Motivación, barreras y beneficios para la práctica de ejercicio físico en una intervención mobile health en adultos del Biobío, Chile (Motivation, barriers and benefits for the practice of physical exercise in a mobile health intervention in adults from Biobío, Chile)
DOI:
https://doi.org/10.47197/retos.v49.97141Palabras clave:
ejercicio, ; mobile health, motivación, barreras y facilitadores, intervenciónResumen
Antecedentes: Aunque se ha documentado la eficacia de las intervenciones vía mobile health (mHealth) para aumentar el ejercicio físico, existe evidencia limitada sobre la motivación, las barreras y los beneficios asociados a la práctica de ejercicio físico en este tipo de intervenciones mHealth. Objetivo: Examinar las diferencias de motivación, barreras y beneficios entre el ejercicio físico vía mHealth y presencial. Método: Estudio preexperimental en 37 adultos (96,5% mujeres, 43 ±10,5 años) del Biobío, Chile, quienes participaron de una intervención de ejercicio físico vía mHealth. Se utilizó el Cuestionario de la Regulación de la Conducta en el Ejercicio (BREQ-3), y la Escala de Beneficios/Barreras para el Ejercicio (EBBS). Resultados: Luego de la intervención, el grupo de ejercicio físico mHealth presentó mayor puntaje de motivación de tipo regulación externa (3,25 ±3,79 v/s 1,08 ±1,60; t(33,676)= 2,434, p= 0,020, d= 0,676), un menor puntaje de motivación de tipo integrada (3,25 ±3,79 v/s 1,08 ±1,60; t(33,676)= 2,434, p= 0,020, d= 0,676), y un menor índice de autodeterminación en la práctica de ejercicio físico (45,25 ±26,54 v/s 67,38 ±19,61; t(35)= - 2,635, p= 0,012, d= 0,908) que el grupo de ejercicio físico presencial. No se observaron diferencias significativas en las barreras y beneficios para la práctica de ejercicio físico. Conclusiones: El ejercicio vía mHealth generó una mayor motivación externa y una menor motivación integrada en comparación con el ejercicio presencial. Estos hallazgos respaldan el potencial de la tecnología mHealth para promover la motivación en la actividad física y superar las barreras percibidas.
Palabras clave: ejercicio; mobile health; motivación; barreras y facilitadores; intervención.
Abstract. Background: Although the efficacy of interventions via mobile health (mHealth) to increase physical exercise has been documented, there is limited evidence on the motivation, barriers and benefits associated with practicing of physical exercise in this type of mHealth intervention. Objective: To examine the differences in motivation, barriers and benefits between the practice of physical exercise via mHealth and in person. Method: Pre-experimental study in 37 adults (96.5% women, 43 ±10.5 years old) from the Biobío, Chile, who participated in a physical exercise intervention via mHealth. The Exercise Behavior Regulation Questionnaire (BREQ-3), and the Exercise Benefits/Barriers Scale (EBBS). Results: After the intervention, the mHealth physical exercise group presented a higher external regulation type motivation score (3.25 ±3.79 v/s 1.08 ±1.60; t(33.676)= 2.434, p= 0.020, d= 0.676), a lower integrated motivation score (3.25 ±3.79 v/s 1.08 ±1.60; t(33.676)= 2.434, p= 0.020, d= 0.676), and a lower index of self-determination in the practice of physical exercise (45.25 ±26.54 v/s 67.38 ±19.61; t(35)= -2.635, p= 0.012, d= 0.908) than the group face-to-face physical exercise. No significant differences were observed in the barriers and benefits for the practice of physical exercise. Conclusions: The exercise via mHealth generated greater external motivation and less integrated motivation compared to the face-to-face exercise. These findings support the potential of mHealth technology to promote physical activity motivation and overcome perceived barriers.
Keywords: exercise; mobile health; motivation; barriers and facilitators; intervention.
Citas
Ajzen, I. (1985). From Intentions to Actions: A Theory of Planned Behavior. En J. Kuhl & J. Beckmann (Eds.), Action Control: From Cognition to Behavior (pp. 11-39). Springer. https://doi.org/10.1007/978-3-642-69746-3_2
B. Owen, K., Smith, J., Lubans, D. R., Ng, J. Y. Y., & Lonsdale, C. (2014). Self-determined motivation and physical activity in children and adolescents: A systematic review and meta-analysis. Preventive Medicine, 67, 270-279. https://doi.org/10.1016/j.ypmed.2014.07.033
Becerra Martínez, M. M., & Díaz Heredia, L. P. (2008). Niveles de actividad física, beneficios, barreras y autoeficacia en un grupo de empleados oficiales. Avances en Enfermería, 26(2), 43-50.
