title: Changes in need satisfaction and motivation orientation as predictors of psychological and behavioural outcomes in exercise referral.
abstract: Employing Self-Determination Theory (Deci & Ryan, 1985) as a theoretical framework, this study examined psychological need satisfaction and motivational regulations as predictors of psychological and behavioural outcomes in exercise referral (ER). ER patients (N = 293; mean age 54.49) completed the measures of motivational regulations, psychological need satisfaction, health-related quality of life, life satisfaction, anxiety, depression and physical activity at entry, exit and 6 months following the end of a supervised exercise programme. Change in (Δ) intrinsic motivation during the scheme significantly predicted adherence and Δ habitual physical activity. Δ psychological need satisfaction from entry to exit significantly predicted Δ habitual physical activity from exit to 6-month follow-up. Δ psychological need satisfaction significantly predicted Δ motivational regulation and Δ psychological outcomes. Contrary to expectations, Δ self-determined regulation did not significantly predict Δ psychological outcomes during the structured part of the scheme, however, it did significantly predict Δ in psychological outcomes from exit to 6-month follow-up. These findings expand on cross-sectional research to demonstrate that psychological need satisfaction during supervised ER longitudinally predicts motivational regulation and psychological outcomes up to 6 months after a structured programme.
authors: Psychology Department, Aberystwyth University, Llandinam Building, Penglais Campus, Aberystwyth SY23 3DB, UK. rjr@aber.ac.uk
authors: Rachel Jane
authors: RJ
authors: Rahman
authors: Cecilie
authors: C
authors: Thogersen-Ntoumani
authors: Joanne
authors: J
authors: Thatcher
authors: Jonathan
authors: J
authors: Doust
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance; D010549:Personal Satisfaction; D011788:Quality of Life; D012017:Referral and Consultation; D020377:Self Efficacy; D055815:Young Adult