Measuring the Processes of Change From the Transtheoretical Model for Physical Activity and Exercise in Overweight and Obese Adults

2016 ◽  
Vol 30 (4) ◽  
pp. 272-278 ◽  
Author(s):  
Ahmed Jerôme Romain ◽  
Paquito Bernard ◽  
Marie Hokayem ◽  
Christophe Gernigon ◽  
Antoine Avignon
2006 ◽  
Vol 23 (1) ◽  
pp. 49-64 ◽  
Author(s):  
Maria Kosma ◽  
Rebecca Ellis Gardner ◽  
Bradley J. Cardinal ◽  
Jeremy J. Bauer ◽  
Jeffrey A. McCubbin

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.


2015 ◽  
Vol 32 (3) ◽  
pp. 223-240 ◽  
Author(s):  
Stefania Korologou ◽  
Vassilis Barkoukis ◽  
Lambros Lazuras ◽  
Haralambos Tsorbatzoudis

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.


2005 ◽  
Vol 19 (6) ◽  
pp. 397-400 ◽  
Author(s):  
Bradley J. Cardinal

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.


2017 ◽  
Vol 32 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Ahmed Jérôme Romain ◽  
Caroline Horwath ◽  
Paquito Bernard

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.


1998 ◽  
Vol 10 (1) ◽  
pp. 69-80 ◽  
Author(s):  
Bradley J. Cardinal ◽  
Hermann-J. Engels ◽  
Weimo Zhu

The Transtheoreticai Model of behavior change was applied to a sample of 669 preadolescents (M age = 8.2) to determine whether stages of exercise could be observed. Associations between stage of exercise classification and demographic, fitness, and cognitive variables were examined. Stage of exercise classifications, on the basis of the Children’s Stage of Exercise Algorithm, were as follows: maintenance (50.8%), action (36.5%), preparation (3.1%), contemplation (4.9%), and precontemplation (4.6%). Stage of exercise was significantly related to gender, age, and grade level. Controlling for these differences, the relationship between exercise beliefs and stage of exercise was significant.


2017 ◽  
Vol 19 (1) ◽  
pp. 134-144 ◽  
Author(s):  
Stacie Scruggs ◽  
Scherezade K. Mama ◽  
Cindy L. Carmack ◽  
Tommy Douglas ◽  
Pamela Diamond ◽  
...  

This study examined whether a physical activity intervention affects transtheoretical model (TTM) variables that facilitate exercise adoption in breast cancer survivors. Sixty sedentary breast cancer survivors were randomized to a 6-month lifestyle physical activity intervention or standard care. TTM variables that have been shown to facilitate exercise adoption and progress through the stages of change, including self-efficacy, decisional balance, and processes of change, were measured at baseline, 3 months, and 6 months. Differences in TTM variables between groups were tested using repeated measures analysis of variance. The intervention group had significantly higher self-efficacy ( F = 9.55, p = .003) and perceived significantly fewer cons of exercise ( F = 5.416, p = .025) at 3 and 6 months compared with the standard care group. Self-liberation, counterconditioning, and reinforcement management processes of change increased significantly from baseline to 6 months in the intervention group, and self-efficacy and reinforcement management were significantly associated with improvement in stage of change. The stage-based physical activity intervention increased use of select processes of change, improved self-efficacy, decreased perceptions of the cons of exercise, and helped participants advance in stage of change. These results point to the importance of using a theory-based approach in interventions to increase physical activity in cancer survivors.


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