Beck, L., & Ajzen, I. (1991). Predicting dishonest actions using the theory of planned behavior. Journal of Research in Personality, 25(3), 285-301. https://doi.org/10.1016/0092-6566(91)90021-H
Beltrán, H. J. C., Reigal, R. E., Uribe, S. F., Reyes, F. V., & Ríos, L. J. C. (2018). Motivación autodeterminada y estado de Flow en un programa extraescolar de Small Sided Games. Anales de Psicología / Annals of Psychology, 34(2), Art. 2. https://doi.org/10.6018/analesps.34.2.258621
Candari, C. J., Cylus, J., & Nolte, E. (2017). Assessing the economic costs of unhealthy diets and low physical acitivity: An evidence review and proposed framework. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/326302
Chanal, J., Cheval, B., Courvoisier, D. S., & Paumier, D. (2019). Developmental relations between motivation types and physical activity in elementary school children. Psychology of Sport and Exercise, 43, 233-242. https://doi.org/10.1016/j.psychsport.2019.03.006
Coughlin, S. S., Whitehead, M., Sheats, J. Q., Mastromonico, J., & Smith, S. (2016). A Review of Smartphone Applications for Promoting Physical Activity. Jacobs Journal of Community Medicine, 2(1), 021.
de Vries, H. J., Kooiman, T. J. M., van Ittersum, M. W., van Brussel, M., & de Groot, M. (2016). Do activity monitors increase physical activity in adults with overweight or obesity? A systematic review and meta-analysis. Obesity, 24(10), 2078-2091. https://doi.org/10.1002/oby.21619
Deci, E. L., & Ryan, R. M. (2000). The «What» and «Why» of Goal Pursuits: Human Needs and the Self-Determination of Behavior.
Deci, E. L., & Ryan, R. M. (2008). Self-determination theory: A macrotheory of human motivation, development, and health. Canadian Psychology, 49(3), 182-185. https://doi.org/10.1037/a0012801
Delahanty, L. M., Trief, P. M., Cibula, D. A., & Weinstock, R. S. (2019). Barriers to Weight Loss and Physical Activity, and Coach Approaches to Addressing Barriers, in a Real-World Adaptation of the DPP Lifestyle Intervention: A Process Analysis. The Diabetes Educator, 45(6), 596-606. https://doi.org/10.1177/0145721719883615
Dempsey, P. C., Friedenreich, C. M., Leitzmann, M. F., Buman, M. P., Lambert, E., Willumsen, J., & Bull, F. (2021). Global Public Health Guidelines on Physical Activity and Sedentary Behavior for People Living With Chronic Conditions: A Call to Action. Journal of Physical Activity & Health, 18(1), 76-85. https://doi.org/10.1123/jpah.2020-0525
Díaz-Martínez, X., Petermann, F., Leiva, A. M., Garrido-Méndez, A., Salas-Bravo, C., Martínez, M. A., Labraña, A. M., Duran, E., Valdivia-Moral, P., Zagalaz, M. L., Poblete-Valderrama, F., Alvarez, C., Celis-Morales, C., Díaz-Martínez, X., Petermann, F., Leiva, A. M., Garrido-Méndez, A., Salas-Bravo, C., Martínez, M. A., … Celis-Morales, C. (2018). No cumplir con las recomendaciones de actividad física se asocia a mayores niveles de obesidad, diabetes, hipertensión y síndrome metabólico en población chilena. Revista médica de Chile, 146(5), 585-595. https://doi.org/10.4067/s0034-98872018000500585
Ding, D., Lawson, K. D., Kolbe-Alexander, T. L., Finkelstein, E. A., Katzmarzyk, P. T., van Mechelen, W., & Pratt, M. (2016). The economic burden of physical inactivity: A global analysis of major non-communicable diseases. The Lancet, 388(10051), 1311-1324. https://doi.org/10.1016/S0140-6736(16)30383-X
El Ansari, W., & Lovell, G. (2009). Barriers to Exercise in Younger and Older Non-Exercising Adult Women: A Cross Sectional Study in London, United Kingdom. International Journal of Environmental Research and Public Health, 6(4), Art. 4. https://doi.org/10.3390/ijerph6041443
Enríquez-Reyna, M. C., Cruz-Castruita, R. M., Ceballos-Gurrola, O., García-Cadena, C. H., Hernández-Cortés, P. L., & Guevara-Valtier, M. C. (2017). Propiedades psicométricas de la Escala Beneficios/Barreras para el Ejercicio en ancianas mexicanas. Revista Latino-Americana de Enfermagem, 25. https://doi.org/10.1590/1518-8345.1566.2902
Farah, B. Q., do Prado, W. L., Malik, N., Lofrano-Prado, M. C., de Melo, P. H., Botero, J. P., Cucato, G. G., de Almeida Correia, M., & Ritti-Dias, R. M. (2021). Barriers to physical activity during the COVID-19 pandemic in adults: A cross-sectional study. Sport Sciences for Health, 17(2), 441-447. https://doi.org/10.1007/s11332-020-00724-5
González-Cutre, D., Sicilia, Á., & Fernández, A. (2010). Hacia una mayor comprensión de la motivación en el ejercicio físico: Medición de la regulación integrada en el contexto español. 22(4), 841-847.
