Physical Activity Behaviour in Solid Organ Transplant Recipients: Proposal of Theory-Driven Physical Activity Interventions

Physical inactivity is highly prevalent after solid organ transplantation and leads to unfavourable outcomes. This review aimed understand posttransplant physical activity behaviour propose interventions. Michie’s Behavioural Change Wheel was applied, in which the Context Implementation of Complex Interventions framework, Capability-Opportunity-Motivation Behaviour model, Theoretical Domains Framework were embedded. Various contextual factors found modulate behaviour. Promising strategies promote long-term included (i) tailoring programs patients’ abilities preferences; (ii) incitement intrinsic autonomous motivation change; (iii) SMART goals setting (e.g., Specific, Measurable, Achievable, Realistic, Timebound), (iv) autonomy-supportive co-design action plans; (v) foster new habit formation; (vi) self-monitoring activity; (vii) follow-up opportunities for evaluation adjustment; (viii) education transplant recipients, healthcare providers, social network; improvement self-efficacy through incremental successes, verbal persuasion, peer modelling, awareness exercise-related bodily signals; (x) providing opportunity within environmental setting; (xi) encouragement support from network providers; (xii) governmental that alleviates financial barriers restructures environment activity. These insights may contribute program development recipients.