Abstract
BackgroundThis study determined to what extent the underpinning of physiotherapeutic interventions with the evidence-based motivational psychological concept of the self-determination theory (SDT) by Ryan and Deci can increase motivation and enjoyment of movement in obese adolescents.MethodsIn this study 12 obese adolescents aged 14–18 years were offered a targeted group-specific sports program including a home exercise program of 8 weeks. The group leaders were trained in the SDT and supported to integrate motivational aspects. A SDT-based questionnaire by Kohake and Lehnert was used to evaluate motivational interventions.ResultsIn total, seven (58%) patients finished the study. In the before-after comparison there were little changes in motivation. Results showed that contrary to expectations the motivation of the obese adolescents to move and to participate in the study was generally high. In the study, more internalized forms of motivation dominated, the highest quality form of motivation.ConclusionDigital technologies could be a successful way to further increase motivation and compliance of our target group. This MotiMove study is a basis for future research programs and empower physiotherapists and movement experts to develop and implement training programs for obese adolescents and children.Supplementary InformationThe online version of this article (10.1007/s00508-021-01849-4) contains supplementary material, which is available to authorized users.
Highlights
The global prevalence of overweight and obesity has doubled over the past 40 years and is increasing worldwide among children and adolescents [1, 2]
Digital technologies could be a successful way to further increase motivation and compliance of our target group. This MotiMove study is a basis for future research programs and empower physiotherapists and movement experts to develop and implement training programs for obese adolescents and children
The pilot study was an intervention in a pre/post design to determine the motivation for movement (MotiMove study) of obese adolescents
Summary
The global prevalence of overweight and obesity has doubled over the past 40 years and is increasing worldwide among children and adolescents [1, 2]. Obesity leads to an increased risk of noncommunicable diseases, such as cardiovascular diseases, diabetes and cancer, and is associated with degenerative muscle and joint diseases as well as psychosocial, psychological and psychiatric consequences [2,3,4,5]. In addition to the genetic predisposition, environmental factors, such as eating habits, physical activity, socioeconomic factors, environmental and cultural aspects play a central role in the multifactorial genesis [6, 7] This results in the relevance of multimodal therapy with the three basic components of nutrition, exercise and behavioral therapy [6]. The poor athletic performance leads to frustration, demotivation and further withdrawal from the athletic activity, and the joy of movement is lost [11]
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