Is there something beyond stages of change in the transtheoretical model? The state of art for physical activity.

2018 ◽  
Vol 50 (1) ◽  
pp. 42-53 ◽  
Author(s):  
Ahmed Jérôme Romain ◽  
Johan Caudroit ◽  
Marie Hokayem ◽  
Paquito Bernard
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
The State ◽  
State Of Art

Using “Stages of Behavioral Change” Constructs to Measure the Short-Term Effects of a Worksite-Based Intervention to Increase Moderate Physical Activity

1998 ◽  
Vol 82 (2) ◽  
pp. 615-618 ◽  
Author(s):  
Galen Cole ◽  
Sharon Hammond ◽  
Bruce Leonard ◽  
Fred Fridinger
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Moderate Physical Activity ◽  
Short Term ◽  
Incentive Program ◽  
Maintenance Stage ◽  
Before And After ◽  
Change Concept ◽  
Short Term Effects

We evaluated a three-level incentive program to promote regular, moderate physical activity among employees working in a federal agency. The objective was to assess the short-term effects of the intervention by examining the stages people go through as they attempt to make permanent changes in physical activity. Indicators of the process by which changes in physical activity take place were based on a modified version of the Transtheoretical Model of Behavior. A one-group pretest/posttest design was used to ascertain which of the stages the 1,192 participants were in both before and after the intervention. Analysis indicated that, of the 1,192 participants, 6.5% regressed one or more stages, 30.3% did not regress or progress from one stage to another, 27.7% remained in the maintenance stage, and 35.4% progressed one (21.1%) or more (14.3%) stages during the 50-day intervention. Among those who progressed, the most common change was from preparation to late preparation (20.8%) and from late preparation to action (19.4%). Findings reinforce the notion that the stages of change concept can serve as indicators of the change process which, in turn, can be used as evidence of the short-term effectiveness of interventions. Findings also indicate this type of intervention holds promise for increasing physical activity among willing participants of a worksite population.

Psychosocial Determinants of Stages of Change and Physical Activity among Adults with Physical Disabilities

2006 ◽  
Vol 23 (1) ◽  
pp. 49-64 ◽  
Author(s):  
Maria Kosma ◽  
Rebecca Ellis Gardner ◽  
Bradley J. Cardinal ◽  
Jeremy J. Bauer ◽  
Jeffrey A. McCubbin
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Cognitive Processes ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Physical Disabilities ◽  
Self Report ◽  
Processes Of Change ◽  
Assessment Methodology ◽  
Web Based

A high proportion of individuals with disabilities remain physically inactive. Therefore, this study (web-based survey) investigated the relationships between the Transtheoretical Model (TTM) and physical activity among 224 adults with physical disabilities (M age = 45.4 years, SD = 10.78, females = 71%). Additionally, the most important TTM predictors of the stages of change and physical activity were examined. Standardized self-report scales of the TTM constructs and physical activity were completed. The study findings supported the theorized relationships between the TTM constructs and physical activity. The behavioral and cognitive processes of change distinguished the stages of change. These two constructs and self-efficacy mostly predicted physical activity (R2total = .18). The assessment methodology of the TTM constructs needs to be revisited.

scholarly journals Transtheoretical Model for Physical Activity in Older Adults: Systematic Review

2020 ◽  
Vol 17 (24) ◽  
pp. 9262 ◽  
Author(s):  
Fabio Jiménez-Zazo ◽  
Cristina Romero-Blanco ◽  
Nuria Castro-Lemus ◽  
Alberto Dorado-Suárez ◽  
Susana Aznar
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Healthy Aging ◽  
Decisional Balance ◽  
Flow Diagram ◽  
Cross Sectional ◽  
Behavioral Theories ◽  
Quasi Experimental

Healthy aging makes the practice of physical activity (PA) a necessity. However, PA guidelines achievement in older adults is scarce. The use of behavioral theories such as Transtheoretical Model (TTM), helps in older adults PA promotion. The aim of this review was to identify the use of TTM for PA in older adults (>60 years). PubMed, SPORTdiscus, and Medline databases were used to conduct the search. All steps of the process followed the recommendations of the PRISMA flow-diagram. We identified eight studies: Six were descriptive cross-sectional studies, one prospective-cohort study and one with a quasi-experimental design. Only two papers evaluated the four behavior change dimensions within the same study, three evaluated the processes of change and the decisional balance, four evaluated the exercise self-efficacy and all assessed the stages of change for PA behavior. From this review, we can conclude that TTM is a useful and suitable behavior model in creating, developing, and evaluating interventions with the aim of acquiring and improving PA habits in the older adults. However, there is paucity of research in this area, and more studies including the four behavioral change dimensions are needed to analyze the effect of TTM on the promotion of PA in the older adults.

