ArticlePhysical therapy2025
Motivation Matters: Elucidating Factors Driving Exercise in People With Parkinson Disease.
Article in Physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Enhancing Adherence to Home-Based Expiratory Muscle Strength Training in Parkinson Disease: Randomized Controlled Trial of an mHealth Intervention.Journal of medical Internet research · 2026Trial
- Article
- Exercise Enjoyment and Exercise Addiction Risk Among Turkish Adults: Associations and Subgroup Differences in a Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Psychosocial determinants of exercise behavior in Parkinson's disease: a mini-review.Frontiers in public health · 2026Review
- Can neurologic music therapy make the difference when using immersive virtual reality in Parkinson disease motor training? Promising findings from a secondary analysis.Frontiers in rehabilitation sciences · 2026Article
- Understanding personal preferences to promote exercise adherence in Parkinson's disease.Clinical parkinsonism & related disorders · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite the known benefits of exercise for people with Parkinson disease (PwP), activity levels are not sustained over time due to various motivators and barriers impacting exercise adherence. Previously, studies on exercise adherence in PwP explored such barriers without describing or providing specific questions related to the determinants of motivation. Exercise adherence in PwP can be improved by addressing 3 key perspectives on motivation: personal factors (age, sex, premorbid motivation level, time when PwP started exercising, exercise before diagnosis, self-compassion), disease-related factors (perceived disease severity, depression score), and environmental factors (distance to exercise therapy, weather conditions, encouragement received from partners).
methodsSix hundred seventy-two PwP from the Netherlands participated in an online survey that comprised questionnaires on demographics, depression, self-compassion, perceived disease severity, and additional questions on sports, motivation, and barriers related to sports. A multiple regression analysis was applied with current motivation as an outcome measure, and age, sex, perceived disease severity, premorbid motivation, depression, self-compassion, age starting exercising, and exercise before diagnosis as determinants.
resultsThe results revealed that current motivation levels to exercise are associated with higher levels of premorbid motivation (b = 0.14), greater self-compassion (b = 0.32), lower age (b = -0.03), lower perceived disease severity (b = -0.10), and lesser degrees of depression (b = -0.10). Barriers stopping PwP from exercising were fatigue, weather conditions, and having less energy for other activities after exercising.
conclusionUnderstanding these motivational factors and barriers helps shape and promote better exercise adherence and thereby ascertain greater symptomatic benefits for PwP. IMPACT: This study outcome gives health care professionals insight into determinants of motivation and exercise adherence, which will help enabling tailored approaches for improved engagement.
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