DOI QR코드

DOI QR Code

Exercise Adherence Model of Middle-Aged based on Theory of Self-determination

  • Lee, Miok (Dept. of Nursing, Kyungdong University)
  • 투고 : 2018.09.06
  • 심사 : 2018.09.20
  • 발행 : 2018.10.31

초록

The purpose of this study was to construct and validate a middle - aged exercise adherence model. The model was designed based on self - determination theory. Participants were 215 middle-aged men and women aged 40-60 who had been exercising for more than six months. Data was collected from four big cities of Seoul, Busan, Gwangju and Daejeon in Korea, using a questionnaire consisting of basic psychological needs, intrinsic motivation, social support, and exercise adherence. Data were analyzed with SPSS 19.0 and AMOS 20.0. Social support and exercise adherence of the questionnaire were partially revised and verified by confirmatory factor analysis. The results of the study were as follows. The model's fit indices: GFI = .938, AGFI) = .915, NFI = .912, CFI = .941, and RMSEA = 0.041. The model satisfied the model fit of the structural model equation. This study model based on self - determination theory was confirmed that basic psychological needs, intrinsic motivation, and social support were important factors for the middle - aged's exercise adherence. Basic psychological need and intrinsic motivation had a direct influence on the adherence of exercise, and social support indirectly influenced the exercise adherence through intrinsic motivation. Both basic psychological needs and social support directly affected internal motivation. The most influential factor in the middle - aged's exercise adherence was intrinsic motivation. In conclusion, it was found that intrinsic motivation such as interest and fun is important for the middle - aged to continue the exercise. Also, the basic psychological needs were important for middle aged's exercise adherence. The results of this study will provide basic data for restoring or maintaining health by continuing exercise. Strategies that enhance intrinsic motivation are needed when a chronic ill person needs to continue long-term exercising.

키워드

참고문헌

  1. K. S. Kim et al., Medical-Surgical Nursing, Soonoonsa, Paju, pp. 21-23, 2017.
  2. J. S. Kim and S. Kang. KS., A study on body image, sexual quality of life, depression, and quality of life in middle-aged adults. Asian Nursing Research, Vol. 9, No. 2, pp. 96-103, 2015. https://doi.org/10.1016/j.anr.2014.12.001
  3. Asli Kalkim, Safak Da ghan, Theory-based Osteoporosis Prevention Education and Counseling Program for Women: A Randomized Controlled Trial, Asian Nursing Research, Vol. 11, No. 2, pp. 119-127, 2017. https://doi.org/10.1016/j.anr.2017.05.010
  4. S. K. Choi and I. S. Kim, Effects of a cardiocerevascular disease prevention education program for postmenopausal middle-aged women, Journal of Korean Academy of Nursing, Vol. 45, No. 1, pp. 25-34, 2015. https://doi.org/10.4040/jkan.2015.45.1.25
  5. S. H. Cho, et al., Relationship between expectations regarding aging and physical activity among middle aged adults in urban areas: based on the Pender's health promotion model. Journal of Korean Academy of Nursing, Vol. 45, No. 1, pp. 14-24, 2015. https://doi.org/10.4040/jkan.2015.45.1.14
  6. M. Justine, N. A. Azizan, V. Hassan, Z. Salleh, Barriers to participation in physical activity and exercise among middle-aged and elderly individuals, Singapore medical journal, Vol. 54 No. 10, pp. 581-586, October, 2013. https://doi.org/10.11622/smedj.2013203
  7. Deci, E. L., & Ryan, R. M. Intrinsic Motivation and Self-Determination Theory in Human Behavior. New York, NY: Plenum Press, 1985.
  8. Y. S. Ha and Y. H. Choi, Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents, Journal of Korean Academy of Nursing, Vol. 45, No. 3, pp. 347-456, 2015. https://doi.org/10.4040/jkan.2015.45.3.347
  9. M. O. Lee and Y. S. Hah, Exercise adherence in middle aged women with the qualitative theme analysis method. Nursing Perspectives, Vol. 8, No. l. pp. 156-166. 2011.
  10. J. H., Choi, H. S, Kang, Effects of a home-based exercise program for patients with stomach cancer receiving oral chemotheraphy after surgery. Journal of Korean Academic Nurse, Vol. 42, Nol. 1. pp. 95-104, 2012. https://doi.org/10.4040/jkan.2012.42.1.95
  11. Y. G. Jung, The Relationships between Basic Psychological Need Satisfaction, Sport Participation Motivation and Persistence Intention among Participants in Leisure Sport. Journal of Sport and Leisure Studies, Vol. 34, No. 2, pp. 1591-1604. 2008.
  12. J. A. Choi, Construction of leisure physical activity model of middle-aged women in urban area. Korean Society of Adult Nursing, Vol. 20, pp. 626-640, 2008.
  13. J. Yoo and J. H. Huh, The effects of achievement goal orientation and motivational climate on intrinsic motivation and performance in Physical Education(PE) Settings. Korean Society of Sport Psychology, Vol. 12, No. 1, pp. 109-123, 2001.
  14. S. H. Choi, (The)Development of a Korean exercise adherence scale. Doctoral dissertation, Seoul National University, Seoul, Korea, 2005.
  15. Y. G. Jung, Validity verification of sport commitment behavior scale. Korean Journal of Sports Psychology, Vol. 15, No. 1, pp. 1-21, 2004.
  16. C. M. Frederick and R. M. Ryan, Differences in motivation for sport and exercise and their relations with participation and mental health. Journal of Sport Behavior, 16(1993), 124-146.
  17. J. A. Murcia, C. M. Galindo and P. M. Pardo, Motivations and reasons for exercising in water: Gender and age differences in a sample of Spanish exercisers. International Journal of Aquatic Research and Education, Vol. 2, pp. 237-246. 2008.
  18. S. H. Seo, Determinants of Exercise Adherence in Rural Area. A doctoral dissertation. Department of physical Education. Graduate School. University of Incheon, Incheon, Korea, 2012.
  19. M. A. Choe et al., A study on exercise behavior, exercise environment and social support of middle-aged women, Journal of Korean Academy of Nursing, Vol. 38, No. 1, pp. 101-110, 2008. https://doi.org/10.4040/jkan.2008.38.1.101
  20. J. G. Godino et al., Awareness of physical activity in healthy middle-aged adults: a cross-sectional study of associations with sociodemographic, biological, behavioural, and psychological factors, BMC Public Health. Vol. 14, pp. 421, 2014. Published online 2014 May 2. doi: 10.1186/1471-2458-14-421 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012086/