Prediction of Physical Activity Level Using Processes of Change From the Transtheoretical Model: Experiential, Behavioral, or an Interaction Effect?

2017 ◽  
Vol 32 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Ahmed Jérôme Romain ◽  
Caroline Horwath ◽  
Paquito Bernard
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Processes Of Change ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Multiple Regression Models ◽  
Activity Questionnaire

Purpose: The purpose of the present study was to compare prediction of physical activity (PA) by experiential or behavioral processes of change (POCs) or an interaction between both types of processes. Design: A cross-sectional study. Setting: This study was conducted using an online questionnaire. Participants: A total of 394 participants (244 women, 150 men), with a mean age of 35.12 ± 12.04 years and a mean body mass index of 22.97 ± 4.25 kg/m2 were included. Measures: Participants completed the Processes of Change, Stages of Change questionnaires, and the International Physical Activity Questionnaire to evaluate self-reported PA level (total, vigorous, and moderate PA). Analysis: Hierarchical multiple regression models were used to test the prediction of PA level. Results: For both total PA (β = .261; P < .001) and vigorous PA (β = .297; P < .001), only behavioral POCs were a significant predictor. Regarding moderate PA, only the interaction between experiential and behavioral POCs was a significant predictor (β = .123; P = .017). Conclusion: Our results provide confirmation that behavioral processes are most prominent in PA behavior. Nevertheless, it is of interest to note that the interaction between experiential and behavioral POCs was the only element predicting moderate PA level. Experiential processes were not associated with PA level.

scholarly journals Stages of Change Model for Participation in Physical Activity during Pregnancy

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Lene Annette Hagen Haakstad ◽  
Nanna Voldner ◽  
Kari Bø
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Readiness To Change ◽  
Exercise Program ◽  
Activity Level ◽  
University Hospital ◽  
Pelvic Girdle Pain ◽  
Physically Active ◽  
Stage 4

Background. The transtheoretical model (TTM) has been successful in promoting health behavioral change in the general population. However, there is a scant knowledge about physical activity in relation to the TTM during pregnancy. Hence, the aims of the present study were (1) to assess readiness to become or stay physically active according to the TTM and (2) to compare background and health variables across the TTM.Methods. Healthy pregnant women (n=467) were allocated to the study from Oslo University Hospital, Norway. The participants filled in a validated self-administered questionnaire, physical activity pregnancy questionnaire (PAPQ) in gestation, weeks 32–36. The questionnaire contained 53 questions with one particular question addressing the TTM and the five stages: (1) precontemplation stage, (2) contemplation stage, (3) preparation stage, (4) action stage, and (5) maintenance stage.Results. More than half of the participants (53%) were involved in regular exercise (stages 4-5); however, only six specified that they had recently started an exercise program (stage 4). About 33% reported engaging in some physical activity, but not regularly (stage 3). The results showed that receiving advice from health professionals to exercise during pregnancy increased the likeliness of being in stages 4-5, while higher age, multiparity, pregravid overweight, unhealthy eating habits, pelvic girdle pain, and urinary incontinence were more prevalent with low readiness to change exercise habits (stages 1–3).Conclusion. According to the TTM, more than half of the participants reported to be physically active. Moreover, most of the participants classified as inactive showed a high motivational readiness or intention to increase their physical activity level. Hence, pregnancy may be a window of opportunity for the establishment of long-term physical activity habits.

