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Adherence to Exercise Programmes

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Summary

Despite the widespread dissemination of information concerning the negative health consequences associated with sedentary living, adult physical activity in many industrialised nations remains well below recommended levels. Approximately 50% of individuals who start an aerobic exercise programme will stop within the first 6 months, even though it is well known that to obtain the health benefits associated with physical activity, participation must be maintained. Programmes involving the use of behaviour management techniques appear to increase short term adherence to exercise. Recently, an adherence rate of greater than 95% over 6 months was achieved in a large group of university employees who participated in aerobic training using a ‘behavioural treatment packages’ approach. Unfortunately, inconsistencies in the literature on definitions and measurement of adherence make valid comparisons among studies difficult. Also, long term follow-up of behavioural intervention methods and their effect on exercise adherence is generally lacking. It is likely that strategies to increase physical activity participation in the general population will demand multiple levels of intervention (personal, organisational, environmental and societal) if they are to succeed in the long term.

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References

  • American College of Sports Medicine. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Medicine and Science in Sports and Exercise 22: 214–265, 1990

    Google Scholar 

  • American College of Sports Medicine and the US Centers for Disease Control and Prevention. Summary statement: workshop on physical activity and public health. Sports Medicine Bulletin 28: 7, 1993

    Google Scholar 

  • Andrew GA, Oldridge NB, Parker JO, Cunningham DO, Rechnitzer PA, et al. Reasons for dropout from exercise programs in post-coronary patients. Medicine and Science in Sports and Exercise 13: 164–168, 1981

    PubMed  CAS  Google Scholar 

  • Andrew GM, Parker JO. Factors related to dropout of post myocardial infarction patients from exercise programs. Medicine and Science in Sports and Exercise 11: 376–378, 1979

    CAS  Google Scholar 

  • Atkins CJ, Kaplan RM. Behavioral exercise programs in the management of chronic obstructive pulmonary disease. Journal of Consulting and Clinical Psychology 52: 591–603, 1984

    PubMed  CAS  Google Scholar 

  • Bandura A. Self-efficacy mechanism in human agency. American Psychologist 37: 122–147, 1982

    Google Scholar 

  • Bandura A. Social foundation of thought and action: a social cognitive theory, Prentice-Hall, Engelwood Cliffs, 1986

    Google Scholar 

  • Bandura A, Adams NW, Beyer J. Cognitive processes mediating behavior change. Perspectives in Social Psychology 35: 125–139, 1977

    CAS  Google Scholar 

  • Baun WB, Bernacki EJ. Who are coporate exercisers and what motivates them? In Dishman (Ed.) Exercise adherence, its impact on public health, pp. 321–348, Human Kinetics Books, Champaign, 1988

    Google Scholar 

  • Belisle M, Roskies E, Levesque JM. Improving adherence to physicl activity. Health Psychology 6: 159–172, 1987

    PubMed  CAS  Google Scholar 

  • Blair SN. Exercise, health, and longevity. In Lamb & Murray (Eds) Perspectives in exercise science and sports medicine, pp. 443–489, Benchmark Press Inc., Indianapolis, 1988

    Google Scholar 

  • Blair SN, Kohl HW, Gordon NF, Paffenbarger RS. How much physical activity is good for health? Annual Review of Public Health 13: 99–126, 1992

    PubMed  CAS  Google Scholar 

  • Blair SN, Kohl HW, Paffenbarger RS, Clark D, Cooper KHJ, et al. Physical fitness and all-cause mortality — a prospective study of healthy men and women. Journal of the American Medical Association 262: 2395–2401, 1989

    PubMed  CAS  Google Scholar 

  • Breslow L, Fielding J, Herrman AA, Wilbur CS. Worksite health promotion: its evolution and the Johnson and Johnson experience. Preventive Medicine 19: 13–21, 1990

    PubMed  CAS  Google Scholar 

  • Brownell KD, Cohen RY, Stunkard AJ, Felix MRJ, Cooley NB. Competitions at the work site: impact on weight, morale and cost-effectiveness. American Journal of Health Promotion 74: 1283–1285, 1984

    CAS  Google Scholar 

  • Brownell KD, Felix MRJ. Competitions to facilitate health promotion: review and conceptual analysis. American Journal of Health Promotion 2: 23–36, 1987

    Google Scholar 

  • Brownell KD, Mariait GA, Lichtenstein E, Wilson G. Understanding and preventing relapse. American Psychologist 41: 765–782, 1986