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2018). Articles Worldwide trends in insufficient physical activity from 2001 to 2016: A pooled analysis of 358 population-based surveys with 1·9 million participants. The Lancet Global Health, 6, e1077-e1086. https://doi.org/10.1016/S2214-109X(18)30357-7
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1·6 million participants. The Lancet. Child & adolescent health, 4(1), 23-35. https://doi.org/10.1016/S2352-4642(19)30323-2
Hagger, M. S., & Chatzisarantis, N. L. D. (2009). Integrating the theory of planned behaviour and self-determination theory in health behaviour: A meta-analysis. British Journal of Health Psychology, 14(2), 275-302. https://doi.org/10.1348/135910708X373959
Howard, J. L., Bureau, J., Guay, F., Chong, J. X. Y., & Ryan, R. M. (2021). Student Motivation and Associated Outcomes: A Meta-Analysis From Self-Determination Theory. Perspectives on Psychological Science, 16(6), 1300-1323. https://doi.org/10.1177/1745691620966789
Kennedy, C., Devoe, D., Skov, J., & Short-DeGraff, M. (1998). Attitudinal Changes Toward Exercise in Mexican American Women. Occupational Therapy In Health Care, 11(3), 17-28. https://doi.org/10.1080/J003v11n03_02
Koehn, S., & Amirabdollahian, F. (2021). Reliability, Validity, and Gender Invariance of the Exercise Benefits/Barriers Scale: An Emerging Evidence for a More Concise Research Tool. International Journal of Environmental Research and Public Health, 18(7), Art. 7. https://doi.org/10.3390/ijerph18073516
Mann, T., de Ridder, D., & Fujita, K. (2013). Self-regulation of health behavior: Social psychological approaches to goal setting and goal striving. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 32(5), 487-498. https://doi.org/10.1037/a0028533
Manninen, M., Dishman, R., Hwang, Y., Magrum, E., Deng, Y., & Yli-Piipari, S. (2022). Self-determination theory based instructional interventions and motivational regulations in organized physical activity: A systematic review and multivariate meta-analysis. Psychology of Sport and Exercise, 62, 102248. https://doi.org/10.1016/j.psychsport.2022.102248
Mella-Norambuena, J. A., Nazar Carter, G., Sáez Delgado, F., Bustos Navarrete, C., López-Angulo, Y., & Cobo Rendón, R. (2020). Variables sociocognitivas y su relación con la actividad física en estudiantes universitarios chilenos (Sociocognitive variables and their relationship with physical activity in Chilean university students). Retos, 2041(40), 76-85. https://doi.org/10.47197/retos.v1i40.77921
Ministerio de Salud. (2010). Guía Clínica Hipertensión Arterial Primaria o Esencial en Personas de 15 años y más. https://www.minsal.cl/portal/url/item/7220fdc4341c44a9e04001011f0113b9.pdf
Nazar, G., Alcover, C.-M., Lanuza, F., Labraña, A. M., Ramírez-Alarcón, K., Troncoso-Pantoja, C., Leiva, A. M., Celis-Morales, C., & Petermann-Rocha, F. (2022). Association between bodyweight perception, nutritional status, and weight control practices: A cross-sectional analysis from the Chilean Health Survey 2016–2017. Frontiers in Psychology, 13. https://www.frontiersin.org/articles/10.3389/fpsyg.2022.984106
Ng, J. Y. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012). Self-Determination Theory Applied to Health Contexts: A Meta-Analysis. Perspectives on psychological science : a journal of the Association for Psychological Science, 7(4), 325-340. https://doi.org/10.1177/1745691612447309
O’Connor, S., Hanlon, P., O’Donnell, C. A., Garcia, S., Glanville, J., & Mair, F. S. (2016). Understanding factors affecting patient and public engagement and recruitment to digital health interventions: A systematic review of qualitative studies. BMC Medical Informatics and Decision Making, 16(1), 120. https://doi.org/10.1186/s12911-016-0359-3
OMS. (2020). Directrices de la OMS sobre actividad física y hábitos sedentarios. World Health Organization, 24.
