title: [Behaviour-orientated exercise therapy--initiating and maintaining a physically active lifestyle].
abstract: BACKGROUND
  The promotion of a physically active lifestyle has become an important issue in exercise therapy. Exercise-only interventions are frequently used for the rehabilitation of individuals with chronic diseases. These do indeed improve functional and physical performance, but they are not alone sufficient to initiate long lasting changes in physical-activity behaviour. Behaviour-related aspects are rarely integrated into exercise-therapy interventions.
  
  
  OBJECTIVE
  Based on theories of health behaviour change, effective techniques for changing physical-activity behaviour in the context of exercise therapy will be identified.
  
  
  METHODS
  The starting point is a theory-driven definition of individual behavioural determinants of physical activity and the identification of techniques for influencing the determinants. Subsequently, the potential of the techniques for enhancing physical activity is evaluated. The available evidence was reviewed on the basis of international reviews and control-group studies from the German rehabilitation setting. Finally, recommendations are offered for designing exercise-based interventions to promote participation in and adherence to physical activity.
  
  
  RESULTS
  A total of 28 techniques for the promotion of physical activity behaviour were identified. An approach that proved particularly effective was self-monitoring of physical activity behaviour in a variety of combinations with other techniques, such as contracting, feedback, rewards, generating one's own varied exercise experience, action planning and barrier management.
  
  
  CONCLUSIONS
  The integration of behaviour-related techniques in the context of exercise therapy interventions shows great promise as a means of initiating and promoting a physically active lifestyle.
authors: Friedrich-Alexander-Universität Erlangen-Nürnberg, Institut für Sportwissenschaft und Sport, Arbeitsbereich Bewegung und Gesundheit.
authors: W
authors: W
authors: Geidl
authors: J
authors: J
authors: Hofmann
authors: W
authors: W
authors: Göhner
authors: G
authors: G
authors: Sudeck
authors: K
authors: K
authors: Pfeifer
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D006233:Persons with Disabilities / Q000534:rehabilitation*; D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D008019:Life Style; D009043:Motor Activity