Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.
Department of Psychological Sciences and Health Sciences Research Institute, University of California, Merced, CA, USA.
BMC Womens Health. 2022 Apr 27;22(1):133. doi: 10.1186/s12905-022-01692-3.
The objective of this study was to (1) qualitatively identify the perceived determinants of physical activity among women who have experienced severe preeclampsia, and (2) examine whether these determinants are consistent with the overarching processes outlined in the integrated behavior change (IBC) model, a novel model that describes physical activity as being a result of motivational, volitional, and automatic processes.
Patients (n = 35) of the Follow-Up PreEClampsia (FUPEC) Outpatient Clinic, Erasmus MC, the Netherlands, participated in an anonymous online survey. The main outcomes under study were their perceived determinants of physical activity. Responses were analyzed using thematic analysis.
Thirteen themes emerged from the analysis. Six themes corresponded with motivational processes (future health, perceived ability, attitude, future reward or regret, physical appearance, and doing it for others), two with volitional processes (scheduling and planning), and two with automatic processes (affect and stress). Three themes were classified as environmental factors (time constraint, social support, and physical environment).
A range of facilitating and hindering factors were described by women with prior severe preeclampsia as the determinants of their physical activity. These factors corresponded well with the overarching motivational, volitional, and automatic processes described in the IBC model. In addition, motivational and environmental factors beyond the IBC model were described. Addressing these perceived determinants could enhance the efficacy of physical activity interventions in this population.
Motivational, volitional, automatic, and environmental factors drive physical activity in women with prior severe preeclampsia.
本研究旨在（1）定性识别经历过严重子痫前期的女性对身体活动的感知决定因素，以及（2）检查这些决定因素是否与综合行为改变（IBC）模型中概述的总体过程一致，这是一个描述身体活动是由动机、意志和自动过程产生的新模型。
荷兰伊拉斯谟医学中心随访子痫前期（FUPEC）门诊的 35 名患者参与了一项匿名在线调查。本研究的主要结果是他们对身体活动的感知决定因素。使用主题分析对回答进行分析。
分析中出现了 13 个主题。其中 6 个主题与动机过程相对应（未来健康、感知能力、态度、未来奖励或遗憾、身体外观和为他人做），2 个主题与意志过程相对应（计划和安排），2 个主题与自动过程相对应（影响和压力）。另外 3 个主题被归类为环境因素（时间限制、社会支持和物理环境）。
经历过严重子痫前期的女性描述了一系列促进和阻碍身体活动的因素，这些因素与 IBC 模型中描述的总体动机、意志和自动过程相符。此外，还描述了 IBC 模型之外的动机和环境因素。解决这些感知决定因素可以提高针对该人群的身体活动干预措施的效果。
先前患有严重子痫前期的女性进行身体活动的驱动因素包括动机、意志、自动和环境因素。