Are Women Ready to Prevent Osteoporosis? Change Stages for Preventive Behaviors

2021 ◽  
pp. 109019812199302
Author(s):  
Patricia Clark ◽  
Pilar Lavielle
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Calcium Intake ◽  
Readiness To Change ◽  
Preventive Behaviors ◽  
Negative Attitudes ◽  
Large Cities ◽  
History Of

Objective Evaluate the prevention behaviors for osteoporosis (OP) in women (physical activity and calcium intake) and their readiness to perform these behaviors. Method Women aged ≥30 years in four large cities of Mexico were interviewed. The geographical areas were selected randomly and stratified according to socioeconomic status and age. A questionnaire designed to assess OP-related prevention behaviors, as well as attitudes and stages of change of the transtheoretical model toward these behaviors, was used. Results Eight hundred and six women were interviewed: 4.2% reported diagnosis of osteopenia, 5% of OP, 2.3% had suffered a fracture, and 11.9% had a family history of OP. A large proportion of participants did not do physical activity (56.2%) and did not have the recommended intake of calcium (61.3%). More than 80% of these participants were in lower stages of change (precontemplation and contemplation) for performing physical activity and 86.4% for calcium intake, which means a lack of readiness to change their behaviors. The absence of readiness to change preventive behaviors was related to negative attitudes toward both behaviors ( OR = 1.81, 95% CI [1.04, 3.14] physical activity; OR = 3.09, 95% CI [1.81, 5.29] calcium intake). Both of these behaviors were associated with known risk factors for OP. Conclusion Very high percentage of women are not ready to perform the behaviors necessary to maintain bone health. This phenomenon was not as a result of clinical risk factors for OP but because of the negative attitudes and beliefs of women related to physical activity and calcium intake.

A Needs Assessment for Physical Activity Programming Based on the Transtheoretical Model

2018 ◽  
Vol 42 (2) ◽  
pp. 202-216 ◽  
Author(s):  
Shannon Mettling ◽  
Jung-Min Lee ◽  
Ashley Blount ◽  
Danae Dinkel
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Normal Weight ◽  
Campus Recreation ◽  
Muscle Strengthening ◽  
Midwestern University ◽  
Similar Survey ◽  
Recreation Professionals ◽  
Physical Activity Programming

The purpose of this study was to (a) examine differences between type of physical activity (PA), college, gender, and body mass index (BMI); and (b) explore the needs of college students in regard to PA programming using the Transtheoretical Model (TTM). Students at a Midwestern university completed a PA programming questionnaire and the Stages of Change questionnaire. After exclusions, 535 questionnaires were analyzed. Of those surveyed, 45.6% met aerobic PA guidelines, 38.5% met muscle-strengthening guidelines, half of the students were of normal weight, and the other half were overweight or obese. Males participated in more PA than females in both categories. The greatest percentage of students were in the maintenance stage of the TTM (38.1%). In regard to PA programming, the largest percentage of students wanted more variety in times and styles for cardio and strength classes. Future campus recreation professionals could consider utilizing a similar survey to identify demographics and stage of change to better design PA programs.

Construct Validity of the Stages of Change of Exercise Adoption for Different Intensities of Physical Activity in Four Samples of Differing Age Groups

2002 ◽  
Vol 16 (5) ◽  
pp. 280-287 ◽  
Author(s):  
Anja Schumann ◽  
Claudio R. Nigg ◽  
Joseph S. Rossi ◽  
Patricia J. Jordan ◽  
Gregory J. Norman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Construct Validity ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Age Groups ◽  
Secondary Analysis ◽  
Correlation Coefficients ◽  
Assessment Instrument ◽  
Strenuous Exercise ◽  
Bivariate Correlation

Purpose. To examine whether the stages of change of exercise adoption appropriately address strenuous, moderate, and mild intensities of physical activity. Design and Setting. Secondary analysis of four data sets investigating transtheoretical model (TTM) constructs for exercise adoption. Subjects. Four samples of differing age groups (adolescents, n = 400; college students, n = 240; adults, n = 346; seniors, n = 504). Measures. Stage of change algorithm for exercise adoption and self-reported physical activity. Results. Multivariate analysis of variance (MANOVA) results showed that stages of change were distinguished by strenuous and moderate but not mild exercise in the adolescent, college student, and adult sample. In the senior sample, stage differences were found in the frequency of exercising (equivalent for moderate to strenuous exercise) and the frequency of walking (equivalent for mild exercise). Bivariate correlation coefficients as well as sensitivity, specificity, and related quality indices decreased respectively from strenuous to moderate to mild exercise and from exercising to walking. Conclusions. Results provide additional support for the construct validity of the stages of change for strenuous and moderate intensities of physical activity. Development of a new stage assessment instrument for mild intensities of physical activity is recommended. Limitations include use of a different validation measure of exercise behavior in the senior sample.

Sign in / Sign up

Export Citation Format

Share Document