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Motivation

Now let’s shift gears a bit and talk about motivation.  Although motivation truly comes from within, we as healthcare professionals have the ability to inspire motivation in our patients.  Including motivational strategies in the exercise prescription is an excellent way to improve long-term adherence to the exercise program.

 

Research has shown that those who understand the many ways they can benefit from exercise are more likely to start and stick to their program. Each individual’s primary interests should be determined.  Are they most interested in (read from bulleted list on the right).  

 

Take a few moments to explain to the patient how exercise affects the body, and the benefits that were outlined earlier – focusing on those that will the patient to reach their particular goals.

 

Understand the pathophysiology
Know the benefits
Which issues are pertinent to you?
Weight loss?
Appearance?
Performance?
Reducing/Staying off Meds?
Dropping Blood Glucose?

 

Motivation through Inspiration

Creativity is the mother of invention.  Look for original ways to inspire your patients to increase their level of physical activity.  Potential sources of inspiration include short and long-term rewards, use of social/peer pressure, meeting a challenge, and “signing off” on a written contract.

 

Don’t forget the importance of leading by example.  If you think back to what has inspired you to reach your goals over the years, there is a good chance that someONE served as a role model.  Be active yourself and others will follow.

 

Long-Term incentives
Short-Term incentives (water bottles, shirts, hats)
Write/sign a contract
Form/Join a Network (clubs, group events)
Issue a challenge (individual or group; track the progress)
Lead by example (be active yourself!  Share your experiences)

Motivation through Implementation

Develop a specific plan
Choose something fun
Avoid injuries (variety, warm-up, proper shoes, low impact)
Manage the meds (prevent hypoglycemia, facilitate weight loss)
Take on responsibility (activity on-the-job, or while doing things for others)
Accomplish 2 things at once (TV, music, phone, read, time w/friends)

 

The way an exercise program is implemented can go a long way towards improving long-term adherence.  For example, in addition to providing a specific/detailed plan, try to include activities that are fun for the individual. 

 

Injuries will often knock people out of their usual routine.  Avoid injuries by building variety into the program, warming up and cooling down properly, choosing low-impact exercise options, and wearing appropriate athletic shoes – tailored to the type of exercise activity.

 

Help patients to prevent hypoglycemia during and after exercise by working with their healthcare team to make appropriate adjustments to food, insulin and medications.

 

Encourage patients to partake in occupations or volunteer efforts that involve physical activity.

 

For patients who are strapped for time, find ways for them to accomplish something while they exercise – such as enjoying a favorite TV show, talking on the phone, reading, spending time with friends, or beautifying their home.

 

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