The Transtheoretical Model: An Exploratory Look at Its Applicability to Injury Rehabilitation

2008 ◽  
Vol 17 (3) ◽  
pp. 269-282 ◽  
Author(s):  
Damien Clement
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Statistical Significance ◽  
Division I ◽  
Processes Of Change ◽  
Injury Rehabilitation ◽  
Significant Relationships ◽  
Type Design ◽  
The Impact ◽  
Injured Athletes

Context:The transtheoretical model has been widely used in the investigation of how people adapt to new behaviors; however, the literature appears to be lacking documentation of any assessment/s administered to injured athletes to determine their readiness for rehabilitation, which depending on the severity of the injury, could possibly represent a behavior change for that individual.Objective:To validate the application of the transtheoretical model to injury rehabilitation and assess the impact of stages of change on athletes’ adherence and compliance rates.Design:Descriptive correlational.Setting:Large Mid Atlantic Division I institution.Participants:Seventy injured athletes.Main Outcome Measures:Readiness was assessed using the Transtheoretical Model. Adherence was assessed using the percentage of rehabilitation attendance and compliance was assessed using the Sport Injury Rehabilitation Scale.Results:Participants who were advanced in their stages of change generally reported an increase in self efficacy, utilization of pros versus cons, and the use of behavioral processes instead of experiential processes of change. No significant relationships were found between stages of change and athletes’ adherence and compliance.Conclusion:Although no statistical significance was found between stages of change and adherence and compliance the results did validate the application of the transtheoretical model to injury rehabilitation.

scholarly journals The profile of client's readiness for change and preference to typical processes of change

Psihologija ◽  
2004 ◽  
Vol 37 (1) ◽  
pp. 89-108 ◽  
Author(s):  
Vesna Gavrilov-Jerkovic
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Readiness To Change ◽  
Readiness For Change ◽  
Transtheoretical Model Of Change ◽  
Processes Of Change ◽  
Theoretical Part ◽  
Research Author ◽  
Paper Author

In the theoretical part of this paper author considers the difficulties to define phenomenon of patient's readiness to change and proposes dimensions of transtheoretical model of change, that is, stages of change and processes as conceptual frames for exceeding those difficulties. Through the research author investigates the possibility to identify typical profiles of patient's readiness from the data about measured levels of particular stages of change. The results infer that several typical profiles of readiness can be identified and that it is possible that these profiles could be connected with tendency of patients to prefer passive or action-restructure processes of change.

scholarly journals The impact on adolescents of a Transtheoretical Model-based programme on fruit and vegetable consumption

2019 ◽  
Vol 22 (13) ◽  
pp. 2500-2508 ◽  
Author(s):  
Kamer Gur ◽  
Saime Erol ◽  
Hasibe Kadioglu ◽  
Ayse Ergun ◽  
Rukiye Boluktas
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Vegetable Consumption ◽  
Daily Basis ◽  
Decisional Balance ◽  
Fruit And Vegetable ◽  
Model Based ◽  
Post Test ◽  
The Impact

AbstractObjective:The present study aimed to evaluate the impact of a Transtheoretical Model-based programme titled ‘Fruit & Vegetable-Friendly’ on the fruit and vegetable (F&V) consumption of adolescents.Design:A quasi-experimental study. The ‘Fruit & Vegetable-Friendly’, a multicomponent intervention based on the Transtheoretical Model, was completed in eight weeks. The data were collected one week before the intervention, one week after the completion of the intervention and six months after the post-test with an F&V intake questionnaire and the stages of change, processes of change (α = 0·91), situational self-efficacy (α = 0·91) and decisional balance (α = 0·90 for pros, α = 0·87 for cons) scales. Data were analysed with the Friedman, Wilcoxon and marginal homogeneity tests.Setting:A public secondary school in Istanbul, Turkey.Participants:Seven hundred and two adolescents.Results:The mean (sd) F&V intake of adolescents in the passive stages rose from the daily average at the time of the pre-test of 3·40 (1·79) portions to 5·45 (2·54) portions on the post-test and to 5·75 (2·70) portions on the follow-up test (P < 0·01). While the students in the passive stages represented 41·6 % of the participants prior to the programme, this rate fell to 23·7 % at the post-test and to 22·7 % at the follow-up. Students in the active stages first represented 58·5 % of the participants; this rate rose to 76·4 % at the post-test and to 77·2 % at the follow-up test.Conclusions:The programme was effective in increasing the amount of F&V the adolescents consumed on a daily basis.

