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.

Psychosocial Factors of Stages of Change Among Adults With Intellectual Disabilities

2011 ◽  
Vol 49 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Sharon Hsu ◽  
Bo Fernhall ◽  
Stanley Sai Chuen Hui ◽  
James Halle
Keyword(s):  
Intellectual Disabilities ◽  
Stages Of Change ◽  
Cognitive Processes ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Function Analysis ◽  
Processes Of Change ◽  
Linear Pattern ◽  
Self Reports ◽  
Adults With Intellectual Disabilities

Abstract Relationships among full constructs of the transtheoretical model using a sample of 121 adults with mild intellectual disabilities in Taiwan were examined. Self-reports of stages of change and transtheoretical model psychosocial measures were gathered through interviews. Although MANCOVA revealed that behavioral processes of change, cognitive processes of change, self-efficacy, and perceived pros increased across stages, we did not find a clear linear pattern of association. Direct discriminant function analysis indicated that the most important predictors of stages of change were behavioral processes, cognitive processes, and self-efficacy. The overall stage of change classification accuracy using transtheoretical model psychosocial constructs was 56.2%. Psychosocial measures specifically developed for this population should be further explored.

Educational Intervention Enhances Consumers' Readiness To Adopt Food Thermometer Use When Cooking Small Cuts of Meat: An Application of the Transtheoretical Model

2005 ◽  
Vol 68 (9) ◽  
pp. 1874-1883 ◽  
Author(s):  
MASAMI T. TAKEUCHI ◽  
MIRIAM EDLEFSEN ◽  
SANDRA M. McCURDY ◽  
VIRGINIA N. HILLERS
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Intervention Program ◽  
Decisional Balance ◽  
Processes Of Change ◽  
Safety Risks ◽  
Raising Awareness ◽  
Readiness To Adopt ◽  
Educational Campaigns

An intervention to promote use of food thermometers when cooking small cuts of meat was conducted using the Transtheoretical Model. Objectives were to (i) increase use of food thermometers by home food preparers, (ii) improve consumers' attitudes regarding use of a food thermometer, and (iii) examine relationships between stages of change and decisional balance, self-efficacy, and processes of change. A randomly selected group of residents of Washington and Idaho (n = 2,500) were invited to participate in the research; 295 persons completed all phases of the multistep intervention. Following the intervention program, there was a significant increase in food thermometer use when cooking small cuts of meat (P < 0.01); those persons classified in action and maintenance stages increased from 9 to 34%. Ownership of thermometers also significantly increased (P < 0.05). The three constructs related to the Transtheoretical Model that were used in the study (decisional balance, self-efficacy, and processes of change) were very useful for examining differences among people at different stages of change because the responses for each set of questions differed positively and significantly (P < 0.01) as stages of change classifications advanced from precontemplation (no interest in thermometer use) to action and maintenance (individuals who use food thermometers). Additional educational campaigns designed to increase use of food thermometers are needed. Because most consumers are currently in the precontemplation stage, food thermometer campaigns will be most effective when they are focused on raising awareness of the food safety risks and the benefits of using food thermometers when cooking small cuts of meat.

scholarly journals On the use of the Trans-Theoretical Model for Blood Donation among Spanish Adults

2019 ◽  
Author(s):  
Lamyae Sardi ◽  
Ali Idri ◽  
Juan Manuel Carrillo de Gea ◽  
Ángel Toval ◽  
José Luis Fernández-Alemán
Keyword(s):  
Theoretical Model ◽  
Behaviour Change ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Blood Donation ◽  
Decisional Balance ◽  
Self Report ◽  
Processes Of Change ◽  
Cross Sectional Survey ◽  
Trans Theoretical Model

Abstract Background Relying solely on altruistic appeals may fail to fulfil the increasing demand for blood supplies. Current research has largely been attempted to determine and understand motives that serve as blood donation drivers. The Trans-Theoretical Model of behaviour change (TTM) can be used to conceptualise the process of intentional blood donation behaviour. Methods A cross sectional survey of Spanish adults was conducted. The final sample consisted of 504 individuals who were administered a self-report questionnaire including the measures of demographic characteristics, Stages of Change, Processes of Change, Self-efficacy and Decisional Balance. Data were analysed by frequency analysis, MANOVA/ANOVA and correlation analysis. Results Findings indicated that most of the behavioural and cognitive processes of change, self-efficacy and physical cons differentiated participants across the stages of change of blood donation. In contrast, eligibility cons and pros were less influential in stage transitions. Furthermore, significant correlations were observed between TTM constructs except for the physical cons and the processes of change. Conclusions The present study extensively supports and replicates the applicability of the TTM to blood donation behaviour change and offers important implications for the development of effective stage-matched interventions to increase blood donation.

Application of the Transtheoretical Model to Physical Activity in Deaf Individuals

2015 ◽  
Vol 32 (3) ◽  
pp. 223-240 ◽  
Author(s):  
Stefania Korologou ◽  
Vassilis Barkoukis ◽  
Lambros Lazuras ◽  
Haralambos Tsorbatzoudis
Keyword(s):  
Physical Activity ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Physical Activity Intervention ◽  
Decisional Balance ◽  
The Other ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Processes Of Change ◽  
Preparation Stage

The current study used the transtheoretical model (TTM) as a guiding theoretical framework to assess differences in processes of change, decisional balance, and self-efficacy among deaf individuals with different levels of physical activity. Overall, 146 participants (M age = 26.4 yr, SD = 4.28) completed anonymous questionnaires assessing the dimensions of the TTM, stages of change, processes of change, decisional balance, and self-efficacy. Analysis of variance showed that both experiential and behavioral processes of change were higher in the preparation, action, and maintenance stages than in the other stages. Accordingly, the benefits of physical activity participation were stronger in the preparation stage, whereas the costs were more evident in the precontemplation stage. Finally, self-efficacy at the preparation stage was higher than in the other stages. The findings revealed how different stages of physical activity participation can be explained through the TTM, and the implications for physical activity intervention are discussed.

Does Physical Activity Behavior Vary by Handedness?

2005 ◽  
Vol 19 (6) ◽  
pp. 397-400 ◽  
Author(s):  
Bradley J. Cardinal
Keyword(s):  
Physical Activity ◽  
Behavior Change ◽  
Cognitive Processes ◽  
Transtheoretical Model ◽  
Physical Activity Behavior ◽  
Decisional Balance ◽  
Processes Of Change ◽  
Change Strategies ◽  
Activity Behavior ◽  
Physical Activity Behavior Change

Purpose. Explore whether adults' physical activity behavior or their use of physical activity behavior-change strategies, as derived from the Transtheoretical Model, differed by handedness. Methods. A cross-sectional survey of 151 adults' hand preference (i.e., handedness: right, left, ambidextrous) and their use of the behavioral and cognitive processes of change, decisional balance scores (i.e., pros minus cons), self-efficacy, and their stage of change for physical activity involvement. Results. Left-handers showed significantly less use of the behavioral and cognitive processes of change compared to right-handers (M = 46.9 vs. M = 40.5 and M = 46.9 vs. M = 40.5, respectively). Left-handers were also significantly more likely to be in the earlier (i.e., inactive or irregularly active) stages of change relative to right-handers (84.6% vs. 48.1%, respectively). Discussion. Handedness may be a previously unrecognized, heritable correlate of physical activity behavior and the use of physical activity behavior-change strategies.

scholarly journals Predictive Value of the Transtheoretical Model to Smoking Cessation in Hospitalized Patients with Cardiovascular Disease

2007 ◽  
Vol 30 (3) ◽  
pp. 35
Author(s):  
Maud-Christine Chouinard ◽  
Sylvie Robichaud-Ekstrand
Keyword(s):  
Cardiovascular Disease ◽  
Smoking Cessation ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Predictive Value ◽  
Self Efficacy ◽  
Hospitalized Patients ◽  
Processes Of Change ◽  
Smoking Abstinence ◽  
Pros And Cons

Background: Several authors have questioned the Transtheoretical Model (TTM). Determining the predictive value of each cognitive-behavioural element within this model could explain the successes reported in smoking cessation programs. The purpose of this study was to predict point-prevalent smoking abstinence and progression through stages of change at 2 and 6 months, using the constructs of the TTM, when applied to a pooled sample of individuals who were hospitalized for a cardiovascular event. Methods: In a predictive correlation design, recently hospitalized patients (N = 168) with cardiovascular disease (CVD) were pooled from a randomized controlled trial. Independent variables of the predictive TTM comprise stages and processes of change, pros and cons to quit smoking (decisional balance), self-efficacy, and social support. These were evaluated at baseline, 2 and 6 months. Results: Compared with smokers, individuals who abstained from smoking at 2 and 6 months were more confident at baseline to remain non-smokers, perceived less pros and cons to continue smoking, utilized less consciousness raising and self-reevaluation experiential processes of change, and received more positive reinforcement from their social network with regard to their smoke-free behaviour. Self-efficacy at baseline was the only element which predicted that patients would progress through the stages of change between hospital discharge and 6 months. Conclusions: Self-efficacy was the only element which predicted smoking abstinence and progression through stages of change. Observations about the other elements are congruent with the TTM. This study provides important information regarding the application of the TTM to smoking cessation in CVD patients.

scholarly journals Applying trans-theoretical model for blood donation among Spanish adults: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lamyae Sardi ◽  
Ali Idri ◽  
Juan Manuel Carrillo de Gea ◽  
Ángel Toval ◽  
José Luis Fernández-Alemán
Keyword(s):  
Theoretical Model ◽  
Behaviour Change ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Blood Donation ◽  
Decisional Balance ◽  
Self Report ◽  
Processes Of Change ◽  
Cross Sectional ◽  
Trans Theoretical Model

Abstract Background Relying solely on altruistic appeals may fail to fulfil the increasing demand for blood supplies. Current research has largely been attempted to determine and understand motives that serve as blood donation drivers. The Trans-Theoretical Model of behaviour change (TTM) can be used to conceptualise the process of intentional blood donation behaviour. Methods A cross sectional survey of Spanish adults was conducted. The final sample consisted of 504 individuals who were administered a self-report questionnaire including the measures of demographic characteristics, Stages of Change, Processes of Change, Self-efficacy and Decisional Balance. Data were analysed by frequency analysis, MANOVA/ANOVA and correlation analysis. Results Findings indicated that most of the behavioural and cognitive processes of change, self-efficacy and physical cons differentiated participants across the stages of change of blood donation. In contrast, eligibility cons and pros were less influential in stage transitions. Furthermore, significant correlations were observed between TTM constructs except for the physical cons and the processes of change. Conclusions The present study extensively supports and replicates the applicability of the TTM to blood donation behaviour change and offers important implications for the development of effective stage-matched interventions to increase blood donation.

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 On the use of the Trans-Theoretical Model for Blood Donation among Spanish Adults

2019 ◽  
Author(s):  
Lamyae Sardi ◽  
Ali Idri ◽  
Juan Manuel Carrillo de Gea ◽  
Ángel Toval ◽  
José Luis Fernández-Alemán
Keyword(s):  
Theoretical Model ◽  
Behaviour Change ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Blood Donation ◽  
Decisional Balance ◽  
Self Report ◽  
Processes Of Change ◽  
Cross Sectional Survey ◽  
Trans Theoretical Model

Abstract Background Relying solely on altruistic appeals may fail to fulfil the increasing demand for blood supplies. Current research has largely been attempted to determine and understand motives that serve as blood donation drivers. The Trans-Theoretical Model of behaviour change (TTM) can be used to conceptualise the process of intentional blood donation behaviour.Methods A cross sectional survey of Spanish adults was conducted. The final sample consisted of 504 individuals who were administered a self-report questionnaire including the measures of demographic characteristics, Stages of Change, Processes of Change, Self-efficacy and Decisional Balance. Data were analysed by frequency analysis, MANOVA/ANOVA and correlation analysis. Results Findings indicated that most of the behavioural and cognitive processes of change, self-efficacy and physical cons differentiated participants across the stages of change of blood donation. In contrast, eligibility cons and pros were less influential in stage transitions. Furthermore, significant correlations were observed between TTM constructs except for the physical cons and the processes of change. Conclusions The present study extensively supports and replicates the applicability of the TTM to blood donation behaviour change and offers important implications for the development of effective stage-matched interventions to increase blood donation.

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