Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison

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dc.contributor.authorDe Man, Jeroen
dc.contributor.authorKasujja, Francis X
dc.contributor.authorDelobelle, Peter
dc.contributor.authorAnnerstedt, Kristi S
dc.contributor.authorAlvesson, Helle M
dc.contributor.authorAbsetz, Pilvikki
dc.contributor.authorWouters, Edwin
dc.contributor.authorDaivadanam, Meena
dc.contributor.authorGuwatudde, David
dc.contributor.authorPuoane, Thandi
dc.contributor.authorRemmen, Roy
dc.contributor.authorTabana, Hanani
dc.contributor.authorVan Olmen, Josefien
dc.date.accessioned2022-04-07T11:05:27Z
dc.date.available2022-04-07T11:05:27Z
dc.date.issued2022-01-24
dc.date.updated2022-01-30T04:13:12Z
dc.description.abstractBackground Understanding motivational determinants of physical activity (PA) is essential to guide the implementation of PA at individual and population level. Knowledge about the cross-cultural generalizability of these determinants is lacking and they have mostly been studied as separate factors. This study compares a motivational process model across samples from diverse populations with, or at risk of diabetes. Methods Measurement invariance of barrier identified regulation, barrier self-efficacy and social support was assessed in a rural Ugandan sample (n = 712) and disadvantaged samples with high proportions of immigrants in urban South Africa (n = 566) and Sweden (n = 147). These motivational determinants were then compared through multigroup structural equation modeling. Results The studied motivational constructs showed scalar invariance. Latent mean levels of perceived social support and barrier self-efficacy were lower in South Africa and Sweden. Structural models (for different PA outcomes) were not consistent across settings except for the association between perceived social support and identified regulation. Identified regulation was only associated with vigorous PA in Uganda and with moderate PA in South Africa. The association between social support and PA outcomes ranged from weak to not significant and the association between self-efficacy and PA was not significant. Self-reported PA was highest in Uganda and lowest in Sweden. Self-reported vigorous PA was significantly related to lower hemoglobin A1c levels, while moderate PA was not. Conclusions Findings suggest that: 1) it is feasible to compare a motivational process model across diverse settings; 2) there is lower perceived social support and self-efficacy in the urban, migrant samples; 3) identified regulation is a more promising determinant of PA than self-efficacy or social support in these populations; 4) associations between motivational determinants and PA depend on the perceived type and/or intensity of PA; 5) perceived relatedness functions as a basic psychological need across diverse settings; and 6) people’s perception of the PA they perform depends on their perceived level of intensity of PA which would have major implications for health promotion.
dc.identifier.apacitationDe Man, J., Kasujja, F. X., Delobelle, P., Annerstedt, K. S., Alvesson, H. M., Absetz, P., ... Van Olmen, J. (2022). Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison. <i>BMC Public Health</i>, 22(1), 164. http://hdl.handle.net/11427/36295en_ZA
dc.identifier.chicagocitationDe Man, Jeroen, Francis X Kasujja, Peter Delobelle, Kristi S Annerstedt, Helle M Alvesson, Pilvikki Absetz, Edwin Wouters, et al "Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison." <i>BMC Public Health</i> 22, 1. (2022): 164. http://hdl.handle.net/11427/36295en_ZA
dc.identifier.citationDe Man, J., Kasujja, F.X., Delobelle, P., Annerstedt, K.S., Alvesson, H.M., Absetz, P., Wouters, E. & Daivadanam, M. et al. 2022. Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison. <i>BMC Public Health.</i> 22(1):164. http://hdl.handle.net/11427/36295en_ZA
dc.identifier.risTY - Journal Article AU - De Man, Jeroen AU - Kasujja, Francis X. AU - Delobelle, Peter AU - Annerstedt, Kristi S. AU - Alvesson, Helle M. AU - Absetz, Pilvikki AU - Wouters, Edwin AU - Daivadanam, Meena AU - Guwatudde, David AU - Puoane, Thandi AU - Remmen, Roy AU - Tabana, Hanani AU - Van Olmen, Josefien AB - Abstract Background Understanding motivational determinants of physical activity (PA) is essential to guide the implementation of PA at individual and population level. Knowledge about the cross-cultural generalizability of these determinants is lacking and they have mostly been studied as separate factors. This study compares a motivational process model across samples from diverse populations with, or at risk of diabetes. Methods Measurement invariance of barrier identified regulation, barrier self-efficacy and social support was assessed in a rural Ugandan sample (n = 712) and disadvantaged samples with high proportions of immigrants in urban South Africa (n = 566) and Sweden (n = 147). These motivational determinants were then compared through multigroup structural equation modeling. Results The studied motivational constructs showed scalar invariance. Latent mean levels of perceived social support and barrier self-efficacy were lower in South Africa and Sweden. Structural models (for different PA outcomes) were not consistent across settings except for the association between perceived social support and identified regulation. Identified regulation was only associated with vigorous PA in Uganda and with moderate PA in South Africa. The association between social support and PA outcomes ranged from weak to not significant and the association between self-efficacy and PA was not significant. Self-reported PA was highest in Uganda and lowest in Sweden. Self-reported vigorous PA was significantly related to lower hemoglobin A1c levels, while moderate PA was not. Conclusions Findings suggest that: 1) it is feasible to compare a motivational process model across diverse settings; 2) there is lower perceived social support and self-efficacy in the urban, migrant samples; 3) identified regulation is a more promising determinant of PA than self-efficacy or social support in these populations; 4) associations between motivational determinants and PA depend on the perceived type and/or intensity of PA; 5) perceived relatedness functions as a basic psychological need across diverse settings; and 6) people’s perception of the PA they perform depends on their perceived level of intensity of PA which would have major implications for health promotion. DA - 2022-01-24 DB - OpenUCT DP - University of Cape Town KW - Physical activity KW - Self-efficacy KW - Social support KW - Self-determination theory KW - Vulnerable populations KW - South Africa KW - Uganda KW - Sweden KW - Type 2 diabetes KW - Measurement invariance LK - https://open.uct.ac.za PY - 2022 T1 - Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison TI - Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison UR - http://hdl.handle.net/11427/36295 ER -en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12889-022-12539-9
dc.identifier.urihttp://hdl.handle.net/11427/36295
dc.identifier.vancouvercitationDe Man J, Kasujja FX, Delobelle P, Annerstedt KS, Alvesson HM, Absetz P, et al. Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison. BMC Public Health. 2022;22(1):164. http://hdl.handle.net/11427/36295.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.rights.holderThe Author(s)
dc.sourceBMC Public Health
dc.source.journalissue1
dc.source.journalvolume22
dc.source.pagination164
dc.source.urihttps://bmcpublichealth.biomedcentral.com/
dc.subjectPhysical activity
dc.subjectSelf-efficacy
dc.subjectSocial support
dc.subjectSelf-determination theory
dc.subjectVulnerable populations
dc.subjectSouth Africa
dc.subjectUganda
dc.subjectSweden
dc.subjectType 2 diabetes
dc.subjectMeasurement invariance
dc.titleMotivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison
dc.typeJournal Article
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