Physical Activity Characteristics of Potential Participants in Nutrition and Fitness Programs Based on Stages of Change, Self-Efficacy, and Decisional Balance

Background:The Transtheoretical Model (TTM) has been widely used to understand individuals’ physical activity (PA) correlates and behavior. However, the theory’s application among children in exergaming remains unknown.Purpose:Investigate the effects of an exergaming program on children’s TTM-based PA correlates and PA levels.Methods:At pretest and posttest, 212 upper elementary children (mean age = 11.17 years) from the greater Mountain West Region were administered measures regarding stages of change (SOC) for PA behavior, decisional balance for PA behaviors, PA self-efficacy, and self-reported PA levels. Following the pretest, a weekly 30-minute, 18-week Dance Dance Revolution (DDR) program was implemented. Children were classified into 3 SOC groups: progressive children (ie, progressed to a higher SOC stage); stable children (ie, remained at the same SOC stage); and regressive children (ie, regressed to a lower SOC stage).Results:Progressive children had greater increased PA levels than regressive children (P < .01) from pretest to posttest. Similarly, progressive children had greater increased self-efficacy (P < .05) and decision balance (P < .05) than regressive children.Conclusions:The findings indicate that progressive children had more improvements on self-efficacy, decisional balance, and PA levels than regressive children over time. Implications of findings are discussed.

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The Determination of Predictive Construct of Physical Behavior Change on Osteoporosis Prevention Women Aged 30-50: A Trans-Theoretical Method Study

Global Journal of Health Science ◽

10.5539/gjhs.v8n3p183 ◽

2015 ◽

Vol 8 (3) ◽

pp. 183 ◽

Cited By ~ 3

Author(s):

Farideh Malekshahi ◽

Alirezad Hidarnia ◽

Shamseddin Niknami ◽

Frakhondeh Aminshokravi

Keyword(s):

Physical Activity ◽

Behavior Change ◽

Self Efficacy ◽

Educational Interventions ◽

Decisional Balance ◽

Systematic Sampling ◽

Preventive Behavior ◽

Osteoporosis Prevention ◽

Activity Data ◽

The Mean

<p>Osteoporosis is a major public health priority in Iran and throughout the world. The prevention of osteoporosis has recently become the ultimate goal of many health professionals. Behavior change is one of the most powerful strategies to prevent osteoporosis. This study aimed to determine the predictive construct of physical preventive behavior of osteoporosis in women aged 30-50 in Khorramabad, west of Iran. This study included 269 women selected from all the health centers of Khorramabad city according to the inclusion criteria of the study and through random cluster and systematic sampling. The data gathering tools were valid and reliable questionnaires of demographic information, stages of change, decisional balance, self-efficacy, and physical activity. Data were analyzed using descriptive and inferential statistics. The mean of the subjects’ age was 38.72±7.003, and the mean of light weekly physical activity was 38.83±56.400. The results showed that the construct of self-efficacy had the highest predictive power of the preventive behavior. The results also showed that self-efficacy among the constructs of the Trans-theoretical Model was the only predictive construct for osteoporosis prevention behavior. Therefore, the findings of this study can serve as a base for educational interventions in behavioral changes to prevent of osteoporosis by health authorities.</p>

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

Journal of Food Protection ◽

10.4315/0362-028x-68.9.1874 ◽

2005 ◽

Vol 68 (9) ◽

pp. 1874-1883 ◽

Cited By ~ 19

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.

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The Effect of Brain Breaks on Physical Activity Behaviour among Primary School Children: A Transtheoretical Perspective

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16214283 ◽

2019 ◽

Vol 16 (21) ◽

pp. 4283 ◽

Cited By ~ 2

Author(s):

Hussein Rizal ◽

Mawar Siti Hajar ◽

Ayu Suzailiana Muhamad ◽

Yee Cheng Kueh ◽

Garry Kuan

Keyword(s):

