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Patterns of motivation and ongoing exercise activity in cardiac rehabilitation settings: a 24-month exploration from
Shane N Sweet1, Heather Tulloch, Michelle S Fortier
1School of Psychology, University of Ottawa, 125 University Private, Montpetit Hall, Ottawa, Ontario, Canada. ssweet@uottawa.ca
Background:
Few studies have explored exercise and motivational patterns of cardiac rehabilitation patients in the long term.
Purpose:
We explored differential patterns of exercise and motivation in cardiac rehabilitation patients over a 24-month period and examined the relationship between these emerging patterns.
Methods:
Participants (n = 251) completed an exercise, barrier self-efficacy, outcome expectations and self-determined motivation questionnaire. Latent class growth modelling was used to classify patients in different exercise and motivational patterns.
Results:
Three exercise patterns emerged: inactive, non-maintainers and maintainers (16%, 67% and 17% of sample per pattern, respectively). Multiple trajectories were found for barrier self-efficacy, outcome expectations and self-determined motivation (3, 5, and 4, respectively). Patients in high barrier self-efficacy, outcome expectation and self-determined groups had greater probability of being in the maintainer exercise group.
Conclusions:
Identifying a patient's exercise and motivational profile could help cardiac rehabilitation programmes tailor their intervention to optimize the potential for continued exercise activity.
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