Stoeckel Kurtis, Kasser Susan L
Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA.
Disabil Rehabil. 2022 Apr;44(7):1091-1097. doi: 10.1080/09638288.2020.1792564. Epub 2020 Jul 15.
Identifying motivational factors that facilitate physical activity engagement in adults with multiple sclerosis (MS) is important given beneficial health outcomes. The purpose of this study was to examine the relationship between physical activity of adults with MS and perceived spousal behaviors underlying self-determination.
One-hundred and twelve individuals with MS completed the Patient Determined Disease Steps, Physical Exercise Self-Efficacy Scale, Spousal Support for Physical Activity Scale, and Godin Leisure-Time Exercise Questionnaire. Descriptive statistics, scale reliabilities, and bivariate correlations were obtained. To examine the influence of perceived spousal behavior on total metabolic equivalents, a regression analysis was conducted.
All subscales were found to be highly reliable. Strong and significant associations between each of the variables and physical activity existed except for that of expectations, social control, and self-efficacy. Physical activity was best predicted by spousal behaviors supporting the self-determination constructs of , , and ( = 0.49, =0.24, =2.27, < 0.05), with spousal support contributing 14.8% to total self-determined physical activity.
Given the significant role of the spouse in fostering intrinsic motivation for physical activity in adults with MS, delivering more partner-oriented and targeted interventions that build relationship, competence and autonomy appear warranted.Implications for RehabilitationPhysical activity offers significant physical and psychological benefit to adults with multiple sclerosis (MS) and can contribute to greater marital satisfaction.Self-determined physical activity of individuals with MS can be facilitated by spouses who support their partner's needs for relatedness, competency, and autonomy.Delivering more partner-oriented and targeted interventions that develop self-determination have the potential to increase physical activity and improve quality of life in those with MS.
鉴于有益的健康结果，确定促进成年多发性硬化症（MS）患者进行体育活动的动机因素非常重要。本研究的目的是探讨成年MS患者的体育活动与自我决定背后的配偶感知行为之间的关系。
112名MS患者完成了患者确定疾病步骤、体育锻炼自我效能量表、配偶对体育活动的支持量表和戈丁休闲时间锻炼问卷。获得了描述性统计、量表信度和双变量相关性。为了检验配偶感知行为对总代谢当量的影响，进行了回归分析。
发现所有子量表都具有高度可靠性。除了期望、社会控制和自我效能外，每个变量与体育活动之间都存在强烈且显著的关联。支持 、 和 自我决定结构的配偶行为对体育活动的预测效果最佳（ = 0.49， = 0.24， = 2.27， ＜ 0.05），配偶支持对总自我决定体育活动的贡献率为14.8%。
鉴于配偶在促进成年MS患者体育活动的内在动机方面的重要作用，开展更多以伴侣为导向的针对性干预措施来建立关系、能力和自主性似乎是有必要的。康复启示体育活动对成年多发性硬化症（MS）患者具有显著的身体和心理益处，并有助于提高婚姻满意度。支持伴侣对相关性、能力和自主性需求的配偶可以促进MS患者的自我决定体育活动。开展更多以伴侣为导向的针对性干预措施来培养自我决定能力，有可能增加MS患者的体育活动并改善其生活质量。
