Breaking barriers to rehabilitation: the role of behavior change theories in overcoming the challenge of exercise-related behavior change

Author(s)

Karloh, Manuela ; Matias, Thiago Sousa ; de Oliveira, Joice Mara ; de Lima, Fabiano Francisco ; Pinheiro, David Halen Araujo ; Barbosa, Graziele Besen ; Furlanetto, Karina Couto ; Carvalho, Celso R. F.

• Document type: Journal article
• Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 27, n. 6, p. 12-pg., 2023-12-05.

Abstract

Background: Promoting exercise-related behavior change in rehabilitation is a challenge. The lack of integration between rehabilitation program prescriptions, behavior change interventions, and behavioral change theories is profound. Using behavior change theories properly is crucial for better adherence and promoting positive outcomes. Therefore, it is essential to bring theories that support the understanding of exercise-related behavioral change to the attention of rehabilitation practitioners. Objective: This masterclass article aims to provide the theoretical background of theories and strategies for exercise behavior change within the physical therapy context based on acknowledged behavioral change theoretical models. Methods: This is a narrative review that examines six behavior theories; five of them well-established, and a new (and promising) theory that has exhibited the most favorable outcomes in rehabilitation settings. The development process for this masterclass included conversations between authors, reviewing behavior theories, summarizing and discussing the theories' con-cepts and strategies for physical therapy. Results: The included theories were self-determination theory, social-cognitive theory, the trans -theoretical model, the theory of planned behavior, the health belief model, and the unifying theory of physical activity. Each theory offers a unique perspective on exercise behavior change within rehabilitation, exploring constructs such as motivation, self-efficacy, stages of change, behavioral intention, perceived threat, and the core elements of physical activity expression. Conclusion: These theoretical models provide a foundation for understanding and developing strategies for promoting exercise behavior change in rehabilitation. Knowing and using these theories is important for respecting the patient's individuality.(c) 2023 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Espana, S.L.U. All rights reserved. (AU)

• FAPESP's process: 21/04198-6 - BEHAVIORAL INTERVENTION TO INCREASE THE LEVEL OF PHYSICAL ACTIVITY IN PATIENTS WITH ASTHMA: IDENTIFICATION OF THE RESPONDING PROFILE
• Grantee: Fabiano Francisco de Lima
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• FAPESP's process: 18/17788-3 - Pulmonary rehabilitation: effect of new patient-centered methodologies and technologies in patients with chronic pulmonary diseases
• Grantee: Celso Ricardo Fernandes de Carvalho
• Support Opportunities: Research Projects - Thematic Grants
• FAPESP's process: 21/03745-3 - Effects of aerobic training versus behavioral intervention to increase physical activity in patients with Asthma: a randomized, blinded clinical trial
• Grantee: David Halen Araújo Pinheiro
• Support Opportunities: Scholarships in Brazil - Doctorate