Health Locus of Control and Physical Activity in Liver Transplant Recipients.

Health locus of control has the potential to influence health behavior among individuals with chronic diseases. However, little is known regarding the relationship between locus of control and physical activity in transplant recipients. The aim of the study was to investigate health locus of control and physical activity in liver transplant recipients. Seventy-six liver transplant recipients were enrolled. The Multidimensional Health Locus of Control - Form C, including internal, chance, doctors, and powerful others subdimensions, was used to evaluate the health locus of control. Physical activity was assessed with the International Physical Activity Questionnaire - Short Form. The median internal health locus of control score was 28.54. Thirty-six participants had low, 35 participants had moderate, and five participants had high physical activity. Internal health locus of control was higher in patients having moderate activity compared to patients with low activity (p=0.04). "Doctors" subdimension of health locus of control was negatively correlated with walking (r=-0.38, p=0.02) and total activity scores among patients with low activity (r=-0.37, p=0.02). Liver transplant recipients with moderate activity present higher internal health locus of control scores, suggesting a possible influence of physically active behavior on the beliefs of one's own control over disease management. As the activity level increases, the belief that health outcomes are largely the responsibility of health professionals decreases among liver transplant recipients with low activity. Promoting physical activity will help develop the control of one's own actions on health after liver transplantation.

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Human subjects: Consent was obtained or waived by all participants in this study. Institutional Non-invasive Research Ethics Board, Dokuz Eylul University issued approval 2019/18-23. The study was conducted in accordance with the ethical standards of the Helsinki Declaration and was approved by the Institutional Non-invasive Research Ethics Board (Protocol number: 4839-GOA, Approval number: 2019/18-23). All subjects gave written consent to participate in the study after receiving appropriate verbal and written information. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.