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Influencing Factors and Implementation Pathways of Adherence Behavior in Intelligent Personalized Exercise
Xuejie Xu1, Guoli Zhang1, Yuxin Xia1
1School of Nursing, Bengbu Medical University, Bengbu, China.
JMIR Mhealth and Uhealth
|December 5, 2024
Summary
Personalized exercise adherence is influenced by motivations and barriers. Strategies like tailored support and addressing obstacles are key to long-term success in intelligent exercise programs.
Area of Science:
- Health behavior science
- Exercise physiology
- Behavioral psychology
Background:
- Personalized intelligent exercise prescriptions enhance physical activity and health.
- Long-term adherence is crucial for realizing the full health benefits of these programs.
- Understanding adherence factors and behavioral motivation is essential for program effectiveness.
Purpose of the Study:
- Identify factors influencing adherence to personalized exercise regimens in middle-aged and older adults.
- Explore how these factors impact the initiation and maintenance of adherence behavior.
- Investigate the relationship between behavioral motivations and adherence.
Main Methods:
- Purposive sampling for semistructured interviews with 12 participants adhering to exercise regimens for 8 months.
- Grounded theory analysis using NVivo software on interview transcripts.
- Application of the Transtheoretical Model (TTM) and multibehavioral motivation theory.
Main Results:
- Identified 3 core categories influencing adherence: multitheory motivation, obstacle factors, and solution strategies.
- Developed a 3-level model of factors affecting adherence to intelligent personalized exercise prescriptions.
- Proposed an implementation path for promoting adherence by integrating the model with the TTM.
Conclusions:
- Adherence is shaped by facilitating factors (e.g., motivation, strategies) and obstructive factors (e.g., barriers).
- Achieving adherence is a gradual process influenced by diverse motivations and factors.
- Personalized solutions, long-term support, feedback, and social networks are vital for promoting adherence.
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