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Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study
BACKGROUND: Exercise-based cardiac rehabilitation reduces morbidity and mortality. Walking is a convenient activity suitable for people with cardiac disease. Pedometers count steps, measure walking activity and motivate people to increase physical activity. In this study, patients participating in c...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991060/ https://www.ncbi.nlm.nih.gov/pubmed/27547404 http://dx.doi.org/10.1186/s13102-016-0048-7 |
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author | Thorup, Charlotte Brun Grønkjær, Mette Spindler, Helle Andreasen, Jan Jesper Hansen, John Dinesen, Birthe Irene Nielsen, Gitte Sørensen, Erik Elgaard |
author_facet | Thorup, Charlotte Brun Grønkjær, Mette Spindler, Helle Andreasen, Jan Jesper Hansen, John Dinesen, Birthe Irene Nielsen, Gitte Sørensen, Erik Elgaard |
author_sort | Thorup, Charlotte Brun |
collection | PubMed |
description | BACKGROUND: Exercise-based cardiac rehabilitation reduces morbidity and mortality. Walking is a convenient activity suitable for people with cardiac disease. Pedometers count steps, measure walking activity and motivate people to increase physical activity. In this study, patients participating in cardiac telerehabilitation were provided with a pedometer to support motivation for physical activity with the purpose of exploring pedometer use and self-determined motivation for walking experienced by patients and health professionals during a cardiac telerehabilitation program. METHODS: A qualitative research design consisting of observations, individual interviews and patient documents made the basis for a content analysis. Data was analysed deductively using Self Determination Theory as a frame for analysis and discussion, focusing on the psychological needs of autonomy, competence and relatedness. Twelve cardiac patients, 11 health professionals, 6 physiotherapists and 5 registered nurses were included. RESULTS: The pedometer offered independence from standardised rehabilitation since the pedometer supported tailoring, individualised walking activity based on the patient’s choice. This led to an increased autonomy. The patients felt consciously aware of health benefits of walking, and the pedometer provided feedback on walking activity leading to an increased competence to achieve goals for steps. Finally, the pedometer supported relatedness with others. The health professionals’ surveillance of patients’ steps, made the patients feel observed, yet supported, furthermore, their next of kin appeared to be supportive as walking partners. CONCLUSION: Cardiac patients’ motivation for walking was evident due to pedometer use. Even though not all aspects of motivation were autonomous and self determined, the patients felt motivated for walking. The visible steps and continuous monitoring of own walking activity made it possible for each individual patient to choose their desired kind of activity and perform ongoing adjustments of walking activity. The immediate feedback on step activity and the expectations of health benefits resulted in motivation for walking. Finally, pedometer supported walking made surveillance possible, giving the patients a feeling of being looked after and supported. TRIAL REGISTRATION: Current study is a part of The Teledi@log project. |
format | Online Article Text |
id | pubmed-4991060 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49910602016-08-20 Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study Thorup, Charlotte Brun Grønkjær, Mette Spindler, Helle Andreasen, Jan Jesper Hansen, John Dinesen, Birthe Irene Nielsen, Gitte Sørensen, Erik Elgaard BMC Sports Sci Med Rehabil Research Article BACKGROUND: Exercise-based cardiac rehabilitation reduces morbidity and mortality. Walking is a convenient activity suitable for people with cardiac disease. Pedometers count steps, measure walking activity and motivate people to increase physical activity. In this study, patients participating in cardiac telerehabilitation were provided with a pedometer to support motivation for physical activity with the purpose of exploring pedometer use and self-determined motivation for walking experienced by patients and health professionals during a cardiac telerehabilitation program. METHODS: A qualitative research design consisting of observations, individual interviews and patient documents made the basis for a content analysis. Data was analysed deductively using Self Determination Theory as a frame for analysis and discussion, focusing on the psychological needs of autonomy, competence and relatedness. Twelve cardiac patients, 11 health professionals, 6 physiotherapists and 5 registered nurses were included. RESULTS: The pedometer offered independence from standardised rehabilitation since the pedometer supported tailoring, individualised walking activity based on the patient’s choice. This led to an increased autonomy. The patients felt consciously aware of health benefits of walking, and the pedometer provided feedback on walking activity leading to an increased competence to achieve goals for steps. Finally, the pedometer supported relatedness with others. The health professionals’ surveillance of patients’ steps, made the patients feel observed, yet supported, furthermore, their next of kin appeared to be supportive as walking partners. CONCLUSION: Cardiac patients’ motivation for walking was evident due to pedometer use. Even though not all aspects of motivation were autonomous and self determined, the patients felt motivated for walking. The visible steps and continuous monitoring of own walking activity made it possible for each individual patient to choose their desired kind of activity and perform ongoing adjustments of walking activity. The immediate feedback on step activity and the expectations of health benefits resulted in motivation for walking. Finally, pedometer supported walking made surveillance possible, giving the patients a feeling of being looked after and supported. TRIAL REGISTRATION: Current study is a part of The Teledi@log project. BioMed Central 2016-08-18 /pmc/articles/PMC4991060/ /pubmed/27547404 http://dx.doi.org/10.1186/s13102-016-0048-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Thorup, Charlotte Brun Grønkjær, Mette Spindler, Helle Andreasen, Jan Jesper Hansen, John Dinesen, Birthe Irene Nielsen, Gitte Sørensen, Erik Elgaard Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
title | Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
title_full | Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
title_fullStr | Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
title_full_unstemmed | Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
title_short | Pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
title_sort | pedometer use and self-determined motivation for walking in a cardiac telerehabilitation program: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991060/ https://www.ncbi.nlm.nih.gov/pubmed/27547404 http://dx.doi.org/10.1186/s13102-016-0048-7 |
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