise behavior in patients with RA. This model explained 21.2% of the variance of exercise behavior in patients with RA. Conclusion: Self-efficiency and autonomous motivation should be promoted in order to strengthen the exercise behavior of patients with RA.https://ijph.tums.ac.ir/index.php/ijph/article/view/19825Exercise behaviorRheumatoid arthritisSelf-determinationSelf-efficacy
spellingShingle Eun-Soo HAN
Young-Ran KWEON
Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
Iranian Journal of Public Health
Exercise behavior
Rheumatoid arthritis
Self-determination
Self-efficacy
title Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
title_full Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
title_fullStr Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
title_full_unstemmed Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
title_short Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
title_sort construction of exercise behavior model in patients with rheumatoid arthritis
topic Exercise behavior
Rheumatoid arthritis
Self-determination
Self-efficacy
url https://ijph.tums.ac.ir/index.php/ijph/article/view/19825
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