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

Psychology, Health & Medicine
Rachel Jane RahmanJonathan H Doust

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). 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; M(age) = 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 six 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...Continue Reading

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Citations

Nov 20, 2016·Journal of Clinical Nursing·Mari KangasniemiAnna-Maija Pietilä
Aug 23, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Anne-Marie SuutariJohan Thor
Feb 15, 2019·International Journal of Environmental Research and Public Health·Helle SpindlerBirthe Dinesen
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Dec 12, 2020·Health Psychology Review·Mary Katherine HuffmanSteve Amireault
Jun 22, 2021·Health Psychology and Behavioral Medicine·Liam KnoxRachel Rahman

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