A1 Journal article (refereed)
Perceived determinants of physical activity among women with prior severe preeclampsia : a qualitative assessment (2022)

Kókai, L. L., van der Bijl, M. F., Hagger, M. S., Ó Ceallaigh, D. T., Rohde, K. I. M., van Kippersluis, H., Roeters van Lennep, J. E., & Wijtzes, A. I. (2022). Perceived determinants of physical activity among women with prior severe preeclampsia : a qualitative assessment. BMC Womens Health, 22, Article 133. https://doi.org/10.1186/s12905-022-01692-3

JYU authors or editors

Publication details

All authors or editorsKókai, Lili L.; van der Bijl, Marte F.; Hagger, Martin S.; Ó Ceallaigh, Diarmaid T.; Rohde, Kirsten I. M.; van Kippersluis, Hans; Roeters van Lennep, Jeanine E.; Wijtzes, Anne I.

Journal or seriesBMC Womens Health


Publication year2022

Publication date27/04/2022


Article number133

PublisherBiomed Central

Publication countryUnited Kingdom

Publication languageEnglish


Publication open accessOpenly available

Publication channel open accessOpen Access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/81707

Publication is parallel publishedhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043879/


The objective of this study was to (1) qualitatively identify the perceived determinants of physical activity among women who have experienced severe preeclampsia, and (2) examine whether these determinants are consistent with the overarching processes outlined in the integrated behavior change (IBC) model, a novel model that describes physical activity as being a result of motivational, volitional, and automatic processes.

Patients (n = 35) of the Follow-Up PreEClampsia (FUPEC) Outpatient Clinic, Erasmus MC, the Netherlands, participated in an anonymous online survey. The main outcomes under study were their perceived determinants of physical activity. Responses were analyzed using thematic analysis.

Thirteen themes emerged from the analysis. Six themes corresponded with motivational processes (future health, perceived ability, attitude, future reward or regret, physical appearance, and doing it for others), two with volitional processes (scheduling and planning), and two with automatic processes (affect and stress). Three themes were classified as environmental factors (time constraint, social support, and physical environment).

A range of facilitating and hindering factors were described by women with prior severe preeclampsia as the determinants of their physical activity. These factors corresponded well with the overarching motivational, volitional, and automatic processes described in the IBC model. In addition, motivational and environmental factors beyond the IBC model were described. Addressing these perceived determinants could enhance the efficacy of physical activity interventions in this population.

Keywordspreeclampsiarehabilitation patientshealth behaviourphysical activityphysical trainingmotivation (mental objects)

Free keywordspreeclampsia; cardiovascular health; physical activity; perceived determinants; qualitative study

Contributing organizations

Ministry reportingYes

Reporting Year2022

JUFO rating1

Last updated on 2024-03-04 at 19:35