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 editors: Kókai, 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 series: BMC Womens Health

eISSN: 1472-6874

Publication year: 2022

Publication date: 27/04/2022

Volume: 22

Article number: 133

Publisher: Biomed Central

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1186/s12905-022-01692-3

Publication open access: Openly available

Publication channel open access: Open Access channel

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

Publication is parallel published: https://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.

Keywords: preeclampsia; rehabilitation patients; health behaviour; physical activeness; physical training; motivation (mental objects)

Free keywords: preeclampsia; cardiovascular health; physical activity; perceived determinants; qualitative study

Contributing organizations

Ministry reporting: Yes

Reporting Year: 2022

Preliminary JUFO rating: 1

Last updated on 2022-20-09 at 13:03