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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...

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Autores principales: Thorup, Charlotte Brun, Grønkjær, Mette, Spindler, Helle, Andreasen, Jan Jesper, Hansen, John, Dinesen, Birthe Irene, Nielsen, Gitte, Sørensen, Erik Elgaard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
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.
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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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