    PubMed  CAS  Google Scholar 

  • Brownell KD, Stunkard AJ. Physical activity in the development and control of obesity. In Stunkard (Ed.) Obesity, pp. 300–324, WB Saunders, Philadelphia, 1980

    Google Scholar 

  • Brownell KD, Stunkard AJ, Albaum J. Evaluation and modification of exercise patterns in the natural environment. American Journal of Psychiatry 137: 1540–1545, 1980

    PubMed  CAS  Google Scholar 

  • Caspersen W, Christenson GM, Pollard RA. Status of the 1990 physical fitness and exercise objectives — evidence from NHIS 1985. Public Health Reports 101: 587–592, 1986

    PubMed  CAS  Google Scholar 

  • Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for healthrelated research. Public Health Reports 100: 126–131, 1985

    PubMed  CAS  Google Scholar 

  • Cohen RY, Stunkard AJ, Felix MRJ. Comparison of three worksite weight-loss competitions. Journal of Behavioral Medicine 10: 467–479, 1987

    PubMed  CAS  Google Scholar 

  • Cox MH. Fitness and lifestyle programs for business and industry: problems in recruitment and retention. Journal of Cardiac Rehabilitation 4: 136–142, 1984

    Google Scholar 

  • Cox MH, Shephard RJ, Corey P. Influence of an employee fitness programme upon fitness, productivity, and absenteeism. Ergonomics 24: 795–806, 1981

    PubMed  CAS  Google Scholar 

  • Dishman RK. Compliance/adherence in health-related exercise. Health Psychology 1: 237–267, 1982

    Google Scholar 

  • Dishman RK. Exercise adherence research: future directions American Journal of Health Promotion 3: 52–56, 1988

    Google Scholar 

  • Dishman RK. Increasing and maintaining exercise and physical activity. Behavior Therapy 22: 345–378, 1991

    Google Scholar 

  • Dishman RK, Ickes W. Self-motivation and adherence to therapeutic exercise. Journal of Behavioral Medicine 4: 421–438, 1981

    PubMed  CAS  Google Scholar 

  • Dishman RK, Sallis JF, Orenstein DR. The determinants of physical activity and exercise. Public Health Reports 100: 158–171, 1985

    PubMed  CAS  Google Scholar 

  • Dubbert PM, Rappaport NB, Martin JE. Exercise in cardiovascular disease. Behavior Modification 11: 329–347, 1987

    PubMed  CAS  Google Scholar 

  • Durbeck C, Heinzelmann F, Schacter J, Haskeil WL, Payne GH, et al. The National Aeronautics and Space Administration-US Public Health Service Health Evaluation and Enhancement Program. American Journal of Cardiology 30: 784–790, 1972

    PubMed  CAS  Google Scholar 

  • Epstein LH, Koeske R, Wing RR. Adherence to exercise in obese children. Journal of Cardiac Rehabilitation 4: 185–195, 1984

    Google Scholar 

  • Epstein LH, Wing RR. Attendance and fitness in aerobics exercise — the effects of contract and lottery procedures. Behavior Modification 4: 465–479, 1980

    Google Scholar 

  • Epstein LH, Wing RR. Behavioral contracting: health behaviors. In Franks (Ed.), New developments in behavior therapy, pp. 409–449, Haworth Press, New York, 1984

    Google Scholar 

  • Epstein LH, Wing RR, Koeske R, Ossip D, Beck S. A comparison of lifestyle change and programmed aerobic exercise on weight and fitness in obese children. Behavior Therapy 13: 651–665, 1982

    Google Scholar 

  • Epstein LH, Wing RR, Koeske R, Yaloski A. A comparison of lifestyle exercise, aerobic exercise, and calisthenics on weight loss in obese children. Behavior Therapy 16: 345–356, 1985

    Google Scholar 

  • Erling J, Oldrige NB. Effect of a spousal-support program on compliance with cardiac rehabilitation. Medicine and Science in Sports and Exercise 17: 284, 1985

    Google Scholar 

  • Ewart CK, Stewart KJ, Gillian RE, Keleman H. Self-efficacy mediates strength gains during circuit weight training in men with coronary artery disease. Medicine and Science in Sports and Exercise 18: 531–540, 1985

    Google Scholar 

  • Folkins CH, Sime WE. Physical fitness training and mental health. American Psychologist 36: 373–389, 1981