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.

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.

The Use of Imagery by Athletes during Injury Rehabilitation

2000 ◽  
Vol 9 (4) ◽  
pp. 329-338 ◽  
Author(s):  
Carla Sordoni ◽  
Craig Hall ◽  
Lorie Forwell
Keyword(s):  
Sport Medicine ◽  
Outcome Measure ◽  
Athletic Injury ◽  
Injury Rehabilitation ◽  
Main Outcome Measure ◽  
Medicine Clinic ◽  
Type Design ◽  
Injured Athletes

Objectives:To determine whether athletes use motivational and cognitive imagery during injury rehabilitation and to develop an instrument for measuring imagery use.Design:A survey concerning imagery use during rehabilitation was administered to injured athletes.Setting:The Fowler Kennedy Sport Medicine Clinic in London, Ontario, Canada.Participants:Injured athletes (N = 71) receiving physiotherapy.Main Outcome Measure:The Athletic Injury Imagery Questionnaire (AIIQ).Results:As hypothesized, 2 distinct factors emerged from the items on the AIIQ: motivational and cognitive imagery. Motivational imagery was used more often than cognitive imagery in this context, yet less frequently than in other sport situations (eg, training and competition).Conclusions:The study indicates that the AIIQ is a potentially useful tool through which physiotherapists and sport psychologists can examine athletes' use of imagery in injury rehabilitation.

scholarly journals National Collegiate Athletic Association Division I Certified Athletic Trainers' Perceptions of the Benefits of Sport Psychology Services

2016 ◽  
Vol 51 (5) ◽  
pp. 398-405 ◽  
Author(s):  
Rebecca A. Zakrajsek ◽  
Scott B. Martin ◽  
Craig A. Wrisberg
Keyword(s):  
Sport Psychology ◽  
National Collegiate Athletic Association ◽  
Rating Scale ◽  
Athletic Trainers ◽  
Division I ◽  
Positive Interactions ◽  
Injury Rehabilitation ◽  
Certified Athletic Trainers ◽  
Rehabilitation Team ◽  
Injured Athletes

Context: Certified athletic trainers (ATs) are responsible for integrating relevant professionals into the rehabilitation team to assist with the holistic care of injured athletes. Objective: To explore National Collegiate Athletic Association Division I (DI) ATs' experience with sport psychology consultants (SPCs), willingness to encourage athletes to use SPCs for injury rehabilitation, and perceptions of the benefits of sport psychology services. Design: Quantitative study. Setting: A Web-based survey was administered to a national sample of DI ATs. Patients or Other Participants: A total of 659 (341 men, 318 women) ATs completed the survey. Main Outcome Measure(s): Athletic trainers' experience with SPCs, willingness to encourage athletes to seek sport psychology services, and perceptions of the benefits of those services in injury-rehabilitation settings were self-reported using a rating scale that ranged from 1 (never or not at all) to 5 (definitely or extremely). Results: Logistic regression revealed that the availability of SPCs, previous encouragement to athletes to seek sport psychology services, and previous positive interactions with SPCs predicted the ATs' willingness to encourage athletes to use these services (P < .0001). The services ATs rated the highest for injury rehabilitation were managing anxiety and emotion, improving coping techniques, and building confidence (ie, confidence in returning to sport and building confidence). Chi-square analyses indicated that female ATs' ratings of perceived benefits were higher (P ≤ .001) than those of male ATs, and the ratings of ATs who were likely to encourage the use of SPCs were higher (P ≤ .001) than those who were unlikely to encourage SPC service use. Conclusions: Athletic trainers in our study who had previous positive SPC experiences were most likely to use SPCs and their services during the injury-rehabilitation process. Possible implications are offered for how ATs interested in sport psychology services might call on SPCs to complement their work with injured athletes.

