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Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective

Rachel Jane Rahman, Joanne Hudson Orcid Logo, Cecilie Thøgersen-Ntoumani, Jonathan H. Doust

Psychology, Health & Medicine, Volume: 20, Issue: 5, Pages: 518 - 529

Swansea University Author: Joanne Hudson Orcid Logo

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...

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Published in: Psychology, Health & Medicine
ISSN: 1354-8506 1465-3966
Published: 2015
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URI: https://cronfa.swan.ac.uk/Record/cronfa26209
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spelling 2020-07-28T14:18:27.4390508 v2 26209 2016-02-15 Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective 304341cf2cd1bdb99d7d6ccf0f030d99 0000-0003-4732-8356 Joanne Hudson Joanne Hudson true false 2016-02-15 STSC 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. Journal Article Psychology, Health & Medicine 20 5 518 529 1354-8506 1465-3966 Self-Determination Theory; Cardiac rehabilitation; well-being; psychological need satisfaction; behavioural regulation. 31 12 2015 2015-12-31 10.1080/13548506.2015.1017509 http://dx.doi.org/10.1080/13548506.2015.1017509 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2020-07-28T14:18:27.4390508 2016-02-15T12:34:15.1179283 College of Engineering Engineering Rachel Jane Rahman 1 Joanne Hudson 0000-0003-4732-8356 2 Cecilie Thøgersen-Ntoumani 3 Jonathan H. Doust 4 0026209-11052017084818.pdf rahman2015.pdf 2017-05-11T08:48:18.4230000 Output 570028 application/pdf Accepted Manuscript true 2017-05-11T00:00:00.0000000 true eng
title Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
spellingShingle Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
Joanne Hudson
title_short Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
title_full Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
title_fullStr Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
title_full_unstemmed Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
title_sort Motivational processes and well-being in cardiac rehabilitation: a self-determination theory perspective
author_id_str_mv 304341cf2cd1bdb99d7d6ccf0f030d99
author_id_fullname_str_mv 304341cf2cd1bdb99d7d6ccf0f030d99_***_Joanne Hudson
author Joanne Hudson
author2 Rachel Jane Rahman
Joanne Hudson
Cecilie Thøgersen-Ntoumani
Jonathan H. Doust
format Journal article
container_title Psychology, Health & Medicine
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container_issue 5
container_start_page 518
publishDate 2015
institution Swansea University
issn 1354-8506
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doi_str_mv 10.1080/13548506.2015.1017509
college_str College of Engineering
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hierarchy_top_title College of Engineering
hierarchy_parent_id collegeofengineering
hierarchy_parent_title College of Engineering
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url http://dx.doi.org/10.1080/13548506.2015.1017509
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description 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.
published_date 2015-12-31T03:37:04Z
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