    PubMed  CAS  Google Scholar 

  • Gettman LR, Pollock ML, Ward A. Adherence to unsupervised exercise. Physician and Sportsmedicine 11: 56–66, 1983

    Google Scholar 

  • Healthy People 2000. National health promotion and sisease prevention objectives. Department of Health and Human Services, No. PHS 91-50213, US Government Printing Office, Washington, DC, 1990

    Google Scholar 

  • Heinzelmann F, Bagley RW. Response to physical activity programs and their effects on health behavior. Public Health Reports 85: 905–911, 1970

    PubMed  CAS  Google Scholar 

  • Hoyt MF, Janis IL. Increasing adherence to a stressful decision via a motivational balance-sheet procedure: a field experiment. Journal of Personality and Social Psychology 31: 833–839, 1975

    Google Scholar 

  • Umarmen J, Fardy PS. Physical activity intervention for males with high-risk of coronary heart disease: a three-year follow-up. In Franks (Ed.) New developments in behavior therapy, pp. 409–449, Haworth Press, New York, 1984

    Google Scholar 

  • Iverson DC, Fielding ME, Crow RS. The promotion of physical activity in the United States population: the status of programs in medical, worksite, community, and school settings. Public Health Reports 100: 212–224, 1985

    PubMed  CAS  Google Scholar 

  • Kaplan RM, Atkins W, Reinsch S. Specific efficacy expectations mediate exercise compliance in patients with COPD. Health Psychology 3: 223–242, 1984

    PubMed  CAS  Google Scholar 

  • Keefe FJ, Blumenthal JA. The life fitness program: a behavioral approach to making exercise a habit. Journal of Behavior Therapy and Experimental Psychiatry 11: 31–34, 1980

    Google Scholar 

  • King AC. Community intervention for promotion of physical activity and fitness. In Holloszy (Ed.) Exercise and sport sciences reviews, vol. 19, pp. 211–259, Williams & Wilkens, Baltimore, 1991

    Google Scholar 

  • King AC, Blair SN, Bild DE, Dishman RK, Dubbert PM, et al. Determinants of physical activity and interventions in adults. Medicine and Science in Sports and Exercise 24 (Suppl.): 221–236, 1992

    Google Scholar 

  • King AC, Bohn A, Taylor CB, Haskeil WL. Adherence to physical activity in older adults: findings from a community-based trial. Presentation at the Behavior Therapy World Congress, Edinburgh, September, 1988a

  • King AC, Carl F, Birkell L, Haskell WL. Increasing exercise among blue-collar employees: the tailoring of worksite programs to meet specific needs. Preventive Medicine 17: 357–365, 1988b

    PubMed  CAS  Google Scholar 

  • King AC, Frederiksen LW. Low-cost strategies for increasing exercise behavior. Behavior Modification 8(1): 3–21, 1984

    Google Scholar 

  • King AC, Haskell WL, Taylor CB, Kraemer HC, DeBusk RE Group-vs home-based exercise training in healthy older men and women: a community-based clinical trial. Journal of The American Medical Association 266: 1535–1542, 1991

    PubMed  CAS  Google Scholar 

  • King AC, Taylor CB, Haskell WL. Identifying strategies for increasing employee physical activity levels: findings from the Stanford and Lockheed exercise survey. Health Education Quarterly 17: 269–285, 1990

    PubMed  CAS  Google Scholar 

  • Kirschenbaum DS, Flanery RC. Behavioral contracting: outcomes and elements. Progress in Behavior Modification 15: 217–275, 1983

    PubMed  CAS  Google Scholar 

  • Kravitz L, Furst D. Influence of reward and social support on exercise adherence in aerobic dance class. Psychological Reports 69: 423–426, 1991

    Google Scholar 

  • Kriska AM, Bayles C, Cauley JA, Laporte RE, Sandler RB, Pambianco G. A randomized exercise trial in older women: increased activity over two years and the factors associated with compliance. Medicine and Science in Sports and Exercise 18: 557–562, 1986

    PubMed  CAS  Google Scholar 

  • Leatt P, Hattin H, West C Shephard RJ. Seven year follow-up of an employee fitness program. Canadian Journal of Public Health 79: 20–25, 1988

    CAS  Google Scholar 

  • Leith LM. Behavior modification and exercise adherence: a literature review. Journal of Sport Behavior 15: 60–74, 1992

    Google Scholar 

  • Leon AS, Connet, Jacob DR, Ravramaa R. Leisure-time physical activity levels and risk of coronary heart disease and death: the Multiple Risk Factor Intervention Trial. Journal of The American Medical Association 258: 2388–2395, 1987

