Health behaviour change theories : contributions to an ICF-based behavioural exercise therapy for individuals with chronic diseases
Deutscher übersetzter Titel: | Das Gesundheitsverhalten ändernde Theorien : Beiträge zu einer ICF-basierten Verhaltensbewegungstherapie für Menschen mit chronischen Krankheiten |
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Autor: | Geidl, Wolfgang; Semrau, Jana; Pfeifer, Klaus |
Erschienen in: | Disability and rehabilitation |
Veröffentlicht: | 36 (2014), 24, S. 2091-2100, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0963-8288, 1464-5165 |
DOI: | 10.3109/09638288.2014.891056 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201610007072 |
Quelle: | BISp |
Abstract des Autors
PURPOSE: The purpose of this perspective is (1) to incorporate recent psychological health behaviour change (HBC) theories into exercise therapeutic programmes, and (2) to introduce the International Classification of Functioning (ICF)-based concept of a behavioural exercise therapy (BET).
METHODS: Relevant personal modifiable factors of physical activity (PA) were identified based on three recent psychological HBC theories. Following the principles of intervention mapping, a matrix of proximal programme objectives specifies desirable parameter values for each personal factor. As a result of analysing reviews on behavioural techniques and intervention programmes of the German rehabilitation setting, we identified exercise-related techniques that impact the personal determinants. Finally, the techniques were integrated into an ICF-based BET concept.
RESULTS: Individuals' attitudes, skills, emotions, beliefs and knowledge are important personal factors of PA behaviour. BET systematically addresses these personal factors by a systematic combination of adequate exercise contents with related behavioural techniques. The presented 28 intervention techniques serve as a theory-driven "tool box" for designing complex BET programmes to promote PA.
CONCLUSION: The current paper highlights the usefulness of theory-based integrative research in the field of exercise therapy, offers explicit methods and contents for physical therapists to promote PA behaviour, and introduces the ICF-based conceptual idea of a BET. Implications for Rehabilitation Irrespective of the clients' indication, therapeutic exercise programmes should incorporate effective, theory-based approaches to promote physical activity. Central determinants of physical activity behaviour are a number of personal factors: individuals' attitudes, skills, emotions, beliefs and knowledge. Clinicians implementing exercise therapy should set it within a wider theoretical framework including the personal factors that influence physical activity. To increase exercise-adherence and promote long-term physical activity behaviour change, the concept of a behavioural exercise therapy (BET) offers a theory-based approach to systematically address relevant personal factors with a combination of adequate contents of exercise with exercise-related techniques of behaviour change.