Page 70 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem

Chapter 4
Psychological
reinforcement.
‘
‘Well, I did sports before; it really is one of my passions. I just think it’s very important. I
‘Yes, I used to do it [training] but on a given time it became gradually less frequent until I it?’
(LiverTx, female, 63 years)
the time. . .’
(HeartTx,male, 51 years)
‘

e most mentioned psychological barrier and facilitator to PA was motivation. Aspects of
motivation that were mentioned could be divided into reinforcement (the perception of
health bene

ts related to physical activity), fun/pleasure, and competition. Perceiving health
bene

ts was mentioned as a facilitator and reinforced participants to maintain or increase
PA levels. Perceiving fewer health bene

ts was indicated as resulting in a lack of

e satisfaction. . . you are building something, that’s it.
Having fun and experiencing pleasure while being physically active and
pleasure in competition are mentioned as facilitators of PA.
e
e
rst weeks you are exhausted
and not able to do that much. But then you are just. . ., you do a warming-up and then
you do some strength training and cool down on the rowing machine. And that with
another heart, you know, that is so strange.’
(HeartTx,male, 41 years)

nding
wasn’t able to do it for four years and now that I can I want to make full use of it.’
(HeartTx, female, 21 years)
A lack of motivation is mentioned as a barrier to PA. Aspects related to a lack of
motivation that were indicated were a lack of time and having other priorities.

ese later
aspects were mentioned in relationship to goal priority and energy level as well.
stopped. I think I should train but I have to overcome so much resistance, so, is that worth
Goals or goal priority were indicated as a barrier as well as a facilitator. Participants
described that when prioritizing other aspects of life over PA, they function as a barrier. As
previously stated, this was also mentioned in combination with insu

cient energy and/or a
lack of motivation. It was indicated that having goals for which a certain exercise capacity
is required can facilitate PA behavior.
“I have to get to the point on which I say, “now I have to change course”. But now is not
68.

e moment you start noticing you can handle physical things again, then you start
planning. And then you start the list. . ., well, it’s not like I had a bucket list of things I
wanted to do before I died. But, for me, at that time, the list started of all the things I
would have done when I wouldn’t have been ill. And I needed to train for these goals.’
(HeartTx, female, 56 years)