Determinants of Forward Stage Transition from Precontemplation and Contemplation for Fruit Consumption

2005 ◽  
Vol 19 (4) ◽  
pp. 278-285 ◽  
Author(s):  
Emely de Vet ◽  
Jascha de Nooijer ◽  
Nanne K. de Vries ◽  
Johannes Brug
Keyword(s):  
Transtheoretical Model ◽  
Self Efficacy ◽  
Response Rate ◽  
Early Stage ◽  
Stage Of Change ◽  
Decisional Balance ◽  
Fruit Intake ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Stage Transition

Purpose. To examine associations between decisional balance, self-efficacy, fruit intake, and stage of change transition from precontemplation and contemplation with cross-sectional and longitudinal methods. Design. A longitudinal cohort study with the use of electronic questionnaires was conducted. Three measurements were analyzed cross-sectionally, and the two intervals between the measurements were analyzed longitudinally. Setting. A random sample of 1500 individuals from an existing Dutch Internet panel resulted in a cohort of 735 individuals. Of the cohort, 648 (response rate 88%), 592 (response rate 81%), and 570 (response rate 78%) respondents completed questionnaires at the start of the present study (T1), 53 days after T1 (T2), and 106 days after T1 (T3), respectively. Subjects. Mean age was 37.5 years, 51% were women, and 57% ate less than the recommended intake of 250 g of fruit per day. Measures. Questionnaires included items measuring stage of change, factors favoring (pros) or working against (cons) behavior change, and self-efficacy. A food frequency questionnaire was used to assess fruit intake. Results. Logistic regression analyses showed that pros, fruit intake, and self-efficacy predicted forward stage transition from precontemplation. Self-efficacy predicted forward stage transition from contemplation. Cons did not predict stage transitions. Results from longitudinal analyses were similar to cross-sectional results, except for self-efficacy: no differences between early stages in self-efficacy were found, whereas self-efficacy predicted these early stage transitions. Conclusions. Within the limitations posed by the sampling frame, results provided support for the Transtheoretical Model, although determinants might not always be stage specific.

The effect of TTM-based nutrition education on decisional balance, self-efficacy and processes of change for fat intake

2021 ◽  
Vol 121 (3) ◽  
pp. 229-245
Author(s):  
Maedeh Gordali ◽  
Marjan Bazhan ◽  
Mohtasham Ghaffari ◽  
Nasrin Omidvar ◽  
Bahram Rashidkhani
Keyword(s):  
Nutrition Education ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Intervention Group ◽  
Educational Interventions ◽  
Decisional Balance ◽  
Control Group ◽  
Fat Intake ◽  
Content Type

PurposeThe purpose of this study is to determine how transtheoretical model (TTM) constructions change through nutrition education for fat intake modification among overweight and obese women living in Shazand city, Iran.Design/methodology/approachA semi-experimental design with intervention and control groups (50 women in each group) was performed. TTM constructions for dietary fat intake were measured through a questionnaire in four phases: before the intervention, immediately, one month and six months after the intervention. Participants in two groups were classified into inactive and active subgroups, based on their determined stage of change. Then in the intervention group, each subgroup received a separate education program of five or eight sessions for the active and inactive subgroups, respectively.FindingsThe intervention resulted in significant progress in participants' stage of change compared to the control group (p = 0.002). Also, it resulted in an increase in the self-efficacy and decisional balance scores in both of the intervention subgroups, with these effects being more pronounced in the inactive subgroup, and these significant differences, compared to the control group, remained in the third and fourth phases. The intervention also positively impacted the behavioral processes, but this effect was not so long-lasting and decreased after six months.Originality/valueThe results indicated the intervention effectiveness and the necessity of planning educational interventions to change fat consumption behavior. This study provides further insight into effective and sustainable nutrition education strategies based on behavioral change stages rather than traditional approaches. These methods should be used to design group interventions to change individuals' health behavior in future works.

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.

Examining Stage of Change Differences in NCAA Student-Athletes’ Readiness for Psychological Skills Training

2017 ◽  
Vol 31 (4) ◽  
pp. 356-368
Author(s):  
Stacy L. Gnacinski ◽  
William V. Massey ◽  
Courtney W. Hess ◽  
Mellanie M. Nai ◽  
Monna Arvinen-Barrow ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Student Athletes ◽  
Stage Of Change ◽  
Skills Training ◽  
Decisional Balance ◽  
Processes Of Change ◽  
Psychological Skills ◽  
Psychological Skills Training ◽  
Behavior Change Interventions ◽  
And Gender

To enhance the specificity of psychological skills training (PST) interventions, the purpose of the current study was to examine stage of change and gender differences in the combination of transtheoretical model (TTM) constructs (i.e., decisional balance pros and cons, self-efficacy, cognitive and behavioral processes of change) among collegiate student-athletes. Participants (N = 602) completed all TTM measures, and a factorial multivariate analysis of variance (MANOVA) was conducted to examine the effects of stage of change and gender on the combination of TTM constructs. No significant interaction effect was identified, yet significant main effects of stage of change and gender were identified. Post hoc tests revealed unique linear combinations of decisional balance, self-efficacy, and processes of change for each stage of change contrast. Taken together, study findings may be used to enhance the specificity of behavior change interventions when delivering PST programs to both male and female collegiate student-athletes.

