Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients
Despite the urgent need to prevent weight regain in the long-term, it remains questionable whether inpatient multicomponent behavioural obesity treatments positively impact their patients, leaving them with favourable (i.e. autonomous) motivational profiles towards exercising. Based on Organismic In...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-01-01
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| Series: | Health Psychology and Behavioral Medicine |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21642850.2018.1435998 |
| _version_ | 1818908232630927360 |
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| author | Anna Wasserkampf Jens Kleinert Chloé Chermette |
| author_facet | Anna Wasserkampf Jens Kleinert Chloé Chermette |
| author_sort | Anna Wasserkampf |
| collection | DOAJ |
| description | Despite the urgent need to prevent weight regain in the long-term, it remains questionable whether inpatient multicomponent behavioural obesity treatments positively impact their patients, leaving them with favourable (i.e. autonomous) motivational profiles towards exercising. Based on Organismic Integration Theory, a sub-theory of Self-Determination Theory, this study retrospectively examined how exercise motivational profiles relate to exercise behaviour outcomes of a behavioural obesity treatment. Obese patients for whom outpatient treatment was deemed ineffective (N = 262; 34.2% female, body mass index >30 kg/m2) were administered to a 3-week inpatient obesity treatment. The study design incorporates both longitudinal and retrospective cross-sectional aspects. Patients completed questionnaires concerning exercise behaviour (pre-hospitalisation/6 months post-discharge) and behavioural regulations (6 months post-discharge). Exercise motivational profiles were generated based on the six behavioural regulations using K-means non-hierarchical cluster analysis. The self-reported dependent variable represents a change in patients’ exercise status (i.e. remaining inactive, becoming active). Chi-square tests related motivational profiles to exercise behaviour. Three profiles emerged: a moderate-controlled cluster (n = 80), a moderate-autonomous cluster (n = 78) and a high-autonomous cluster (n = 104). Of the patients who became active over time, the majority belonged to the high-autonomous cluster. No significant differences were found between patients who became active or remained inactive and whether they belonged to the moderate-controlled or moderate-autonomous cluster. Although the moderate-controlled and moderate-autonomous clusters differ greatly in their motivational quality, moderately controlled motivation does not seem detrimental regarding exercise change, as both clusters result in similar exercise behaviour outcomes. |
| first_indexed | 2024-12-19T22:07:45Z |
| format | Article |
| id | doaj.art-e1fe5692a51a41619d5f284acb0c02a1 |
| institution | Directory Open Access Journal |
| issn | 2164-2850 |
| language | English |
| last_indexed | 2024-12-19T22:07:45Z |
| publishDate | 2018-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Psychology and Behavioral Medicine |
| spelling | doaj.art-e1fe5692a51a41619d5f284acb0c02a12022-12-21T20:04:00ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502018-01-0161304810.1080/21642850.2018.14359981435998Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patientsAnna Wasserkampf0Jens Kleinert1Chloé Chermette2Institute of Psychology, German Sport University CologneInstitute of Psychology, German Sport University CologneInstitute of Psychology, German Sport University CologneDespite the urgent need to prevent weight regain in the long-term, it remains questionable whether inpatient multicomponent behavioural obesity treatments positively impact their patients, leaving them with favourable (i.e. autonomous) motivational profiles towards exercising. Based on Organismic Integration Theory, a sub-theory of Self-Determination Theory, this study retrospectively examined how exercise motivational profiles relate to exercise behaviour outcomes of a behavioural obesity treatment. Obese patients for whom outpatient treatment was deemed ineffective (N = 262; 34.2% female, body mass index >30 kg/m2) were administered to a 3-week inpatient obesity treatment. The study design incorporates both longitudinal and retrospective cross-sectional aspects. Patients completed questionnaires concerning exercise behaviour (pre-hospitalisation/6 months post-discharge) and behavioural regulations (6 months post-discharge). Exercise motivational profiles were generated based on the six behavioural regulations using K-means non-hierarchical cluster analysis. The self-reported dependent variable represents a change in patients’ exercise status (i.e. remaining inactive, becoming active). Chi-square tests related motivational profiles to exercise behaviour. Three profiles emerged: a moderate-controlled cluster (n = 80), a moderate-autonomous cluster (n = 78) and a high-autonomous cluster (n = 104). Of the patients who became active over time, the majority belonged to the high-autonomous cluster. No significant differences were found between patients who became active or remained inactive and whether they belonged to the moderate-controlled or moderate-autonomous cluster. Although the moderate-controlled and moderate-autonomous clusters differ greatly in their motivational quality, moderately controlled motivation does not seem detrimental regarding exercise change, as both clusters result in similar exercise behaviour outcomes.http://dx.doi.org/10.1080/21642850.2018.1435998Organismic integration theorypost-dischargeperson-centredself-determinationcluster analysis |
| spellingShingle | Anna Wasserkampf Jens Kleinert Chloé Chermette Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients Health Psychology and Behavioral Medicine Organismic integration theory post-discharge person-centred self-determination cluster analysis |
| title | Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients |
| title_full | Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients |
| title_fullStr | Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients |
| title_full_unstemmed | Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients |
| title_short | Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients |
| title_sort | becoming active post hospitalisation discharge an exploration of motivational profiles during exercise change in obese patients |
| topic | Organismic integration theory post-discharge person-centred self-determination cluster analysis |
| url | http://dx.doi.org/10.1080/21642850.2018.1435998 |
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