Becoming active post-hospitalisation discharge – an exploration of motivational profiles during exercise change in obese patients

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 nonhierarchical 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 highautonomous cluster. No significant differences were found between patients who became active or remained inactive and whether they belonged to the moderate-controlled or moderateautonomous 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. ARTICLE HISTORY

Psychologische Aspekte von Hochintensivem Intervalltraining (HIIT) in der Therapie: Eine Übersicht der Literatur

“…c. Und schließlich ist es in Hinsicht auf post-Therapie-Studien wichtig zu wissen, ob therapeutisches HIIT auch die Bewegungsaktivität im posttherapeutischen Alltag positiv beeinflusst, was von Kritikern bestritten wird [10]. In solchen post-Therapie-Studien sollten daher insbesondere motivationale Prozesse betrachtet werden [22], wobei allerdings sehr fraglich ist, ob HIIT nach Abschluss der therapeutischen Betreuung eine angemessene, selbst-organisiert durchgeführte Trainingsform sein kann, da HIIT nicht nur in der Planung komplex und durchaus schwierig ist, sondern auch in Hinsicht auf die Selbstregulation und Selbstdisziplin anspruchsvoll erscheint [10]. Solche selbstregulativ anspruchsvollen Trainingsprozesse sind erfahrungsgemäß in gesundheitssportlichen Settings (außerhalb der Therapie) problematisch [9].…”