    PubMed  CAS  Google Scholar 

  • Libb JW, Clements CB. Token reinforcement in an exercise program for hospitalized geriatric patients. Perceptual and Motor Skills 28: 957–958, 1969

    PubMed  CAS  Google Scholar 

  • Lipinski D, Nelson R. The reactivity and unreliability of self-recording. Journal of Consulting and Clinical Psychology 42: 118–123, 1974

    PubMed  CAS  Google Scholar 

  • Mann G, Garrett HL, Farhi A, Murray H, Billings F. Exercise to prevent coronary heart disease — an experimental study of the effects of training on risk factors for coronary disease in men. American Journal of Medicine 46: 12–27, 1969

    PubMed  CAS  Google Scholar 

  • Marcus BH, Banspach SW, Lefebrre RC, Rossi JS, Carleton RA, et al. Using the stages of change model to increase adoption of physical activity among community participants. American Journal of Health Promotion 6: 424–429, 1992

    PubMed  CAS  Google Scholar 

  • Marlatt GA, Gordon JR. Determinants of relapse: implications for the maintenance of behavior change In Davidson & Davidson (Eds) Behavioral medicine: changing health lifestyles, pp. 411–453, Brunner/Mazel, New York, 1980

    Google Scholar 

  • Martin JE, Dubbert PM. Exercise applications and promotion in behavioral medicine: current status and future directions. Journal of Consulting and Clinical Psychology 50: 1004–1007, 1982

    PubMed  CAS  Google Scholar 

  • Martin JE, Dubbert PM. Adherence to exercise. In Terjung (Ed.) Exercise and sports science review, vol. 13, pp. 137–167, MacMillan Co., New York, 1985

    Google Scholar 

  • Martin JE, Dubbert PM, Katell AD, Thompson JK, Raczynski JR, et al. Behavioral control of exercise in sedentary adults: studies 1 through 6. Journal of Consulting and Clinical Psychology 52: 795–811, 1984

    PubMed  CAS  Google Scholar 

  • Mavis BE, Stoffelmayr BE. Multidimensional evaluation of monetary incentive strategies for weight control. Psychological Record, in press, 1994

  • Mayer J, Geller ES. Motivating energy efficient travel: a community-based intervention for encouraging biking. Journal of Environmental Systems 12: 99–113, 1982

    Google Scholar 

  • Morgan P. Involvement in vigorous physical activity with special reference to adherence. In Gedvials & Kneer (Eds) National College Of Physical Education proceedings, pp. 235–246, Office Of Public Service, University Of Illinois at Chicago, 1977

  • Morgan WP, O’Conner PJ. Exercise and mental health. In Dishman (Ed.) Exercise adherence, its impact on public health, pp. 91–121, Human Kinetics Books, Champaign, 1988

    Google Scholar 

  • Morris JN, Pollard R, Everitt MG, Chave SPW. Vigorous exercise in leisure time: protection against coronary heart disease. Lancet 6: 1207–1210, 1980

    Google Scholar 

  • Neale AV. Behavioral contracting as a tool to help patients acheive better health. Family Practice 8: 336–342, 1991

    PubMed  CAS  Google Scholar 

  • Neale AV, Singleton SP, Dupuis MH, Hess JW. The use of behavioral contracting to increase exercise activity. American Journal of Health Promotion 4: 441–447, 1990

    PubMed  CAS  Google Scholar 

  • Nemeroff CJ, Karoly P. Operant methods. In Kanfer & Goldstein (Eds) Helping people change, pp. 122–160, Pergamon Press, New York, 1991

    Google Scholar 

  • Oberman A. Exercise and the primary prevention of cardiovascular disease. American Journal of Cardiology 55: 10D–20D, 1985

    PubMed  CAS  Google Scholar 

  • Oldrige NB. Compliance and exercise in primary and secondary prevention of coronary heart disease: a review. Preventive Medicine 11: 56–70, 1982

    Google Scholar 

  • Oldridge NB. Adherence to adult exercise fitness programs. In Matarazzo & Weiss (Eds) Behavioral health, a handbook of health enhancement and disease prevention, pp. 467–487, John Wiley and Sons, New York, 1984

    Google Scholar 

  • Oldrige NB. Cardiac rehabilitation programme — compliance and compliance-enhancing strategies. Sports Medicine 6: 42–55, 1988

