Spousal support and self-determined physical activity in individuals with multiple sclerosis: A theory-informed qualitative exploration |
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| Institution: | 1. Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, USA;2. Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, USA;1. Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Saudi Arabia;2. Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Saudi Arabia;1. IRCCS Centro Neurolesi “Bonino Pulejo”, Messina, Italy;2. Stroke Unit, AOU Policlinico Universitario “G Martino”, Messina, Italy;1. Commonweatlh Medicine Division, University of Massachusetts Medical School, United States;2. Department of Quantitative Health Sciences, University of Massachusetts Medical School, United States;3. Lurie Institute For Disability Policy, Heller School for Social Policy and Management, Brandeis University, United States;1. Mathematica Policy Research, 955 Massachusetts Avenue, Suite 801, Cambridge, MA, 02139, USA;2. Mathematica Policy Research, 1100 First Street NE, 12th Floor, Washington, DC, 20002, USA;1. Public Health Sciences, Faculty of Health, Science and Technology, Karlstad University, 651 88, Karlstad, Sweden;2. Centre for Public Safety, Faculty of Health, Science and Technology, Karlstad University, 651 88, Karlstad, Sweden;3. Health Metrics Unit, The Sahlgrenska Academy, University of Gothenburg, Box 100, 405 30, Gothenburg, Sweden |
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| Abstract: | BackgroundIndividuals with multiple sclerosis (MS) tend to exhibit high levels of sedentary behavior which contributes to increased disability and comorbidity. Understanding what factors underlie the motivation to be physically active in this group is therefore important.ObjectiveThis theory-informed qualitative study explored spousal support and behavior in fostering self-determined physical activity engagement of adults with MS.MethodsEight couples were interviewed using a semi-structured interview guide derived from Self-Determination Theory.ResultsAnalysis of transcribed audio recordings revealed that supportive and empathetic spousal communication, encouragement and expectations regarding physical activity, and bonding through co-participation increased feelings of relatedness. In addition, co-planning and problem-solving around physical activity and serving as a behavioral model facilitated perceptions of competency, while spouses who valued their partners’ independence and offered choice enhanced autonomous motivation for physical activity.ConclusionsInsight into the marital context that supports self-determined physical activity decisions of individuals with MS may better inform family-oriented health promotion approaches in this group. |
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| Keywords: | Multiple sclerosis Motivation Physical activity Self-determination theory |
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