Methods:
Eighty-eight of 158 kidney recipients from two academic medical centers completed a semi-structured interview and surveys 2 months post-transplant.
Results:
Most patients were sedentary (76%) with a quarter exercising either regularly (11%) or not at current recommendations (13%). One-third (35%) reported drinking the recommended 3 L of fluid daily. Multivariate analyses indicated that private insurance, high self-efficacy, and better physical functioning were significantly associated with engaging in physical
activity (p < 0.05); while male gender, private insurance, high self-efficacy, and not attributing oneself responsible for transplant success were significant predictors of adherence to fluid intake (p < 0.05). Despite the significance of these predictors, models click here for physical activity and fluid intake explained 10-15% of the overall variance in these behaviors. Multivariate analyses indicated that younger
age, high value of exercise, and higher social functioning significantly (p < 0.05) predicted high self-efficacy for physical activity, while being married significantly (p < 0.05) predicted high self-efficacy for fluid intake.
Conclusion:
Identifying patients at risk of inadequate self-care practice is essential for educating patients about the importance of self-care.”
“PurposeIn this study, changes in motivational regulations https://www.selleckchem.com/products/dmh1.html in women following treatment for breast cancer were described. Changes in motivational regulations as predictors of subsequent change in light and moderate-to-vigorous physical activity (PA) and affect were also examined.
MethodsWomen [n=150; M-age=54.41 (SD=10.87) years] completed self-report questionnaires and wore an accelerometer for 7days at Time 1 [M=3.94 (SD=3.08) months following primary treatment], as well as 3 (Time 2) and 6 (Time 3) months
later. Data were analyzed using repeated-measures analysis of variance and path analysis using residual change scores.
ResultsIdentified regulation and self-determined motivation (i.e., combined intrinsic motivation and identified regulation) scores decreased over time (p<0.05). In the path model [(2)(4)=5.66, p=0.22, root mean square error of approximation=0.05 (90% CI: 0.0; 0.15), comparative fit index=0.99, standardized root mean square of the residuals=0.03], Time(1-2) in external regulation was associated AG-120 solubility dmso with Time(2-3) in positive affect (=-0.16), Time(1-2) in introjected (=0.25) and amotivation (=0.19) were related to Time(2-3) in negative affect, and Time(1-2) in self-determined motivation was related to Time(2-3) in positive affect (=0.40) and moderate-to-vigorous PA (=0.21).
ConclusionsChanges in motivational regulations were related to changes in PA and affect in the aftermath of breast cancer. Given the benefits of self-determined motivation, additional research is needed to develop and test interventions aimed at enhancing this type of motivation.