Adherence - Pregnancy & Postpartum Flashcards
1
Q
Characteristics of Adherers
A
- Enjoy physical activity
- High self-motivation
- High exercise knowledge
- Positive attitude toward exercise
- Perceive benefits outweigh the costs
- Past participation in exercise
- At high risk for heart disease
- Perceived good health
- Sufficient behavioural skills
- Receive social reinforcement for exercise
- Perceived available time
2
Q
Characteristics of dropouts
A
- Blue collar occupation
- Smoker
- Overweight
- Psychological mood disturbance
- Perceived poor health
- Low self-motivation
- Low exercise knowledge
- Negative attitude towards
exercise - Perceived disruptions in exercise routine
- Activity too intense, too much exertion
3
Q
Reasons to Exercise
A
- Fun
- Feeling good
- Weight control
- Challenge
- Stress Reduction
- Doctor’s advice
- Social reasons
- Appearance
- Achievement
- Competition
- Health
- Skill Learning
- Self-actualisation
- Fitness
4
Q
Perceived Barriers to exercise
A
- Lack of time
- Injuries
- Expense
- Lack of support
- Limiting health
- Lack of interest
- Previous exercise experience
- Lack of choice
- Lack of facilities
- Boredom
- Too much effort
5
Q
Pre-contemplation
A
- Individuals who are not even considering changing behaviour
- No intention of exercising in the next 6 months
6
Q
Contemplation
A
- Individual considers making a change in their behaviour
- Has an intention of starting exercise in the next 6 months.
- Thinks “Maybe I should change”
7
Q
Preparation
A
- Individual makes a serious commitment to change their behaviour
- Physically active but below the required level for good health.
- Make enquiries about fitness classes in their area.
- Makes preparation for someone to mind the kids etc……
8
Q
Action
A
- Behavioural chance is
initiated. - Physically active but for less than 6 months
- Exercises 3 times a week.
9
Q
Maintenance
A
*Sustaining behavioural change.
*Physically active but for more than 6 months
*Exercises 3 times a week every week.
10
Q
Relapse
A
- Changed behaviour discontinued.
- Lost interest in their exercise programme
- Another excuse as to why they haven’t exercise in a few weeks
- Busy at work
- New commitments
11
Q
Ways of encouraging Adherence
A
- Make exercise sessions easy, interesting and fun
- Acknowledge exercise discomforts
- Use exercise reminders, cues and prompts
- Emphasise positive aspects of exercise
12
Q
Screening Q’s
A
- Doctor’s clearance?
- First baby?
- Any complications in previous pregnancies?
- Pre-term rupture of membrane?
- Any persistent bleeding, dizziness,
pain? - Sudden swelling of ankles?
- Pregnancy induced hypertension?
- Stage of pregnancy?
- Regular exerciser or previously sedentary?
13
Q
Warning Signs to stop exercising
A
- Vaginal bleeding
- Abdominal/chest pain
- Leaking/gushing from vagina
- Swelling of hands, feet or face
- Severe headache
- Dizziness
- Reduction in fetal activity
- Painful, reddened area in the leg
- Severe pain in hip/pelvic area
- High temperature (>38 degrees C)
- Persistent nausea/vomiting
- Uterine contractions
- Heart palpitations
- Shortness of breath
14
Q
Pregnancy Pre class advice
A
- Intensity – low to moderate
- 4-6 RPE scale, <75% HRR, 140 bpm
- Low impact
- “easy” stretches
- Floor exercise adjustments/Adaptations
- No sudden changes in direction
- Placement near exit
- Hydration
15
Q
Physical changes during pregnancy
A
- Diaphragm
- Internal organs (stomach & intestines)
- Lumbar spine
- Bladder
- Uterus
- Sciatic nerve
