What separates physically active IBD patients from inactive ones? exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being

Tulehduksellisten suolistosairauksien (IBD) esiintyvyys kohoaa eri puolilla maailmaa. Sairauteen liittyy myös kohonnut riski ahdistus- ja masennusoireisiin. Keinoja vähentää sairauden negatiivisia vaikutuksia on etsitty, yhtenä tällaisena keinona on tutkittu fyysistä aktiivisuutta, millä onkin havai...

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Päätekijä: Aho, Reetta
Muut tekijät: Liikuntatieteellinen tiedekunta, Kasvatustieteiden ja psykologian tiedekunta, Faculty of Sport and Health Sciences, Faculty of Education and Psychology, Liikunta- ja terveystieteet, Psykologian laitos, Sport and Health Sciences, Department of Psychology, Jyväskylän yliopisto, University of Jyväskylä
Aineistotyyppi: Pro gradu
Kieli:eng
Julkaistu: 2024
Aiheet:
Linkit: https://jyx.jyu.fi/handle/123456789/94983
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author Aho, Reetta
author2 Liikuntatieteellinen tiedekunta Kasvatustieteiden ja psykologian tiedekunta Faculty of Sport and Health Sciences Faculty of Education and Psychology Liikunta- ja terveystieteet Psykologian laitos Sport and Health Sciences Department of Psychology Jyväskylän yliopisto University of Jyväskylä
author_facet Aho, Reetta Liikuntatieteellinen tiedekunta Kasvatustieteiden ja psykologian tiedekunta Faculty of Sport and Health Sciences Faculty of Education and Psychology Liikunta- ja terveystieteet Psykologian laitos Sport and Health Sciences Department of Psychology Jyväskylän yliopisto University of Jyväskylä Aho, Reetta Liikuntatieteellinen tiedekunta Kasvatustieteiden ja psykologian tiedekunta Faculty of Sport and Health Sciences Faculty of Education and Psychology Liikunta- ja terveystieteet Psykologian laitos Sport and Health Sciences Department of Psychology Jyväskylän yliopisto University of Jyväskylä
author_sort Aho, Reetta
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description Tulehduksellisten suolistosairauksien (IBD) esiintyvyys kohoaa eri puolilla maailmaa. Sairauteen liittyy myös kohonnut riski ahdistus- ja masennusoireisiin. Keinoja vähentää sairauden negatiivisia vaikutuksia on etsitty, yhtenä tällaisena keinona on tutkittu fyysistä aktiivisuutta, millä onkin havaittu olevan positiivia vaikutuksia. Tämä tutkimus pyrki selvittämään mahdollisia fyysisen aktiivisuuden ennustajia tässä ryhmässä sekä tuottamaan vastauksia kysymykseen: ”Mikä erottaa fyysisesti aktiiviset IBD-potilaat heistä, jotka eivät ole aktiivisia?” Tämän tutkimuksen lähtöasetelmana on, että sekä motivaationaaliset että tahdonalaiset käyttäytymisen säätelyyn liittyvät tekijät ovat tärkeitä fyysisen aktiivisuuden näkökulmasta. Niinpä tämän poikkileikkaavan määrällisen tutkimuksen kohteeksi on valikoitunut potilaiden terveysuskomukset, terveydenhoitohenkilökunnan tarjoama ohjaus liittyen fyysiseen aktiivisuuteen, aikeet olla fyysisesti aktiivisia, sekä itsesäätely keinona toteuttaa nämä aikeet. Näiden mahdollisten ennustavien tekijöiden vaikutuksia fyysisen aktiivisuuden määrään ja intensiteettiin pyrittiin selvittämään tilastollisilla menetelmillä. Mahdollisten ennustajien lisäksi tutkimuksessa pyrittiin myös tarkastelemaan fyysisen aktiivisuuden ja psyykkisen hyvinvoinnin välistä suhdetta. Otos koostui 69 suomalaisesta aikuisesta, jotka ilmoittivat sairastavansa IBD:tä. Yksi tutkimuksen selkeimmistä löydöksistä oli vastaajien kokema ohjauksen ja kiinnostuksen puute fyysiseen aktiivisuuteen hoitohenkilökunnan taholta. Fyysisen aktiivisuuden aikeita ja joitain itsesäätelyn strategioita raportoitiin otoksessa laajasti, samoin kuin myönteisiä uskomuksia sekä kohtuullisen korkeaa itsepystyvyyden tunnetta fyysiseen aktiivisuuteen