The reciprocal relationships between autonomous motivation, social cognitive beliefs and rehabilitation adherence: A cross‐lagged panel longitudinal study among post‐surgery ACL reconstructed patients

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ObjectiveThe objective of this three‐wave longitudinal study was to investigate the temporal precedence between the motivational drivers in self‐determination theory (SDT) and the social cognitive factors in theory of planned behaviour (TPB).MethodA total of 236 patients who underwent anterior cruciate ligament (ACL) reconstruction surgery (Mage = 33.58 ± 10.03, range = 18 to 59; female = 46.2%) completed surveys assessing autonomous motivation from SDT, and attitude, subjective norms, perceived behavioural control (PBC), and intention from TPB, and rehabilitation adherence, at baseline (T1), and at 2 months (T2) and 4 months (T3) post‐baseline.ResultsIn a three‐wave cross‐lagged panel model, autonomous motivation prospectively related to subsequent attitude, subjective norms and PBC, whereas reverse paths were generally small; attitude showed a modest reciprocal link with autonomous motivation. Additionally, a mediation model revealed that T1 autonomous motivation had significant indirect effects on T3 rehabilitation adherence via T2 social cognitive factors and intention, whereas only T1 subjective norms had small indirect effects on T3 rehabilitation adherence through T2 autonomous motivation and intention.ConclusionsThese findings support the notion that autonomous motivation precedes social cognitive factors, as proposed in the integrated theoretical model of SDT and TPB. Future research, including experimental interventions, can use the integrated theoretical model to promote various health behaviours, such as rehabilitation protocols, healthy eating habits and hygiene practices.

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S.07.03 Antidepressant treatment modulates neural responses to self-referential words in subjects with high neuroticism
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  • Research Article
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Personality, motivational, and social cognition predictors of leisure-time physical activity
  • Jan 21, 2022
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  • Tiia Kekäläinen + 7 more

ObjectiveThe purpose of the present study was to investigate associations between personality traits of extraversion and neuroticism, autonomous motivation, and the Theory of Planned Behavior (TPB) constructs and leisure-time physical activity. The study examined whether autonomous motivation and the TPB constructs mediate the association between personality traits and physical activity, and whether personality traits moderate the relationship of autonomous motivation and the TPB constructs with physical activity. MethodsMiddle-aged women (N = 441) completed self-report measures of personality traits, autonomous motivation, attitudes, subjective norms, perceived behavioral control (PBC) and intention. Moderate-to-vigorous leisure-time physical activity (MVPA) was measured using accelerometers approximately seven weeks later. Participants’ past accelerometer-based MVPA was available from four years earlier. ResultsOnly autonomous motivation and past MVPA directly predicted MVPA. Neuroticism and past MVPA were indirectly related with MVPA through autonomous motivation. No support for a moderator role of personality traits was found. ConclusionsCurrent data suggest that autonomous motivation and past experience are prominent determinants of accelerometer-based leisure-time MVPA, but not beliefs and intentions.

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