Motivating Factors in Adherence to Aquatic Exercise in Korean Women with Osteoarthritis

Tuesday, 14 July 2009

Hyun-Sook Kang, PhD, RN
Dept. of Nursing, Kongju National University, Kongju, South Korea

Learning Objective 1: identify motivating factors influencing adherence to aquatic exercise.

Learning Objective 2: gain insight into strategies which might encourage and promote health for women with osteoarthritis of varying cultural backgrounds.

Purpose: The purpose of this study was to identify motivating factors influencing long-term adherence to aquatic exercise in women with arthritis as a follow-up study after five years.

Methods: Baseline data had been collected using a structured interview 6 months after participants completed the aquatic exercise educational program. This second follow-up data collection included 133 participants from the original baseline study and was done 5 years after the original baseline study.This cross-sectional study compared two groups of Korean women with osteoarthritis. Korean women with osteoarthritis who exercised consistently for 6 months (adherence group, n=21) or more were compared with women who did not (non-adherence group, n=52) in order to identify factors influencing adherence to exercise.   Data was analyzed using SPSS 16.
Results: Among the subjects who participated in the survey, 28.8% were reported as an exercise adherence group and 71.2% were categorized as a non-adherence group.After six years, the adherence group had significantly higher scores in self-efficacy (p Conclusion: According to the data, self-efficacy and group cohesion, were positively correlated with aquatic exercise adherence.  Perceived barriers to exercise were negatively correlated with non-adherence to aquatic exercise. These results encourage the development of strategies to promote long-term aquatic exercise adherence in women with osteoarthritis, as well as the testing of these variables with other groups of different cultural backgrounds.