Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Physical Activity Behaviour and Motivation During and Following Pulmonary and Cardiac Rehabilitation: A Repeated Measures Study

Version 1 : Received: 3 September 2024 / Approved: 4 September 2024 / Online: 4 September 2024 (15:15:03 CEST)

How to cite: Alfrey, K. L.; Gardner, B.; Judd, J.; Askew, C. D.; Vandelanotte, C.; Rebar, A. L. Physical Activity Behaviour and Motivation During and Following Pulmonary and Cardiac Rehabilitation: A Repeated Measures Study. Preprints 2024, 2024090358. https://doi.org/10.20944/preprints202409.0358.v1 Alfrey, K. L.; Gardner, B.; Judd, J.; Askew, C. D.; Vandelanotte, C.; Rebar, A. L. Physical Activity Behaviour and Motivation During and Following Pulmonary and Cardiac Rehabilitation: A Repeated Measures Study. Preprints 2024, 2024090358. https://doi.org/10.20944/preprints202409.0358.v1

Abstract

Background: Exercise rehabilitation programs are important for long-term health and wellbeing among people with cardiac and pulmonary disease. De-spite this, many people struggle to maintain their physical activity once reha-bilitation ends. This repeated measures study tracked changes in physical ac-tivity behaviour and motivation during and after completing a communi-ty-based exercise rehabilitation program. Methods: Cardiac and pulmonary exercise rehabilitation patients (N=31), com-pleted six once-monthly measures of physical activity (MET·min), self-determined motivation, intention, and habit strength for rehabilitation ex-ercise (within rehabilitation sessions) and lifestyle physical activity (outside of rehabilitation sessions). Linear regression and random effects models with es-timated marginal means were used to test for associations between physical activity motivation and behaviour and change during and post-rehabilitation. Results: Overall physical activity decreased after rehabilitation (823 MET·min) despite patients becoming more self-determined for lifestyle physical activity during rehabilitation. More self-determined motivation, stronger intentions, and stronger habits were associated with more lifestyle physical activity be-haviour. However, none of these motivation variables were significantly asso-ciated with rehabilitation exercise behaviour. Conclusions: Among community-based cardiac and pulmonary rehabilitation patients, physical activity levels decreased following exercise rehabilitation programs. The findings revealed clear distinctions in the motivation of reha-bilitation exercise compared to lifestyle physical activity. Exercise rehabilitation programs might improve the longevity of outcomes by integrating approaches to enhance lifestyle physical activity beyond the clinic.

Keywords

exercise; self-determination; habit; intention; cardio-pulmonary

Subject

Public Health and Healthcare, Public Health and Health Services

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