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Self-motivation and adherence to therapeutic exercise

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Abstract

Behavioral compliance or adherence is a fundamental problem in health care, and diagnosis of dropout proneness represents a first step in adherence facilitation. A paper-and-pencil scale was developed to assess self-motivation, conceptualized as a behavioral tendency to persevere independent of situational reinforcements. Scale refinement (N=401) yielded a logically valid and reliable measure with a high internal consistency (α=0.91). Repeated measurements (1 to 5 months) indicated a high degree of scale stability (r'sranged from 0.86 to 0.92), reinforcing the conception of self-motivation as relatively enduring and trait-like. Convergent evidence for construct validity was provided by the Self-Motivation Inventory's (SMI) relationship with the Thomas-Zander Ego-Strength Scale (r=0.63) and other more behaviorally specific attitudes (r'sranged from 0.47 to 0.58). Discriminant validity was evidenced by minimal overlap with motivational measures of social desirability, health locus of control, and achievement tendency; in each case, less than 10% of the variance in self-motivation was explained. Predictive validity was demonstrated in a variety of naturalistic settings in which perseverant behavior was easily quantified. These included habitual exercise programs for exercise training (N=64), preventive medicine (N=66), and acute exercise (N=48). The diversity of these settings supported the situational invariance of self-motivation. Collectively, these findings provide considerable support for the valid and reliable assessment of sel-fmotivation and for its distinctive utility in enhancing the prediction of perseverant behavior, specifically, adherence to therapeutic exercise.

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References

  • American Heart Association (1975).Exercise Testing and Training of Individuals with Heart Disease or at Risk for Its Development: A Handbook for Physicians, American Heart Association, Dallas, Tex.

    Google Scholar 

  • Astrand, P. O., and Rodahl, K. (1977).Textbook of Work Physiology, McGraw-Hill, New York.

    Google Scholar 

  • Atkinson, J. W. (1957). Motivational determinants of risk-taking behavior.Psychol. Rev. 64: 359–372.

    Google Scholar 

  • Baekeland, F., and Lundwall, L. (1975). Dropping out of treatment: A critical review.Psychol. Bull. 82: 738–783.

    PubMed  Google Scholar 

  • Balke, B., and Ware, R. (1959). The status of physical fitness in the air force.School Aviat. Med. USAF.

  • Carmody, T. P., Senner, J. W., Malinow, M. R.et al. (1980). Physical exercise rehabilitation: long term dropout rate in cardiac patients.J. Behav. Med. 3: 163–168.

    PubMed  Google Scholar 

  • Clarke, H. H. (ed.) (1973).Phys. Fit. Res. Dig. Ser. 4: No. 2.

  • Crowne, D. P., and Marlowe, D. (1964).The Approval Motive: Studies in Evaluative Dependence, Wiley, New York.

    Google Scholar 

  • Disman, R. K. (1981). Prediction of adherence to habitual physical activity. In Nagle, F. J., and Montoye, H. J. (eds.),Exercise in Health and Disease, Charles C Thomas, Springfield, Ill.

    Google Scholar 

  • Dishman, R. K., and Gettman, L. R. (1980). Psychobiologic influences on exercise adherence.J. Sport Psychol. 2: 295–310.

    Google Scholar 

  • Dishman, R. K., Ickes, W., and Morgan, W. P. (1980). Self-motivation and adherence to habitual physical activity.J. Appl. Soc. Psychol. 10: 115–132.

    Google Scholar 

  • Goldfried, M. R. (1969). Prediction of improvement in an alcoholism outpatient clinic.Q. J. Stud. Alcohol. 30: 129–139.

    PubMed  Google Scholar 

  • Greist, J. H., Klein, M. H., Eischens, R. R., and Faris, J. W. (1979). Antidepressant running.Psychiat. Ann. 9: 23–29.

    Google Scholar 

  • Harris, C. W., and Kaiser, H. F. (1964). Oblique factor analytic solutions by orthogonal transformations.Psychometrika 29: 347–362.

    Google Scholar 

  • Haynes, R. B., Taylor, D. W., and Sackett, D. L. (1979).Compliance in Health Care, Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Kenyon, G. S. (1968). Six scales for assessing attitude toward physical activity.Res. Q. Exer. Sport. 39: 566–574.