    Google Scholar 

  • Oldridge NB, Jones NL. Improving patient compliance in cardiac exercise rehabilitation: effects of written agreement and self-monitoring. Journal of Cardiac Rehabilitation 3: 257–262, 1983

    Google Scholar 

  • Orlander J, Kiessling K, Karlsson J, Ekblom B. Low intensity training, inactivity and resumed training in sedentary men. Acta Physiologica Scandanavica 101: 351–362, 1977

    CAS  Google Scholar 

  • Owen CA, Beard EF, Jackson AS, Prior BW. Longitudinal evaluation of an exercise prescription intervention program with periodic ergometric testing: a ten-year appraisal. Journal of Occupational Medicine 22: 235–239, 1980

    PubMed  CAS  Google Scholar 

  • Paffenbarger RS, Hyde RT, Wing AL, Hsieh C. Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine 314: 605–613, 1986

    PubMed  Google Scholar 

  • Pauly JT, Palmer JA, Wright CC, Pfeiffer C. The effect of a 14-week employee fitness program on selected physiologocal and psychological parameters. Journal of Occupational Medicine 24: 457–463, 1982

    PubMed  CAS  Google Scholar 

  • Pennebaker JW. Lightner JM. Competition of internal and external information in an exercise setting. Journal of Personality and Social Psychology 39: 165–174, 1980

    PubMed  CAS  Google Scholar 

  • Pollock L. Prescribing exercise for fitness and adherence. In Dishman (Ed.) Exercise Adherence, its impact on public health, pp. 259–277, Human Kinetics Books, Champaign, 1988

    Google Scholar 

  • Pollock ML, Gettman LR, Milesik CA, Bah MD, Durstine JL, et al. Effects of frequency and duration of training on attrition and incidence of injury. Medicine and Science in Sports and Exercise 9: 31–36, 1977

    CAS  Google Scholar 

  • Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Annual Revue of Public Health 8: 253–287, 1987

    CAS  Google Scholar 

  • Prochaska JO, Norcross JC, Fowler JL, Follick MJ, Abrams DB. Attendance and outcome in a work site weight control program: processes and stages of change as process and predictor variables. Addictive Behaviors 17: 35–45, 1992

    PubMed  CAS  Google Scholar 

  • Prochaska JO, Velicer WF, DiClemente CC, Fava J. Measuring processes of change: applications to smoking cessation. Journal of Consulting and Clinical Psychology 56: 520–528, 1988

    PubMed  CAS  Google Scholar 

  • Reid EL, Morgan RW. Exercise prescription: a clinical trial. American Journal Of Public Health 69: 591–595, 1979

    PubMed  CAS  Google Scholar 

  • Romanczyk RG, Kent RN, Diament RN, O’Leary KD. Measuring the reliability of observational data: a reactive process. Journal of Applied Behavioral Analysis 6: 175–184, 1973

    CAS  Google Scholar 

  • Robison JI, Rogers A, Carlson JJ, Mavis BE, Stachnik T, et al. Effects of a 6-month incentive-based exercise program on adherence and work capacity. Medicine and Science in Sports and Exercise 24: 85–93, 1992

    PubMed  CAS  Google Scholar 

  • Sallis JF, Haskell WL, Fortmann SP, Vranizan K, Taylor CB, et al. Predictors of adoption and maintenance of physical activity in a community sample. Preventive Medicine 15: 331–341, 1986

    PubMed  CAS  Google Scholar 

  • Sallis JF, Hovell IF. Determinants of exercise behavior. In Pandolf & Holloszy (Eds) Exercise and sport sciences reviews, vol. 18, pp. 307–330, Williams & Wilkens, Baltimore, 1990

    Google Scholar 

  • Saltin B, Rowell LB. Functional adaptations to physical activity and inactivity. Federation Proceedings 39: 1056–1513, 1980

    Google Scholar 

  • Sedgwick AW, Brotherhood JR, Harris-Davifson A, Taplinn RE, Thomas DW. Long-Term Effects of physical training programme on risk factors for coronary heart disease in otherwise sedentary men. British Medical Journal 2: 7–10, 1980

    Google Scholar 

  • Shephard RJ. Exercise in coronary heart disease. Sports Medicine 3: 26–49, 1986

    PubMed  CAS  Google Scholar 

  • Shephard RJ. Exercise adherence in corporate settings: personal traits and program barriers. In Dishman (Ed.) Exercise adherence, its impact on public health, pp. 305–319, Human Kinetics Books, Champaign, 1988