liittyen. Lisäksi tutkimuksessa havaittiin tilastollisesti merkittäviä eroja aktiivisten ja ei-aktiivisten IBD:tä sairastavien ihmisten välillä. Merkityksellisimmiksi potentiaalisiksi ennustajiksi osoittautuivat koetut esteet fyysiselle aktiivisuudelle, itsepystyvyys, aikeet, itsetarkkailu ja ajanhallinta. Ennakko-oletuksista poiketen, psyykkisellä ahdingolla oli positiivinen suhde kävelyn määrään; vastaajat, jotka kokivat enemmän ahdinkoa, kävelivät enemmän. Muita merkityksellisiä suhteita fyysisen aktiivisuuden ja psyykkisen hyvinvoinnin väliltä ei löydetty. Tulokset viittaavat siihen, että koetut esteet, itsepystyvyys, aikeet, itsetarkkailu ja ajanhallinta ovat tärkeitä tekijöitä IBD:tä sairastavien henkilöiden fyysisen aktiivisuuden näkökulmasta. Heidän fyysistä aktiivisuuttaan voitaisiin kenties kohottaa tarjoamalla tällä hetkellä puuttuvaa ohjausta terveydenhoitohenkilökunnan taholta keskittyen näihin potentiaalisiin fyysisen aktiivisuuden ennustajiin. Inflammatory bowel disease (IBD) has a rising prevalence in many regions of the world. People with IBD frequently report higher levels of anxiety and depression compared to healthy controls. Additional therapies that could offer benefits have been investigated, one of those being physical activity (PA). This study aimed to investigate potential predictors of physical activity among IBD patients and provide some answers to the question “What separates physically active IBD patients from inactive ones?” This study subscribes to the notion that both motivational and volitional constructs are important for physical activity engagement. Therefore, in this cross-sectional quantitative study the investigation focused on what types of health beliefs about physical activity do IBD patients have, what kind of guidance from healthcare providers are they receiving regarding physical activity, what are their intentions to engage in physical activity, and what kinds of self-regulatory skills concerning physical activity do they use. This thesis also aimed to investigate the relationships these possible predictors have with different intensities of physical activity, and to what extent these predictors can predict the level of physical activity engagement. In addition, the relationship between different intensities of physical activity and psychological well-being was explored. The sample consisted of 69 Finnish adults with self-reported diagnosis of IBD. One of the clearest findings from the study was that patients perceive lack of guidance and interest from healthcare providers regarding physical activity. Intentions to engage in physical activity and some self-regulatory strategies were reported at quite high rates, favourable beliefs and high self-efficacy regarding physical activity were also discovered. Further, significant differences between physically active and inactive IBD patients were found, with some robust potential predictors being identified. These significant potential predictors were perceived objective barriers, self-efficacy, intention, self-monitoring, and time management. In contrast to expectations, psychological distress had a positive relationship with walking, meaning that those respondents who reported more symptoms of distress, also engaged in more walking. No other statistically significant relationships were found between physical activity and psychological well-being. These results indicate that perceived barriers, self-efficacy, intention, self-monitoring, and time management have important relationships with physical activity in people with IBD. Physical activity of this population could potentially be increased by offering the now lacking guidance from healthcare providers focusing on these potential predictors.