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.

scholarly journals A systematic review of the transtheoretical model of behaviour change and alcohol use

Psychologica ◽  
2014 ◽  
Vol 57 (1) ◽  
pp. 7-22
Author(s):  
Flaviane Bevilaqua Felicíssimo ◽  
Víviam Vargas Barros ◽  
Sabrina Maura Pereira ◽  
Natália Quintela Rocha ◽  
Lélio Moura Lourenço
Keyword(s):  
Systematic Review ◽  
Alcohol Use ◽  
Rhode Island ◽  
Behaviour Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Readiness To Change ◽  
Change Processes ◽  
Processes Of Change ◽  
Change Assessment

Introdução: O estudo sobre o álcool tem aumentado em todo o mundo devido ao seu impacto social e econômico, e as doenças relacionadas ao uso de álcool estarem entre os distúrbios mais comuns de abuso de substâncias. Desta forma, faz-se necessário investigar os métodos mais eficazes e adequados de tratamento para diferentes populações. Método: Este trabalho analisou a literatura científica sobre o Modelo Transteórico de Mudança de Comportamento relacionados ao consumo de álcool. Foram consultadas as bases de dados Scopus, PubMed, PsycINFO, PepsiCo e Lilacs, utilizando os descritores transtheoretical model, transtheoretical approach, stages of change, processes of change e cycle of change cruzado com o descritor alcoholism, no período de dez anos (2001 a 2011). Principais resultados: A maioria das pesquisas encontradas utilizavam métodos longitudinais e quantitativos, além de uma prevalência no uso dos questionários Readiness to Change Questionnaire e University of Rhode Island Change Assessment utilizados na mensuração do ModeloTransteórico. Os resultados indicaram que outras variáveis podem influenciar o comportamento do indivíduo em relação à sua fase de mudança de comportamento e identificou problemas relacionados ao uso de álcool em pacientes que procuravam tratamento para outras condições de saúde. Esta constatação reforça a necessidade de práticas de triagens para a prevenção dos agravos relacionados ao uso de álcool.Implicações: O modelo Transteórico é importante no processo de mudança de comportamento, uma vez que permite a identificação dos estágios e a escolha de intervenções mais adequadas ao estágio do paciente, além de evitar que esforços sejam feitos na direção contrária à necessidade do usuário. Conclusão: Ressalta-se a necessidade de mais estudos na área, especialmente em relação às práticas de profissionais de saúde.

The Influence of Injured Athletes’ Perceptions of Social Support from ATCs on Their Beliefs about Rehabilitation

2006 ◽  
Vol 15 (2) ◽  
pp. 156-167 ◽  
Author(s):  
Jennifer Bricker Bone ◽  
Mary D. Fry
Keyword(s):  
Social Support ◽  
Sports Injury ◽  
Division I ◽  
Severe Injuries ◽  
Injury Rehabilitation ◽  
Certified Athletic Trainers ◽  
Rehabilitation Programs ◽  
The Social ◽  
Division I Athletes ◽  
Injured Athletes

Objective:To determine whether athletes’ perceptions of social support from their certified athletic trainers (ATCs) were related to their beliefs about the rehabilitation process.Design:Division I athletes (N = 57) completed a survey including measures of social support and beliefs about rehabilitation.Participants:Division I college athletes (35 men, 22 women) who had sustained an injury that caused them to miss no less than 5 consecutive days.Measurements:The Social Support Survey (SSS) and the Sports Injury Rehabilitation Beliefs Survey (SIRBS).Results:Results revealed significant correlations between the SSS and the SIRBS scales only for athletes who had sustained severe injuries. Multiple-regression analyses revealed that the SSS scales were significant predictors of each of the SIRBS scales.Conclusions:Results suggest that when severely injured athletes perceive that their ATCs provide strong social support, they are more likely to believe in their rehabilitation programs.

Sign in / Sign up

Export Citation Format

Share Document