    Google Scholar 

  • Klissouras, V. (1971). Adaptability of genetic variation.J. Appl. Physiol. 31: 338–344.

    PubMed  Google Scholar 

  • Kolata, G. G., and Marx, J. L. (1976). Epidemiology of heart disease: Searchers for causes.Science 194: 509–512.

    Google Scholar 

  • McClelland, D. C., Atkinson, J. W., Clark, R. A., and Lowell, E. L. (1953).The Achievement Motive, Appleton-Century-Crofts, New York.

    Google Scholar 

  • Mehrabian, A. (1968). Male and female scales of the tendency to achieve.Educ. Psychol. Measure. 28: 493–502.

    Google Scholar 

  • Milvy, P. (ed.) (1977). Conference on the marathon: Physiological, medical, epidemiological, and psychological studies.Ann. N. Y. Acad. Sci. Vol. 301.

  • Morgan, W. P. (1977). Involvement in vigorous physical activity with special reference to adherence.Proceedings, College Physical Education Conference, Orlando, Fl.

  • Morgan, W. P. (1979). Anxiety reduction following acute physical activity.Psychiat. Ann. 9: 36–45.

    Google Scholar 

  • National Center for Health Statistics (1978). Statistical report. National Center for Health Statistics, Hyattsville, Md.

    Google Scholar 

  • National Institute of Mental Health (1977). Statistical report. National Institute of Mental Health, Bethesda, Md.

    Google Scholar 

  • National Running and Fitness Association (1981).Natl. Running and Fitness Assoc. Newslett.

  • Oldridge, N. B. (1977). What to look for in an exercise class leader.Phys. Sportsmed. 5: 85–88.

    Google Scholar 

  • Oldridge, N. B. (1979). Compliance in exercise rehabilitation.Phys. Sportsmed. 7: 94–103.

    Google Scholar 

  • Oldridge, N. B., Wicks, J. R., Hanley, C., Sutton, J. R., and Jones, N. L. (1978). Compliance in an exercise rehabilitation program for men who have suffered a myocardial infarction.Can. Med. Assoc. J. 118: 361–364.

    PubMed  Google Scholar 

  • Pitts, F. N. (1969). The biochemistry of anxiety.Sci. Am. 220: 69–75.

    PubMed  Google Scholar 

  • Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement.Psychol. Monogr. 80(1): Whole No. 609.

  • Sonstroem, R. J. (1974). Attitude testing examining certain psychological correlates of physical activity.Res. Q. Exer. Sport 45: 93–103.

    Google Scholar 

  • Thomas, P., and Zander, A. (1973). Thomas-Zander ego strength scales. In Robinson, J. P., and Shaver, P. R. (eds.),Measures of Social Psychological Attitudes, Institute for Social Research, Ann Arbor, Mich.

    Google Scholar 

  • Wallston, B. S., Wallston, K. A., Kaplan, G. D., and Maides, S. A. (1976). Development and validation of the health locus of control (HCL) scale.J. Consult. Clin. Psychol. 44: 580–585.

    PubMed  Google Scholar 

  • Weiner, B., Frieze, I. H., Kukla, A., Reed, L., Rest, S., and Rosenbaum, R. M. (1972). Perceiving the causes of success and failure. In Jones, E. E., Kanouse, D. E., Kelley, H. H., Nisbett, R. E., Valins, S., and Weiner, B. (eds.),Attribution: Perceiving the Causes of Behavior, General Learning Press, Morristown, N.J.

    Google Scholar 

  • Yuhasz, M. S. (1965).Physical Fitness and Sports Appraisal Laboratory Manual, University of Western Ontario, London, Ont.

    Google Scholar 

  • Zax, M. (1962). The incidence and fate of the reopened case in an alcoholism treatment center.Q. J. Stud. Alcohol. 23: 634–639.

    PubMed  Google Scholar 

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Dishman, R.K., Ickes, W. Self-motivation and adherence to therapeutic exercise. J Behav Med 4, 421–438 (1981). https://doi.org/10.1007/BF00846151

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