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Sairauteen liittyy my\u00f6s kohonnut riski ahdistus- ja masennusoireisiin. Keinoja v\u00e4hent\u00e4\u00e4 sairauden negatiivisia vaikutuksia on etsitty, yhten\u00e4 t\u00e4llaisena keinona on tutkittu fyysist\u00e4 aktiivisuutta, mill\u00e4 onkin havaittu olevan positiivia vaikutuksia. T\u00e4m\u00e4 tutkimus pyrki selvitt\u00e4m\u00e4\u00e4n mahdollisia fyysisen aktiivisuuden ennustajia t\u00e4ss\u00e4 ryhm\u00e4ss\u00e4 sek\u00e4 tuottamaan vastauksia kysymykseen: \u201dMik\u00e4 erottaa fyysisesti aktiiviset IBD-potilaat heist\u00e4, jotka eiv\u00e4t ole aktiivisia?\u201d \r\n\r\nT\u00e4m\u00e4n tutkimuksen l\u00e4ht\u00f6asetelmana on, ett\u00e4 sek\u00e4 motivaationaaliset ett\u00e4 tahdonalaiset k\u00e4ytt\u00e4ytymisen s\u00e4\u00e4telyyn liittyv\u00e4t tekij\u00e4t ovat t\u00e4rkeit\u00e4 fyysisen aktiivisuuden n\u00e4k\u00f6kulmasta. Niinp\u00e4 t\u00e4m\u00e4n poikkileikkaavan m\u00e4\u00e4r\u00e4llisen tutkimuksen kohteeksi on valikoitunut potilaiden terveysuskomukset, terveydenhoitohenkil\u00f6kunnan tarjoama ohjaus liittyen fyysiseen aktiivisuuteen, aikeet olla fyysisesti aktiivisia, sek\u00e4 itses\u00e4\u00e4tely keinona toteuttaa n\u00e4m\u00e4 aikeet. N\u00e4iden mahdollisten ennustavien tekij\u00f6iden vaikutuksia fyysisen aktiivisuuden m\u00e4\u00e4r\u00e4\u00e4n ja intensiteettiin pyrittiin selvitt\u00e4m\u00e4\u00e4n tilastollisilla menetelmill\u00e4. Mahdollisten ennustajien lis\u00e4ksi tutkimuksessa pyrittiin my\u00f6s tarkastelemaan fyysisen aktiivisuuden ja psyykkisen hyvinvoinnin v\u00e4list\u00e4 suhdetta. Otos koostui 69 suomalaisesta aikuisesta, jotka ilmoittivat sairastavansa IBD:t\u00e4.\r\n\r\nYksi tutkimuksen selkeimmist\u00e4 l\u00f6yd\u00f6ksist\u00e4 oli vastaajien kokema ohjauksen ja kiinnostuksen puute fyysiseen aktiivisuuteen hoitohenkil\u00f6kunnan taholta. Fyysisen aktiivisuuden aikeita ja joitain itses\u00e4\u00e4telyn strategioita raportoitiin otoksessa laajasti, samoin kuin my\u00f6nteisi\u00e4 uskomuksia sek\u00e4 kohtuullisen korkeaa itsepystyvyyden tunnetta fyysiseen aktiivisuuteen liittyen. Lis\u00e4ksi tutkimuksessa havaittiin tilastollisesti merkitt\u00e4vi\u00e4 eroja aktiivisten ja ei-aktiivisten IBD:t\u00e4 sairastavien ihmisten v\u00e4lill\u00e4. Merkityksellisimmiksi potentiaalisiksi ennustajiksi osoittautuivat koetut esteet fyysiselle aktiivisuudelle, itsepystyvyys, aikeet, itsetarkkailu ja ajanhallinta. Ennakko-oletuksista poiketen, psyykkisell\u00e4 ahdingolla oli positiivinen suhde k\u00e4velyn m\u00e4\u00e4r\u00e4\u00e4n; vastaajat, jotka kokivat enemm\u00e4n ahdinkoa, k\u00e4veliv\u00e4t enemm\u00e4n. 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spellingShingle Aho, Reetta What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being health beliefs psychological well-being Liikuntapsykologia Psykologia Sport and Exercise Psychology Psychology 5021 202 intentio itsesäätely (psykologia) opastus psykologia fyysinen aktiivisuus tulehdukselliset suolistosairaudet intention self-regulation (psychology) guidance psychology physical activity inflammatory bowel diseases
title What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being
title_full What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being
title_fullStr What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being
title_full_unstemmed What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being
title_short What separates physically active IBD patients from inactive ones?
title_sort what separates physically active ibd patients from inactive ones exploration of the effects of health beliefs guidance from healthcare providers intention self regulation and psychological well being
title_sub exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being
title_txtP What separates physically active IBD patients from inactive ones? : exploration of the effects of health beliefs, guidance from healthcare providers, intention, self-regulation, and psychological well-being
topic health beliefs psychological well-being Liikuntapsykologia Psykologia Sport and Exercise Psychology Psychology 5021 202 intentio itsesäätely (psykologia) opastus psykologia fyysinen aktiivisuus tulehdukselliset suolistosairaudet intention self-regulation (psychology) guidance psychology physical activity inflammatory bowel diseases
topic_facet 202 5021 Liikuntapsykologia Psychology Psykologia Sport and Exercise Psychology fyysinen aktiivisuus guidance health beliefs inflammatory bowel diseases intentio intention itsesäätely (psykologia) opastus physical activity psychological well-being psychology psykologia self-regulation (psychology) tulehdukselliset suolistosairaudet
url https://jyx.jyu.fi/handle/123456789/94983 http://www.urn.fi/URN:NBN:fi:jyu-202405203748
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