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Motivations Toward Exercise Participation: Active Persons With Multiple Sclerosis Have Greater Self-directed and Self-capable Motivations

  • Yvonne C. Learmonth
    Correspondence
    Corresponding authorYvonne C. Learmonth, PhD, Murdoch University, 90 South St, Murdoch 6150, Western Australia.
    Affiliations
    Discipline of Exercise Science, Murdoch University, Perth, Western Australia

    Perron Institute for Neurological and Translational Science, Perth, Western Australia

    Centre for Molecular Medicine and Innovative Therapeutics, Murdoch University, Western Australia
    Search for articles by this author
  • Brody Heritage
    Affiliations
    Discipline of Psychology, Murdoch University, Perth, Western Australia
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Published:December 01, 2020DOI:https://doi.org/10.1016/j.apmr.2020.10.138

      HIGHLIGHTS

      • Exercise is one means that has been shown to aid in the management of multiple sclerosis symptoms and enhance well-being outcomes in multiple sclerosis.
      • Active exercisers who have multiple sclerosis perceived higher levels of autonomous motivation toward exercise and stronger positive attitudes toward the value of exercise compared with insufficiently active exercisers with multiple sclerosis.
      • Clinicians should aim to highlight beneficial outcomes from exercise to clients and allow clients individual discretion in how to engage in exercise.

      Abstract

      Objective

      To investigate differences in motivation perceptions toward exercise per self-determination theory and theory of planned behavior between active and insufficiently active persons with multiple sclerosis, given the well-being enhancements associated with exercise engagement for this population.

      Design

      Cross-sectional between-groups design where active persons 14 points on the Godin Leisure Time Exercise Questionnaire, and insufficiently active <14.

      Setting

      Community setting in Australia.

      Participants

      Australian participants (N=70; mean age, 49.61±12.79y; FIM 64:6; Patient Disability Disease Steps median, 3).

      Interventions

      Not applicable.

      Main Outcome Measures

      Godin Leisure Time Exercise Questionnaire and adaptations of the self-determination theory (autonomous and controlling forms of motivation) and the Theory of Planned Behavior (attitudes to exercise, subjective norms to exercise, behavioral control to exercise, intention to exercise) items tailored toward exercise perceptions.

      Results

      Active persons perceived higher ratings compared with insufficiently active persons of autonomous motivations toward their exercise d=0.85 in addition to positive attitudes toward the value of exercise d=1.28, their behavioral control over exercise d=1.86, and their enhanced intentions to engage in exercise d=1.14. All effect sizes were large (d>0.80).

      Conclusions

      These findings suggest the value of considering ways of enhancing the perceived autonomy toward engaging in physical activity in addition to the reduction of barriers toward participating and enhancing positive attitudes toward the value of physical activity when practitioners are working with persons living with multiple sclerosis.

      Keywords

      List of abbreviations:

      HDI (highest density interval), MS (multiple sclerosis), SDT (self-determination theory), TPB (theory of planned behavior)
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      References

        • Wallin M.T.
        • Culpepper W.J.
        • Nichols E.
        • et al.
        Global, regional, and national burden of multiple sclerosis 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.
        Lancet Neurol. 2019; 18: 269-285
        • Motl R.W.
        • Pilutti L.A.
        The benefits of exercise training in multiple sclerosis.
        Nat Rev Neurol. 2012; 8: 487-497
        • Pilutti L.A.
        • Platta M.E.
        • Motl R.W.
        • Latimer-Cheung A.E.
        The safety of exercise training in multiple sclerosis: a systematic review.
        J Neurol Sci. 2014; 343: 3-7
        • Kinnett-Hopkins D.
        • Adamson B.
        • Rougeau K.
        • et al.
        People with MS are less physically active than healthy controls but as active as those with other chronic diseases: an updated meta-analysis.
        Mult Scler Relat Disord. 2017; 13: 38-43
        • Learmonth Y.C.
        • Motl R.W.
        Physical activity and exercise training in multiple sclerosis: a review and content analysis of qualitative research identifying perceived determinants and consequences.
        Disabil Rehabil. 2016; 38: 1227-1242
        • Sangelaji B.
        • Smith C.M.
        • Paul L.
        • Sampath K.K.
        • Treharne G.J.
        • Hale L.A.
        The effectiveness of behaviour change interventions to increase physical activity participation in people with multiple sclerosis: a systematic review and meta-analysis.
        Clin Rehabil. 2016; 30: 559-576
      1. Riemann-Lorenz K, Motl RW, Casey B, Coote S, Daubmann A, Heesen C. Possible determinants of long-term adherence to physical activity in multiple sclerosis—theory-based development of a comprehensive questionnaire and results from a German survey study. Disabil Rehabil. 2020 Mar 2. [Epub ahead of print].

        • Hagger M.S.
        • Lonsdale A.J.
        • Hein V.
        • et al.
        Predicting alcohol consumption and binge drinking in company employees: an application of planned behaviour and self-determination theories.
        Br J Health Psychol. 2012; 17: 379-407
        • Ryan R.M.
        • Deci E.L.
        Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.
        Am Psychol. 2000; 55: 68
        • Ajzen I.
        Constructing a TPB questionnaire: conceptual and methodological considerations.
        (Available at:) (Accessed December 10, 2019)
        • Godin G.
        • Shephard R.J.
        A simple method to assess exercise behavior in the community.
        Can J Appl Sport Sci. 1985; 10: 141-146
        • Kruschke J.K.
        • Meredith M.
        BEST: Bayesian estimation supersedes the t-test.
        (Available at:) (Accessed December 12, 2019)
        • Hohol M.J.
        • Orav E.J.
        • Weiner H.L.
        Disease steps in multiple sclerosis: a longitudinal study comparing disease steps and EDSS to evaluate disease progression.
        Mult Scler J. 1999; 5: 349-354
        • Michie S.
        • Johnston M.
        • Abraham C.
        • et al.
        Making psychological theory useful for implementing evidence based practice: a consensus approach.
        Qual Saf Health Care. 2005; 14: 26-33
        • Casey B.
        • Coote S.
        • Shirazipour C.
        • et al.
        Modifiable psychosocial constructs associated with physical activity participation in people with multiple sclerosis: a systematic review and meta-analysis.
        Arch Phys Med Rehabil. 2017; 98: 1453-1475
        • Teixeira P.J.
        • Carraca E.V.
        • Markland D.
        • et al.
        Exercise, physical activity, and self-determination theory: a systematic review.
        Int J Behav Nutr Phys Act. 2012; 9: 78