ORIGINAL RESEARCH article
Front. Psychol.
Sec. Sport Psychology
This article is part of the Research TopicMotivations For Physical Activity - Volume VView all 12 articles
The Relationship between the Motivation for Physical Activity and the Level of Physical Activity among Medical College Students: Based on the Mediating Effect of Exercise Self-Efficacy and the Moderating Effect of Kinesiophobia Level
Provisionally accepted
Jiahe Pan1
Xin Cao2
Fu Li1Ruiquan Wu1Zhiyi Rong1Jing Tao2Qinging Miao3Yusai Fu4
Xiang Zhan1
Wei-wei Tang1*- 1Nanjing Medical University, Nanjing, China
- 2Nantong University, Nantong, China
- 3Nantong First People's Hospital, Nantong, China
- 4Kangda College of Nanjing Medical University, Lianyungang, China
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Background:In modern society, health issues have gained increasing attention. Physical activity, a key factor in health maintenance, is vital for college students. As future healthcare professionals, medical students' health impacts both their academic development and future professional performance. Therefore, studying their physical activity patterns is crucial for enhancing their health. Methods:A stratified random sampling method was used to conduct a questionnaire survey among medical college students in three universities in Jiangsu Province. The questionnaire included sociodemographic information, the revised version of the Motives for Physical Activities Measure (MPAM-R), the Exercise Self-Efficacy Scale (SEE), the Kinesiophobia Causation Scale (KCS), and the short form of the International Physical Activity Questionnaire (IPAQ). Results:There was a positive correlation between college students' physical activity motivation and physical activity level (r = 0.201, p < 0.01). Exercise self-efficacy played a partial mediating role between physical activity motivation and physical activity level, and the mediating effect accounted for 10.732% of the total effect. The kinesiophobia level could moderate the direct path of the mediation model. Conclusion:The motivation for physical activity has a significant positive predictive effect on the level of physical activity. Exercise self-efficacy plays a partial mediating role in this relationship, and this mediation is moderated by the kinesiophobia level. Therefore, improving exercise self-efficacy and reducing the kinesiophobia level are effective ways to enhance the physical activity level of college students. It is recommended to attach great importance to this and take corresponding intervention measures.
Keywords: college students, exercise self-efficacy, Kinesiophobia, Physical activity level, Physical activity motivation
Received: 02 Dec 2025; Accepted: 16 Feb 2026.
Copyright: © 2026 Pan, Cao, Li, Wu, Rong, Tao, Miao, Fu, Zhan and Tang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wei-wei Tang
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