Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients. Issue 1 (1st January 2018)

• Record Type: Journal Article
• Authors: Wasserkampf, Anna; Kleinert, Jens; Chermette, Chloé
• Is Part Of: Health psychology and behavioral medicine. Volume 6:Issue 1(2018)
• Page Start: 30
• Page End: 48
• Publication Date: 2018-01-01
• Subjects: Organismic integration theory -- post-discharge -- person-centred -- self-determination -- cluster analysis; Clinical health psychology -- Periodicals; Medicine and psychology -- Periodicals; 613.09
• DOI: 10.1080/21642850.2018.1435998
• Languages: English
• ISSNs: 2164-2850

Abstract

ABSTRACT: 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/m 2 ) 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.