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Study protocol for a randomized controlled trial of a self-determination theory-based psychoeducational intervention to enhance autonomous motivation for exercise in female university students

García-Merino S, Ruiz-Bravo P, Díaz Ureña G

PloS one, 2026

Abstract

Physical inactivity, maladaptive exercise motives, and body image concerns are highly prevalent among young adult women and are associated with reduced psychological well-being and increased risk for disordered eating. Although previous interventions have addressed physical activity or body image separately, few have simultaneously targeted motivational quality and body-related perceptions within an integrated theoretical framework. This study protocol describes a randomized controlled trial designed to evaluate the effectiveness of a psychoeducational intervention based on Self-Determination Theory and using functionality-oriented body image strategies. The aim is to enhance autonomous motivation for exercise and improve psychological well-being among female university students in Health Sciences. Participants aged 18-25 years will be randomly allocated (1:1) to an experimental group or a wait-list control group following baseline assessment. Outcome measures will be collected at baseline (T0), post-intervention (T1), and six-month follow-up (T2). The intervention consists of six face-to-face group sessions that include autonomy-supportive strategies, competence-building activities, and functionality-based body image content emphasizing body capabilities rather than appearance. The primary outcome is autonomous motivation for exercise, assessed using the Behavioral Regulation in Exercise Questionnaire-3 and operationalized through the Relative Autonomy Index at six-month…

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

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