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Health behaviour change theories: Contributions to an ICF-based behavioural exercise therapy for individuals with chronic diseases


Autor/in:

Geidl, Wolfgang; Semrau, J.; Pfeifer, Klaus


Herausgeber/in:

k. A.


Quelle:

Disability and Rehabilitation, 2014, Volume 36 (Number 3), Seite 2091-2100, London: Informa Healthcare, ISSN: 0963-8288 (Print); 1464-5165 (Online)


Jahr:

2014



Abstract:


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.


Weitere Informationen:


Schlagworte:
Informationen in der ICF:


Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis




Bezugsmöglichkeit:


Disability and Rehabilitation
Homepage: https://www.tandfonline.com/toc/idre20/current

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Referenznummer:

R/ZA8136


Informationsstand: 07.01.2015

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