Morbid Obesity Clinical Trial
Official title:
Psychosocial Effects of a Motivational Physical Activity Program in Bariatric Patients
The aim of the current study was to explore the effect of a 6-months motivational physical activity intervention (MPAI) on different psychosocial variables (e.g. motivation, health-related quality of life, self-esteem, etc.) and on the physical activity levels of bariatric surgery patients. Comparing with a control group (CG), we tested the differences obtained on these variables between before surgery and just after the MPAI (7-months after surgery). Additionally, we explored the (possible) prolonged effects of the intervention by doing re-tests 13, 25 and 37- months after surgery.
Participants were recruited from a Spanish hospital between November 2011 and May 2013.
Through their pre-operative visit to the clinical psychologist, patients were asked if they
wanted to participate in a follow-up intervention to measure their physical activity (PA)
levels and various psychological variables related to exercise. Participants who showed
interest after this interview were subsequently contacted by phone to arrange a baseline
visit to the sport research center, during which they were informed about the aims and
procedure of the study, provided written consent, and completed questionnaires to assess
different variables related to psychosocial aspects. Moreover, participants were asked to
wear an accelerometer at their right hip for one week, warning them to take it off just to
sleep, shower, or to perform activities that could damage the device (e.g. swimming). When
they returned, they were assigned to a motivational PA intervention (MPAI) or control (CG)
group.
At post-intervention measurements, patients again completed all questionnaires and wore an
accelerometer during another week.
Regarding the MPAI, it was carried out during 6 consecutive months and took place in a public
fitness center. The sessions were directed by exercise and sport sciences professionals
(Degree in sport sciences, Master's degree in PA and health), who were trained in the
application of motivational strategies based on self-determination theory (SDT). According
with the postulates of SDT, these motivational strategies would help to enhance the
satisfaction of basic psychological needs that are necessary for optimal development and
functioning, such as competence, autonomy, relatedness and novelty. So, in the context of
exercise, intrinsic forms of motivation will appear in people if basic psychological needs
are satisfied, which will lead to positive consequences related to enjoyment, adherence, and
positive attitudes towards PA.
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