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Monday

 

Changes of Motivational Variables in Patients with Multiple Sclerosis in an Exercise Intervention: Associations between Physical Performance and Motivational Determinants: STUDY































Image source: EVERYDAYHEALTH

Abstract

Objectives:
This study examines the effects of a standardized fitness training on motivational factors such as the intention to be physically active, self-efficacy, perceived barriers, counterstrategies, and exercise specific social support in patients with progressive Multiple Sclerosis (MS) and the relation of these factors to physical performance.

Methods:
Moderately disabled patients with secondary or primary progressive MS (Expanded Disability Status Scale of 4–6) were randomized to a training group or a waitlist control group. Patients completed on average 20 sessions of training tailored to their individual fitness at baseline over a course of 8–12 weeks. Motivational variables (stage of change according to the transtheoretical model (TTM), self-efficacy, perceived barriers, counterstrategies, and exercise specific social support) were assessed via questionnaires at baseline and follow-up.

Results:
Forty patients completed the trial. We found significant effects on stages of change (p = .016)  and self-efficacy (p = .014)  and a trend in counterstrategies (p = .08) . Significant correlations between change of physical performance during the exercise training and change in the TTM, perceived barriers, and counterstrategies were detected.

Conclusion:
This study indicates that tailored individual endurance training could stabilize self-efficacy and increase exercise motivation in patients with progressive MS. Motivational variables were related to the physical performance.

Story Source: The above story is based on materials provided by HINDAWIBEHAVIORALNEUROLOGY
Note: Materials may be edited for content and length

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