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The Osteoarthritis-Journey: Patients' Development of Long-Term Motivation

While a number of technologies support people to be more physically active, their long-term success seems limited. For chronic conditions, such as Osteoarthritis, however, physical activity is an essential part of therapy. To develop supportive technologies for this context, this study aimed at understanding how people with Osteoarthritis successfully introduced and maintained physical activity practices. We summarize our findings as an 'Osteoarthritis Journey', which describes the development of long-term motivation as a transformation of people's self-regulatory skills over time. In sum, we need to focus more on how people become successful in rendering physical activity intrinsically valuable to themselves. Based on this, we suggest that future motivational technologies must provide impulses to develop motivation from extrinsic (e.g. I do it, because the doctor says so) to intrinsic (e.g. I enjoy being physically active).