Department of Neurorehabilitation, Graduate School of Health Sciences, Kio University, Nara, Japan.
Nara Prefecture General Support Center for Persons with Disabilities, Nara, Japan.
Ann Med. 2022 Dec;54(1):820-829. doi: 10.1080/07853890.2022.2049860.
Exercise motivation (EM) is related to individual capabilities and social support. However, in support facilities for people with disabilities, it is susceptible to a lack of social support. In this study, we classified EM into Autonomous Motivation (AM) and controlled motivation (CM) and then examined the influence of social support.
Thirty-three residents from a support facility for people with disabilities in Japan participated in this study. We conducted a hierarchical multiple regression analysis in which age, gender and time since admission were entered in Step 1, mobility and self-efficacy as individual capabilities in Step 2, and family support, facility support and peer support as social support in Step 3.
A significant increase in variance from Step 2 to Step 3 was found for both AM (Δ = 0.504, Δ = 12.18, < .001) and CM (Δ = 0.269, Δ = 3.491, = .031). The results also showed that AM was higher among those with high family and facility support, and CM was higher among those with low family and high peer support.
Social support was a more significant predictor of EM among participants than individual capabilities.KEY MESSAGESAmong residents of support facilities for people with disabilities, assessing not only individual capabilities but also social support status can lead to better understandings of exercise motivation (EM).To enhance facility residents' autonomous motivation (AM), it is necessary to intervene after evaluating family and facility support.When family support is not readily available among facility residents, efforts should be made to encourage residents to interact with each other to increase peer support.
运动动机(EM)与个体能力和社会支持有关。然而,在残疾人支持设施中,社会支持往往不足。在这项研究中,我们将 EM 分为自主动机(AM)和受控动机(CM),然后研究了社会支持的影响。
本研究共纳入日本一家残疾人支持设施的 33 名居民。我们进行了分层多元回归分析,将年龄、性别和入院时间纳入第 1 步,将移动能力和自我效能作为个体能力纳入第 2 步,将家庭支持、设施支持和同伴支持作为社会支持纳入第 3 步。
AM(Δ=0.504,Δ=12.18,<0.001)和 CM(Δ=0.269,Δ=3.491,=0.031)的方差在第 2 步到第 3 步均显著增加。结果还表明,家庭和设施支持较高者的 AM 较高,家庭支持较低、同伴支持较高者的 CM 较高。
与个体能力相比,社会支持是参与者运动动机的更重要预测因素。
在残疾人支持设施的居民中,评估不仅要考虑个体能力,还要考虑社会支持状况,可以更好地理解运动动机(EM)。为了增强设施居民的自主动机(AM),有必要在评估家庭和设施支持后进行干预。当设施居民的家庭支持不可用时,应努力鼓励居民相互交流以增加同伴支持。