Maternal-fetal disease information as a source of exercise motivation during pregnancy.

OBJECTIVE A Protection Motivation Theory (PMT) framework was used to examine whether information about the role of exercise in preventing maternal-fetal disease served as a meaningful source of exercise motivation. DESIGN Pregnant women (n = 208) were randomly assigned into one of three conditions: PMT, attention control, and noncontact control. Women in the PMT group read a brochure about the benefits of exercise during pregnancy incorporating the major components of PMT; perceived vulnerability (PV), perceived severity (PS), response efficacy (RE), and self-efficacy (SE). Participants in the attention-control condition read a brochure about diet. Following treatment, all participants completed measures of their beliefs toward maternal-fetal disease and exercise, goal intention (GI), and implementation intention (IMI). One week later, a measure of self-reported exercise behavior was collected. MAIN OUTCOME MEASURES Main outcome measures were PMT variables (PV, PS, RE, and SE), GI, IMI, and follow-up physical activity. RESULTS Participants assigned to the PMT-present group reported significantly higher PS, RE, SE, GI, and increased exercise behavior. PS, RE, and SE predicted GI, GI predicted IMI, and IMI predicted exercise behavior. CONCLUSION Information grounded in PMT is effective in influencing pregnant women's beliefs and intentions as well as changing their initial behavior.