Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants
Objectives. This study examines the effects of a standardized fitness training on motivational factors such as the intention to be physically active, self-efficacy, perceived barriers, counterstrategies, and exercise specific social support in patients with progressive Multiple Sclerosis (MS) and th...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.1155/2015/248193 |
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| author | Wiebke Geertz Anna-Sophie Dechow Stefan Patra Christoph Heesen Stefan M. Gold Karl-Heinz Schulz |
| author_facet | Wiebke Geertz Anna-Sophie Dechow Stefan Patra Christoph Heesen Stefan M. Gold Karl-Heinz Schulz |
| author_sort | Wiebke Geertz |
| collection | DOAJ |
| description | Objectives. This study examines the effects of a standardized fitness training on motivational factors such as the intention to be physically active, self-efficacy, perceived barriers, counterstrategies, and exercise specific social support in patients with progressive Multiple Sclerosis (MS) and the relation of these factors to physical performance. Methods. Moderately disabled patients with secondary or primary progressive MS (Expanded Disability Status Scale of 4–6) were randomized to a training group or a waitlist control group. Patients completed on average 20 sessions of training tailored to their individual fitness at baseline over a course of 8–12 weeks. Motivational variables (stage of change according to the transtheoretical model (TTM), self-efficacy, perceived barriers, counterstrategies, and exercise specific social support) were assessed via questionnaires at baseline and follow-up. Results. Forty patients completed the trial. We found significant effects on stages of change p=.016 and self-efficacy p=.014 and a trend in counterstrategies p=.08. Significant correlations between change of physical performance during the exercise training and change in the TTM, perceived barriers, and counterstrategies were detected. Conclusion. This study indicates that tailored individual endurance training could stabilize self-efficacy and increase exercise motivation in patients with progressive MS. Motivational variables were related to the physical performance. |
| format | Article |
| id | doaj-art-51596c490ab840d79e20bd5f3b68a660 |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-51596c490ab840d79e20bd5f3b68a6602025-08-20T03:36:38ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/248193248193Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational DeterminantsWiebke Geertz0Anna-Sophie Dechow1Stefan Patra2Christoph Heesen3Stefan M. Gold4Karl-Heinz Schulz5Institute for Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Building W26, 20246 Hamburg, GermanyInstitute for Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Building W26, 20246 Hamburg, GermanyInstitute for Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Building W26, 20246 Hamburg, GermanyInstitute of Neuroimmunology and Multiple Sclerosis (INIMS), University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, GermanyInstitute of Neuroimmunology and Multiple Sclerosis (INIMS), University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, GermanyInstitute for Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Building W26, 20246 Hamburg, GermanyObjectives. This study examines the effects of a standardized fitness training on motivational factors such as the intention to be physically active, self-efficacy, perceived barriers, counterstrategies, and exercise specific social support in patients with progressive Multiple Sclerosis (MS) and the relation of these factors to physical performance. Methods. Moderately disabled patients with secondary or primary progressive MS (Expanded Disability Status Scale of 4–6) were randomized to a training group or a waitlist control group. Patients completed on average 20 sessions of training tailored to their individual fitness at baseline over a course of 8–12 weeks. Motivational variables (stage of change according to the transtheoretical model (TTM), self-efficacy, perceived barriers, counterstrategies, and exercise specific social support) were assessed via questionnaires at baseline and follow-up. Results. Forty patients completed the trial. We found significant effects on stages of change p=.016 and self-efficacy p=.014 and a trend in counterstrategies p=.08. Significant correlations between change of physical performance during the exercise training and change in the TTM, perceived barriers, and counterstrategies were detected. Conclusion. This study indicates that tailored individual endurance training could stabilize self-efficacy and increase exercise motivation in patients with progressive MS. Motivational variables were related to the physical performance.http://dx.doi.org/10.1155/2015/248193 |
| spellingShingle | Wiebke Geertz Anna-Sophie Dechow Stefan Patra Christoph Heesen Stefan M. Gold Karl-Heinz Schulz Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants Behavioural Neurology |
| title | Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants |
| title_full | Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants |
| title_fullStr | Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants |
| title_full_unstemmed | Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants |
| title_short | Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants |
| title_sort | changes of motivational variables in patients with multiple sclerosis in an exercise intervention associations between physical performance and motivational determinants |
| url | http://dx.doi.org/10.1155/2015/248193 |
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