Journal article 1320 views 528 downloads
Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
Psychology, Health & Medicine, Volume: 20, Issue: 5, Pages: 518 - 529
Swansea University Author:
Joanne Hudson
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DOI (Published version): 10.1080/13548506.2015.1017509
Abstract
This research examined the processes underpinning changes in psychological well-being and behavioural regulation in Cardiac Rehabilitation (CR) patients using Self-Determination Theory (SDT; Deci & Ryan, 1985). A repeated measures design was used to identify the longitudinal relationships betwee...
Published in: | Psychology, Health & Medicine |
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ISSN: | 1354-8506 1465-3966 |
Published: |
2015
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Online Access: |
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URI: | https://cronfa.swan.ac.uk/Record/cronfa26209 |
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Abstract: |
This research examined the processes underpinning changes in psychological well-being and behavioural regulation in Cardiac Rehabilitation (CR) patients using Self-Determination Theory (SDT; Deci & Ryan, 1985). A repeated measures design was used to identify the longitudinal relationships between SDT variables, psychological well-being and exercise behaviour during and following a structured CR programme. Participants were 389 cardiac patients (aged 36-84 years; Mage = 64 ± 9 years; 34.3% female) referred to a 12 week supervised CR programme. Psychological need satisfaction, behavioural regulation, health-related quality of life, physical self-worth, anxiety and depression were measured at programme entry, exit and 6 month post-programme. During the programme, increases in autonomy satisfaction predicted positive changes in behavioural regulation, and improvements in competence and relatedness satisfaction predicted improvements in behavioural regulation and well-being. Competence satisfaction also positively predicted habitual physical activity. Decreases in external regulation and, increases in intrinsic motivation, predicted improvements in physical self-worth and physical well-being respectively. Significant longitudinal relationships were identified whereby changes during the programme predicted changes in habitual physical activity and the mental quality of life from exit to 6 month follow-up. Findings provide insight into the factors explaining psychological changes seen during CR. They highlight the importance of increasing patients’ perceptions of psychological need satisfaction and self-determined motivation to improve well-being during the structured component of a CR programme and longer-term physical activity. |
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Keywords: |
Self-Determination Theory; Cardiac rehabilitation; well-being; psychological need satisfaction; behavioural regulation. |
College: |
Faculty of Science and Engineering |
Issue: |
5 |
Start Page: |
518 |
End Page: |
529 |