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Motivational factors associated with physical activity and quality of life in people with severe mental illness
Engelsk titel: Motivational factors associated with physical activity and quality of life in people with severe mental illness Läs online Författare: Farholm, Anders ; Sörensen, Marit ; Halvari, Hallgeir Språk: Eng Antal referenser: 46 Dokumenttyp: Artikel UI-nummer: 18030186

Tidskrift

Scandinavian Journal of Caring Sciences 2017;31(4)914-21 ISSN 0283-9318 E-ISSN 1471-6712 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Background: There has been increasing interest for investigating the role of motivation in physical activity among people with severe mental illness (SMI). Autonomous motivation has been suggested to have a potentially important role in adoption and maintenance of physical activity. However, the knowledge about factors that facilitate autonomous motivation among people with SMI is scarce. Aim: The aim of this study was to examine factors associated with motivation for physical activity as well as the relationships between motivation, physical activity and health-related quality of life in individuals with SMI that were currently physically active. Methods: A cross-sectional design was used, and 88 participants were recruited from a public health network promoting physical activity for people with SMI. They answered a questionnaire package consisting of scales measuring psychological need support – psychological need satisfaction – and motivation for physical activity, physical activity and health-related quality of life. Results: The majority of participants reported to be in regular physical activity. Associations between variables were tested according to the self-determination theory process model. Structural equation modelling yielded good fit of the process model to the data. Specifically, a need-supportive environment was positively associated with psychological need satisfaction, while psychological need satisfaction was positively associated with autonomous motivation and mental health-related quality of life, and negatively associated with controlled motivation and amotivation. Physical activity was positively associated with autonomous motivation and physical health-related quality of life, and negatively associated with amotivation. Conclusion: This study indicates that individuals with SMI can be regularly physically active when provided with suitable opportunities. Furthermore, the present results suggest that it is vital for health-care practitioners to emphasise creating a need-supportive environment when organising physical activity because such an environment is associated with both increased autonomous motivation for physical activity and mental health-related quality of life. Published by arrangement with John Wiley & Sons.