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.