ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
"I've got plenty of energy when I'm doing something I want to do": applying self-determination theory to exercise motivation in people with prostate cancer.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Physical Activity and Nutritional Supportive Care Needs Following a Sarcoma Diagnosis: Barriers and Opportunities for Rare Cancer Survivorship Care.Psycho-oncology · 2026Article
- Exercise Motivation and Quality of Life in Cancer Survivors: The Impact of Exercise Intervention.Cancers · 2026Article
- Feasibility of the Golf Recreational Exercise for Enhanced Survivorship in prostate cancer survivors undergoing hormone therapy.Frontiers in oncology · 2026Article
- A structural causal model for robot-assisted upper-limb neurorehabilitation.Frontiers in rehabilitation sciences · 2026Article
- Associations of internal/institutional motivation with physical activity among Chinese college students: exercise self-efficacy as a mediator.Frontiers in psychology · 2026Article
- Qualitative research exploring the complexities of exercise promotion in prostate cancer survivorship.International journal of qualitative studies on health and well-being · 2025Article
- Experiences of Young and Middle-Aged Stroke Patients with Hemiplegia Who Actively Participate in Rehabilitation Exercises and Their Perceptions of Well-Being: A Descriptive Qualitative Study.Risk management and healthcare policy · 2025Article
- Research progress on zero-time exercise interventions in patients with chronic diseases: a narrative review.Frontiers in public health · 2025Review
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Authors and funding
10 authors.
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Abstract
purposeAndrogen deprivation therapy (ADT) for prostate cancer adversely affects quality of life. Whilst exercise is effective for ameliorating many side effects, most people are inactive, with lack of motivation a key barrier. Self-determination theory (SDT) specifies the quality, rather than quantity, of motivation as essential for optimal engagement. We aimed to explore exercise motivation in men on ADT through the theoretical lens of SDT.
methodsAs part of a mixed-method longitudinal study, semi-structured interviews exploring exercise behaviour and perceptions, were conducted with people receiving ADT for prostate cancer. Thematic analysis identified motivation themes aligned with SDT concepts.
resultsTwenty-four men participated (median age 74 years; ECOG 0: 92%, metastatic: 29%). We identified two key themes: (1) type of exercise motivation and (2) use of need-supportive techniques in exercise environments. Motivations ranged from intrinsic (for enjoyment) to external (compliance with other's expectations). Key strategies to support psychological needs included offering choice in exercise programming, providing meaningful rationales for exercise, tailored guidance from exercise professionals, and social support.
conclusionsThis SDT-grounded study provides insights into motivations driving exercise in people receiving ADT and how social and healthcare contexts influence these motivations. The study underscores the importance of considering exercise motivation when discussing, referring, and designing tailored exercise interventions to ensure they are need-supportive to optimise engagement. IMPLICATIONS FOR CANCER SURVIVORS: This study highlights the importance of exercise interventions that are supportive of psychological needs. Incorporating need-supportive strategies may enhance exercise participation and improve physical and psychosocial outcomes for men receiving ADT.
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