OPS. (2019). Plan de acción mundial sobre actividad física 2018-2030. Más personas activas para un mundo sano. En Organización Panamericana de la Salud.
Paguntalan, J. C., & Gregoski, M. (2016). Physical activity barriers and motivators among high-risk employees. Work, 55(3), 515-524. https://doi.org/10.3233/WOR-162424
Rech, C. R., Camargo, E. M. de, Araujo, P. A. B. de, Loch, M. R., & Reis, R. S. (2018). Perceived barriers to leisure-time physical activity in the brazilian population. Revista Brasileira de Medicina Do Esporte, 24, 303-309. https://doi.org/10.1590/1517-869220182404175052
Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary Educational Psychology, 61, 101860. https://doi.org/10.1016/j.cedpsych.2020.101860
Schoeppe, S., Alley, S., Van Lippevelde, W., Bray, N. A., Williams, S. L., Duncan, M. J., & Vandelanotte, C. (2016). Efficacy of interventions that use apps to improve diet, physical activity and sedentary behaviour: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 13(1), 127. https://doi.org/10.1186/s12966-016-0454-y
Sechrist, K. R., Walker, S. N., & Pender, N. J. (1987). Development and psychometric evaluation of the exercise benefits/barriers scale. Research in Nursing & Health, 10(6), 357-365. https://doi.org/10.1002/nur.4770100603
Spring, B., Pellegrini, C., McFadden, H., Pfammatter, A., Stump, T., Siddique, J., King, A., & Hedeker, D. (2018). Multicomponent mHealth Intervention for Large, Sustained Change in Multiple Diet and Activity Risk Behaviors: The Make Better Choices 2 Randomized Controlled Trial. Journal of medical Internet research, 20(6), e10528. https://doi.org/10.2196/10528
Stanaway, J. D., Afshin, A., Gakidou, E., Lim, S. S., Abate, D., Abate, K. H., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abebe, M., Abebe, Z., Abera, S. F., Abil, O. Z., Abraha, H. N., … Murray, C. J. L. (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1923-1994. https://doi.org/10.1016/S0140-6736(18)32225-6
Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012). Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 9. https://doi.org/10.1186/1479-5868-9-78
Van den Berghe, L., Vansteenkiste, M., Cardon, G., Kirk, D., & Haerens, L. (2014). Research on self-determination in physical education: Key findings and proposals for future research. Physical Education and Sport Pedagogy, 19(1), 97-121. https://doi.org/10.1080/17408989.2012.732563
Vasconcellos, D., Parker, P. D., Hilland, T., Cinelli, R., Owen, K. B., Kapsal, N., Lee, J., Antczak, D., Ntoumanis, N., Ryan, R. M., & Lonsdale, C. (2020). Self-determination theory applied to physical education: A systematic review and meta-analysis. Journal of Educational Psychology, 112(7), 1444-1469. https://doi.org/10.1037/edu0000420
Victor, J. F., Ximenes, L. B., & Almeida, P. C. de. (2012). Reliability and validity of the Exercise Benefits/Barriers scale in the elderly. Acta Paulista de Enfermagem, 25, 48-53. https://doi.org/10.1590/S0103-21002012000800008
Vohs, K. D., & Baumeister, R. F. (2017). Handbook of Self-Regulation, Third Edition: Research, Theory, and Applications. Guilford Publications.
Wilson, P. M., Rodgers, W. M., Loitz, C. C., & Scime, G. (2006). «It’s Who I Am...Really!» The Importance of Integrated Regulation in Exercise Contexts. Journal of Applied Biobehavioral Research, 11(2), 79-104. https://doi.org/10.1111/j.1751-9861.2006.tb00021.x
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191-2194. https://doi.org/10.1001/jama.2013.281053
Zapata-Lamana, R., Lalanza, J. F., Losilla, J.-M., Parrado, E., & Capdevila, L. (2020). mHealth technology for ecological momentary assessment in physical activity research: A systematic review. PeerJ, 8, e8848. https://doi.org/10.7717/peerj.8848
Zhao, R., Bu, W., Chen, Y., & Chen, X. (2020). The Dose-Response Associations of Sedentary Time with Chronic Diseases and the Risk for All-Cause Mortality Affected by Different Health Status: A Systematic Review and Meta-Analysis. The Journal of Nutrition, Health & Aging, 24(1), 63-70. https://doi.org/10.1007/s12603-019-1298-3
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 Retos
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess