Exercise Behavior in Older Adults: A Test of the Transtheoretical Model

2007 ◽  
Vol 15 (1) ◽  
pp. 103-118 ◽  
Author(s):  
Corjena Cheung ◽  
Jean Wyman ◽  
Cynthia Gross ◽  
Jennifer Peters ◽  
Mary Findorff ◽  
...  
Keyword(s):  
Older Adults ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Decisional Balance ◽  
Community Dwelling ◽  
Exercise Behavior ◽  
Processes Of Change ◽  
Walking Behavior ◽  
Walking Program ◽  
Pros And Cons

The transtheoretical model (TTM) was developed as a guide for understanding behavior change. Little attention has been given, however, to the appropriateness of the TTM for explaining the adoption of exercise behavior in older adults. The purposes of this study were to determine the reliability of the TTM instruments and validate TTM predictions in 86 community-dwelling older adults (mean age 75.1 ± 7.0 years, 87% women) who were participants in a 16-week walking program. TTM construct scales—self-efficacy, decisional balance (pros and cons), and processes of change (behavioral and cognitive)—were generally reliable (all α > .78). Behavioral processes of change increased from baseline to follow-up, but pros, cons, and cognitive processes did not change among participants who became regular exercisers. Stage of change did not predict exercise adoption, but baseline self-efficacy predicted walking behavior. These results lend partial support to the TTM in predicting exercise behavior.

An Examination of the Transtheoretical Model and Exercise Behavior in Older Adults

1995 ◽  
Vol 17 (3) ◽  
pp. 312-324 ◽  
Author(s):  
Trish Gorely ◽  
Sandy Gordon
Keyword(s):  
Behavior Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Age Groups ◽  
Decisional Balance ◽  
Exercise Behavior ◽  
Processes Of Change ◽  
Pros And Cons ◽  
The Relationship

This study examined the structure of the transtheoretical model (TM) in exercise behavior change among adults age 50–65 years (n = 583). The purpose was to examine the relationship between stage of change and the constructs of processes of change, self-efficacy, and decisional balance. The results showed that 5 of the 10 processes of change, self-efficacy, and both pros and cons make significant and unique contributions to discrimination between the stages. Specifically, the use of the processes of change was shown to fluctuate across the stages, self-efficacy was shown to increase from precontemplation to maintenance, and the balance between pros and cons was shown to change from precontemplation to maintenance. The similarity of these results to previous literature suggests that the process of behavior change hypothesized within the TM holds across different age groups and cultures. Several implications for intervention design and suggestions for further research are discussed.

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.

Exercise Behavior among New Zealand Adolescents: A Test of the Transtheoretical Model

2006 ◽  
Vol 18 (3) ◽  
pp. 351-363 ◽  
Author(s):  
Ralph Maddison ◽  
Harry Prapavessis
Keyword(s):  
New Zealand ◽  
Transtheoretical Model ◽  
Stage Of Change ◽  
Decisional Balance ◽  
Exercise Behavior ◽  
Change Processes ◽  
Processes Of Change ◽  
Reciprocal Relationships ◽  
Adolescent Population ◽  
Time Periods

The purpose of this study was to examine whether variables in the Transtheoretical Model (TTM) acted more as predictors than as consequences of exercise behavior (stage of change). Students from 13 New Zealand high schools (N = 1,434) completed questionnaires corresponding to variables in the TTM (i.e., stage of exercise change, processes of change, self-efficacy, and decisional balance) at two time periods separated by 6 months. Reciprocal relationships were found between exercise behavior and the TTM variables. The TTM might be a useful framework for understanding longitudinal exercise behavior in the adolescent population.

scholarly journals Application of the Transtheoretical Model to Fruit and Vegetable Consumption among Economically Disadvantaged African-American Adolescents: Preliminary Findings

2006 ◽  
Vol 20 (5) ◽  
pp. 342-348 ◽  
Author(s):  
Jennifer Di Noia ◽  
Steven P. Schinke ◽  
James O. Prochaska ◽  
Isobel R. Contento
Keyword(s):  
African American ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Economically Disadvantaged ◽  
Vegetable Consumption ◽  
African American Adolescents ◽  
Decisional Balance ◽  
Fruit And Vegetable Consumption ◽  
Processes Of Change ◽  
Fruit And Vegetable

Purpose. To examine the application of the transtheoretical model (TTM) to fruit and vegetable consumption among economically disadvantaged African-American adolescents. Methods. Scales for measuring decisional balance, situational self-efficacy, and processes of change for fruit and vegetable consumption were developed and pretested with 57 economically disadvantaged African-American adolescents. The scales and measures for assessing stages of change, demographic variables, and fruit and vegetable consumption were administered to a separate sample of 262 participants. t-tests for independent samples and analysis of variance were used to examine differences in TTM variables and fruit and vegetable consumption across stages of change. Results. Two-factor solutions for decisional balance and processes of change and a three-factor solution for situational self-efficacy provided the best fit to the data. Alpha coefficients of reliability for the scales ranged from .77 (experiential change processes) to .91 (pros). Participants in action-maintenance stages evidenced higher pros, self-efficacy, and fruit and vegetable consumption and significantly lower cons than did participants in precontemplation and contemplation-preparation stages. Also, participants in action-maintenance stages used processes of change more frequently than did those in precontemplation-contemplation-preparation stages. The use of experiential and behavioral processes within these stages did not differ significantly, as posited. Discussion. Observed differences in TTM variables and fruit and vegetable consumption by stage of change in this sample of economically disadvantaged African-American adolescents were consistent with theory and previous applications of the model to fruit and vegetable consumption in adults. With replication studies, the TTM may be appropriate for designing interventions to increase fruit and vegetable consumption among this population.

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.

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.

The Transtheoretical Model and Study Skills

2007 ◽  
Vol 24 (2) ◽  
pp. 99-113 ◽  
Author(s):  
Anthony M. Grant ◽  
John Franklin
Keyword(s):  
Transtheoretical Model ◽  
Self Efficacy ◽  
Study Skills ◽  
Performance Enhancement ◽  
Readiness To Change ◽  
Empirical Support ◽  
Study Strategies ◽  
Decisional Balance ◽  
Academic Settings ◽  
Pros And Cons

AbstractThere is empirical support for the transtheoretical model (TTM) of change within the health and psychopathology-related areas, but relatively little research into its applicability in relation to academic settings. The aim of the study was to investigate whether the TTM is applicable to the adoption of improved study skills. Participants were 148 first-year university students. A 2-factor (pros and cons) study-related decisional balance measure was developed and participants completed questionaries assessing their readiness to change, self-efficacy, study strategies and decisional balance. Decisional balance pros and cons were as predicted by the TTM. Cons were higher than pros in precontemplation and pros were higher than cons in maintenance. Self-efficacy increased from contemplation through to maintenance, and students in action and maintenance showed an increase in the use of deep achieving study strategies and a decrease in the use of surface strategies. The data provides initial support for the applicability of the TTM to academic performance enhancement. The TTM may be a useful psycho-educational tool that can facilitate the adoption of improved study strategies through coaching.

Feasibility of a Minimal Contact Intervention to Promote Walking among Insufficiently Active Women

2005 ◽  
Vol 20 (1) ◽  
pp. 2-6 ◽  
Author(s):  
Mary K. Dinger ◽  
Kristiann C. Heesch ◽  
Kristi R. McClary
Keyword(s):  
Transtheoretical Model ◽  
Self Efficacy ◽  
Low Cost ◽  
Preliminary Evidence ◽  
Processes Of Change ◽  
Rank Tests ◽  
Walking Behavior ◽  
Signed Rank ◽  
Minimal Contact ◽  
The Impact

Purpose. To examine the impact of a 6-week minimal contact intervention on walking behavior, the 10 processes of change of the transtheoretical model (TTM), and self-efficacy among insufficiently active women. Methods. This study used a pre-experimental design. Of the 43 women who began the study, 36 (84%) completed questionnaires at baseline and postintervention. They were given brochures and pedometers and were sent e-mails that contained messages designed to positively affect TTM constructs. Changes in time spent walking, use of the 10 processes of change, and self-efficacy were analyzed using Wilcoxon signed rank tests and paired t-tests. Results. Participants significantly increased their total walking minutes (p = .001) and use of counterconditioning, dramatic relief, reinforcement management, self-liberation, stimulus control, and social liberation (p < .05). Discussion. The findings of this feasibility study provide preliminary evidence that this theoretically based, minimal contact lifestyle intervention may be an effective, low-cost approach to increase walking among insufficiently active women.

CHANGES IN SELF-EFFICACY AND DECISIONAL BALANCE FOLLOWING AN INTERVENTION TO INCREASE CONSUMPTION OF CALCIUM-RICH FOODS

2006 ◽  
Vol 34 (8) ◽  
pp. 1007-1016
Author(s):  
Kambiz Karimzadeh Shirazi ◽  
Shamsaddin Niknami ◽  
Louise Wallace ◽  
Alireza Hidarnia ◽  
Elaheh Rahimi ◽  
...  
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Decisional Balance ◽  
Control Group ◽  
Pros And Cons ◽  
Randomized Control ◽  
Group Self ◽  
Experimental Group ◽  
Control Study

In this randomized control study the changes in Transtheoretical Model (TTM; Prochaska & DiClemente, 1983) constructs (Self-Efficacy, Decisional Balance) after a tailored stage-based education program to increase calcium consumption in 40–65-year-old women were investigated. Postintervention, significantly more of the experimental group in comparison to the control group improved their calcium consumption stage of change. In the experimental group self-efficacy and pros of calcium consumption increased and cons decreased for those who had positive progression in stages of change but these constructs remained unchanged in individuals in the control group. The tailored education based on the TTM is an effective method of assisting women to progress through the calcium-rich foods consumption stages of change and can cause more actualized results for self-efficacy, pros and cons in the manner predicted by TTM.

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