    Google Scholar 

  • Shephard RJ. A critical analysis of work-site fitness programs and their postulated economic benefits. Medicine and Science in Sports and Exercise 24: 354–370, 1992

    PubMed  CAS  Google Scholar 

  • Shephard RJ, Morgan P, Finucane R, Schimmelfing L. Factors influencing recruitment to an occupational fitness program. Journal of Occupational Medicine 22: 389–398, 1980

    PubMed  CAS  Google Scholar 

  • Skinner BF. Science and human behavior, MacMillan, New York, 1953

    Google Scholar 

  • Sluijs EM, Knibbe JJ. Patient compliance with exercise: different theoretical approaches to short-term and long-term compliance. Patient Education and Counseling 17: 191–204, 1991

    Google Scholar 

  • Song TK, Shephard RJ, Cox M. Absenteeism, employee turnover and sustained exercise participation. Journal of Sports Medicine 22: 392–399, 1982

    Google Scholar 

  • Sonstroem RJ. Psychological models. In Dishman (Ed.) Exercise adherence, its impact on public health, pp. 125–154, Human Kinetics Books, Champaign, 1988

    Google Scholar 

  • Stachnik T, Stoffelmayr BE. Worksite smoking cessation programs: a potential for national impact. American Journal of Public Health 73: 1395–1396, 1983

    PubMed  CAS  Google Scholar 

  • Stoffelmayr BE, Mavis BE, Stachnik T, Robison JI, Fear FA, et al. A program model to enhance adherence in worksite-based exercise programs. American Journal of Occupational Medicine, July: 156-161, 1992

  • Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Reports 100: 195–202, 1985

    PubMed  CAS  Google Scholar 

  • Taylor HL, Buskirk ER, Remington RD. Exercise in controlled studies of the prevention of coronary heart disease. Federation Proceedings 32: 1623–1627, 1973

    PubMed  CAS  Google Scholar 

  • Teraslinna P, Partanen T, Koskela A, Oja P. Characteristics affecting willingness of executives to participate in a physical activity program aimed at coronary heart disease prevention. Journal of Sports Medicine and Physical Fitness 9: 224–229, 1969

    PubMed  CAS  Google Scholar 

  • Thompson CE, Wankel LM. The effects of perceived activity choice upon frequency of exercise behavior. Journal of Applied Social Psychology 10: 436–443, 1980

    Google Scholar 

  • Tsai SP, Baun WB, Bernacki EJ. Relationship of employee turnover to exercise adherence in a corporate fitness program. Occupational Medicine 29: 572–575, 1987

    CAS  Google Scholar 

  • Vance B. Using contracts to control weight and to improve cardiovascular physical fitness. In Krumboltx & Thoresen (Eds) Behavioral counseling: cases and techniques, Holt, Rinehart & Winston, New York, 1969

    Google Scholar 

  • Wankel LM. Decision-making and social support strategies for increasing exercise involvement. Journal of Cardiac Rehabilitation 4: 124–135, 1984

    Google Scholar 

  • Wankel LM, Thompson C. Motivating people to be physically active: self-persuasion vs. balanced decision making. Journal of Applied Social Psychology 7: 332–340, 1977

    Google Scholar 

  • Wankel LM, Yardley JK, Graham J. The effects of motivational interventions upon the exercise adherence of high and low self-motivated adults. Canadian Journal of Applied Sport Science 10: 147–156, 1985

    CAS  Google Scholar 

  • Ward A, Morgan WP. Adherence patterns of healthy men and women enrolled in an adult exercise program. Journal of Cardiac Rehabilitation 4: 143–152, 1984

    Google Scholar 

  • Welsh MC, Labbe EE, Delaney D. Cognitive strategies and personality variables in adherence to exercise. Psychological Reports 68: 1327–1335, 1991

    PubMed  CAS  Google Scholar 

  • Wier LT, Jackson AS. Factors affecting compliance in the NASA/ Johnson Space Center Fitness Programme. Sports Medicine 8: 9–14, 1989

    PubMed  CAS  Google Scholar 

  • Wysocki T, Hall G, Iwata B, Riordan M. Behavioral management of exercise: contracting for aerobic points. Journal of Applied Behavioral Analysis 12: 55–64, 1979

    CAS  Google Scholar 

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Robison, J., Rogers, M.A. Adherence to Exercise Programmes. Sports Med. 17, 39–52 (1994). https://doi.org/10.2165/00007256-199417010-00004

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