Physical Activity ◽

Primary School ◽

Stages Of Change ◽

School Children ◽

Decisional Balance ◽

Primary School Children ◽

Control Group ◽

P Value ◽

Significant Difference ◽

Brain Breaks

Brain Breaks Physical Activity Solutions (BBPAS) is a web-based structured physical activity (PA) video that is specifically designed for school settings and can stimulate a student’s health and learning. The purpose of this study is to measure the effect of BBPAS on the stages of change, decisional balance, processes of change, self-efficacy and leisure-time exercise among Malay ethnic primary school children. A validated Malay version of three of the five constructs was derived with sound validity and was used in the present study. A total of 159 male and 163 female children aged 10 to 11 years old, mean (SD) = 10.53 (0.50), were recruited from two schools in Kelantan, Malaysia. Purposive sampling was used to divide the children into intervention (n = 177) and control (n = 145) groups. Children in the intervention group underwent BBPAS activity for an accumulated 30 min per week, while children in the control group were not involved in the BBPAS intervention. Mixed factorial analysis of variance (ANOVA) was used to examine the effect of BBPAS on the study variables. A mixed ANOVA showed significant changes (time effect) on cognitive process, F(1, 320) = 5.768, p-value = 0.017; behavioural process, F(1, 313) = 5.736, p-value = 0.017; and internal feeling, F(1, 312) = 6.050, p-value = 0.014. There was also a significant difference between groups on cons, F(1, 316) = 7.504, p-value = 0.007. A significant interaction effect was observed for stages of change, F(1, 319) = 7.861, p-value = 0.005; pros, F(1, 316) = 31.311, p-value = 0.001; internal feeling, F(1, 312) = 4.692, p-value = 0.031; and behavioural process, F(1, 313) = 7.312, p-value = 0.007. In conclusion, BBPAS was successful in improving four of the five constructs, and thus, should be recommended to be used in schools throughout Malaysia.

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The Importance of Decisional Balance and Self-Efficacy in Relation to Stages of Change for Fruit and Vegetable Intakes by Young Adults

American Journal of Health Promotion ◽

10.4278/0890-1171-16.3.157 ◽

2002 ◽

Vol 16 (3) ◽

pp. 157-166 ◽

Cited By ~ 68

Author(s):

Jun Ma ◽

Nancy M. Betts ◽

Tanya Horacek ◽

Constance Georgiou ◽

Adrienne White ◽

...

Keyword(s):

Young Adults ◽

Stages Of Change ◽

Self Efficacy ◽

Decisional Balance ◽

Fruit And Vegetable

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

Adapted Physical Activity Quarterly ◽

10.1123/apaq.23.1.49 ◽

2006 ◽

Vol 23 (1) ◽

pp. 49-64 ◽

Cited By ~ 13

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.

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‘The positive feel’: Unpacking the role of positive thinking in people with multiple sclerosis’s thinking aloud about staying physically active

Journal of Health Psychology ◽

10.1177/1359105315592047 ◽

2016 ◽

Vol 21 (12) ◽

pp. 3026-3036 ◽

Cited By ~ 4

Author(s):

Samuel M Hall-McMaster ◽

Gareth J Treharne ◽

Catherine M Smith

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Stages Of Change ◽

Self Efficacy ◽

Positive Thinking ◽

Thinking Aloud ◽

Physically Active ◽

Physical Activity Interventions ◽

Physical Activity Motivation

People with multiple sclerosis experience barriers to physical activity. Thought processes are interwoven with garnering motivation to overcome these barriers. This study investigated in-depth the role of positive thinking in physical activity motivation of two women and two men with multiple sclerosis. Participants thought aloud while completing standardised measures of physical activity, stages of change and self-efficacy, and in response to planned and spontaneous questions. Four themes were formulated using inductive thematic analysis: thoughts about purpose, self-efficacy, the past and reinforcement through positive thinking. These findings have implications for physical activity theories and delivering appropriate physical activity interventions to the multiple sclerosis community.

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Decisional balance and self-efficacy of physical activity among the elderly in Rasht in 2013 based on the transtheoretical model

Electronic physician ◽

10.19082/4447 ◽

2017 ◽

Vol 9 (5) ◽

pp. 4447-4453 ◽

Cited By ~ 5

Author(s):

Seddigheh Abbaspour ◽

Rabiollah Farmanbar ◽

Fateme Najafi ◽

Arezoo Mohamadkhani Ghiasvand ◽

Leila Dehghankar

Keyword(s):

Physical Activity ◽

Transtheoretical Model ◽

Self Efficacy ◽

The Elderly ◽

Decisional Balance

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

10.21203/rs.2.14088/v2 ◽

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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