Development and Preliminary Psychometric Evaluation of Decisional Balance and Self-Efficacy Measures for Managing Anxiety in a National Sample of Clinically Anxious Adults

2016 ◽  
Vol 32 (1) ◽  
pp. 215-223
Author(s):  
Jessica M. Lipschitz ◽  
Andrea L. Paiva ◽  
Colleen A. Redding ◽  
Deborah Levesque ◽  
Joseph S. Rossi ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Online Survey ◽  
The United States ◽  
Decisional Balance ◽  
Cross Sectional Survey ◽  
Core Element ◽  
Measurement Models ◽  
Confirmatory Factor

Purpose: Anxiety is the most common and costly mental illness in the United States. Reducing avoidance is a core element of evidence-based treatments. Past research shows readiness to address avoidance affects outcomes. Investigating avoidance from a transtheoretical model (TTM) perspective could facilitate tailored approaches for individuals with low readiness. This study developed and examined psychometric properties of TTM measures for addressing anxiety-based avoidance. Design: Cross-sectional survey. Setting: Community centers, online survey. Participants: Five hundred ninety-four individuals aged 18 to 70 with clinically significant anxiety. Measures: Overall Anxiety Severity Questionnaire, stages of change, decisional balance, and self-efficacy. Analysis: The sample was randomly split into halves for principal component analyses (PCAs) and confirmatory factor analyses (CFAs) to test measurement models. Further analyses examined relationships between constructs. Results: For decisional balance, PCA indicated two 5-item factors (pros and cons). Confirmatory factor analysis supported a 2-factor correlated model, Satorra-Bentler scaled chi-square [Formula: see text], comparative fit index (CFI = 0.94), root mean square error of approximation (RMSEA = 0.07), pros: α = 0.87, ρ = 0.87, cons: α = 0.75, and ρ = 0.75. For self-efficacy, PCA indicated one 6-item factor supported by CFA, [Formula: see text], P < .01, CFI = 0.98, RMSEA = 0.09, α = 0.90, ρ = 0.87. As hypothesized, significant cross-stage differences were observed for pros and self-efficacy, and significant relationships between anxiety severity and pros, cons, and self-efficacy were found. Conclusion: Findings show strong psychometric properties and support the application of a readiness-based model to anxiety. In contrast to findings of other behaviors, cons remain high in action and maintenance. These measures provide a solid empirical foundation to develop TTM-tailored interventions to enhance engagement in treatment.

scholarly journals Physical Activity Stage of Change and Its Related Factors in Secondary School Students of Sarableh City: A Perspective from Iran

2018 ◽  
Vol 6 (8) ◽  
pp. 1517-1521 ◽  
Author(s):  
Ali Saeidi ◽  
Amin Mirzaei ◽  
Behzad Mahaki ◽  
Asadollah Jalali ◽  
Mohsen Jalilian
Keyword(s):  
Physical Activity ◽  
Secondary School ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Secondary School Students ◽  
Pearson Correlation ◽  
Stage Of Change ◽  
School Students ◽  
Related Factors ◽  
One Way Anova

BACKGROUND: Physical activity is highly beneficial to health. These benefits are so important and indispensable for adolescents.AIM: The aim of this study was to investigate the Physical activity stage of change and its related factors in the male secondary School students of Sarableh city.MATERIAL AND METHODS: In a cross-sectional study, 261 male secondary School students possessing the eligibility criteria were selected using the simple random sampling technique. After giving their informed consent, the students filled the stage of change questionnaire and the structures of the transtheoretical model in a self-reporting manner. Using SPSS.21, the data were analysed through One-way ANOVA and Pearson correlation test with a 0.05 level of significance.RESULTS: The mean age of the students was 16.16±0.89 years. According to the stage of change, 26.8 per cent (n = 70) were in preaction stages (precontemplation, contemplation, and preparation) and 73.2 per cent (n = 191) were in action and maintenance stages. The one-way ANOVA revealed that awareness is raising, self-reevaluation, counter conditioning and reinforcing management differed significantly across stages (P < 0.05). However, this difference is not significant for other cognitive and behavioural processes (P > 0.05). According to the findings, increase in the self-efficacy, pros and decrease in cons was found by students' progress in the Physical activity stage of change (P < 0.05).CONCLUSION: Self-efficacy and processes of change are warranted when designing Physical activity stage interventions in the adolescents.

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 &lt; 0.01); those persons classified in action and maintenance stages increased from 9 to 34%. Ownership of thermometers also significantly increased (P &lt; 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 &lt; 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.

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.

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