Factors Associated with Stages of Exercise Behavior Change of Residents in a Community

Kyung-Shin Paek

doi:10.0000/jkachn.2012.23.3.316

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Paek: Factors Associated with Stages of Exercise Behavior Change of Residents in a Community

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2012; 23(3): 316-326.

Published online: 30 September 2012

DOI: https://doi.org/10.0000/jkachn.2012.23.3.316

Factors Associated with Stages of Exercise Behavior Change of Residents in a Community

Kyung-Shin Paek

Department of Nursing, Semyung University, Jecheon, Korea.

Corresponding author: Paek, Kyung-Shin. Department of Nursing, Semyung University, 579 Sinwoul-dong, Jecheon 390-711, Korea. Tel: +82-43-649-1353, Fax: +82-43-649-7052, kspaek@semyung.ac.kr

Received 22 May 2012 Accepted 13 September 2012

Abstract

Purpose

This study was to identify the factors associated with stages of exercise behavior change of residents in a community on the basis of the Transtheoretical Model.

Methods

Data were collected from 520 residents of a community using a self-report questionnaire. The survey variables comprised the stages of exercise behavior change, the process of change, decisional balance and self efficacy.

Results

There were significant differences in the process of change, decisional balance and self efficacy by the stages of exercise behavior change. The factors associated with transition from pre-contemplation to contemplation were consciousness raising and self efficacy; regarding those from contemplation to preparation, cons of the decisional balance and social liberation; regarding those from preparation to action, dramatic relief and counter conditioning; regarding that from action to maintenance, cons of the decisional balance.

Conclusion

TTM would be applicable to explain the exercise behavior of some residents in a community, which suggested that the programs for improving exercise behavior of residents in a community need to be developed.

Keywords: Exercise, Self efficacy

Figures and Tables

Figure 1

Standardized T-score of decisional balance by stage of change in exercise.

Table 1

General Characteristics of Participants by Stage of Change in Exercise Behaviors (N=520)

Table 2

Difference in Change Process, Decisional Balance and Self Efficacy by Stages of Change in Exercise Behavior (N=520)

^{a, b, c, d}=Scheffé test.

Table 3

Predictors for Stages of Change in Exercise Behavior. (N=520)

Note. Goodness of fitness (χ²=1216.06, p=1.000).

References

1. Berry T, Naylor PJ, Wharf-Higgins J. Stages of change in adolescents: An examination of self-efficacy, decisional balance and reasons for relapse. Journal of Adolescent Health. 2005. 37:452–459.

2. Chae DY. Determinants of exercise behavior according to the stage of exercise in employees. 2008. Busan: Kosin University;Unpublished master's thesis.

3. Chang SO, Lee PS, Park EY. A study on the relationships among the influential variables on stage of change of exercise in the elderly. J Korean Acad Nurs. 2002. 32(5):609–623.

4. Fallon EA, Hausenblas HA, Nigg CR. The transtheoretical model and exercise adherence: Examining construct associations in later stages of change. Psychology of Sport & Exercise. 2005. 6:629–641.

5. Fava JL, Velicer WF, Prochaska JO. Applying the transtheoretical model to a representative sample of smokers. Addictive Behaviors. 1995. 29(2):189–203.

6. Froelicher ES, Kozuki Y. Theoretical applications of smoking cessation interventions to individuals with medical conditions: Women's initiative for nonsmoking (WINS)-Part III. International Journal of Nursing Studies. 2002. 39(1):1–15.

7. Han EJ. Analysis of stages of change in Exercise Behavior in office workers using Transtheoretical model. 2004. Seoul: Yonsei University;Unpublished master's thesis.

8. Jang JS. Process of change, decisional balance and self efficacy corresponding to stage of change in exercise behavior of elementary school obese students. 2011. Cheongwon: Korea National University of Education;Unpublished master's thesis.

9. Kim CJ. Development and effects of exercise intervention program based on a stage of exercise using transtheoretical model: In patients with type 2 diabetes mellitus. 2001. Seoul: Yonsei University;Unpublished doctoral dissertation.

10. Kim DK. A study on development of transtheoretical prediction model by exercise behavior. 2006. Nonsan: Konyang University;Unpublished doctoral dissertation.

11. Kim MH. A study on the relationships among the Transtheoretical Model construct on stage of change of exercise in the female elderly. 2006. Daegu: Kyungpook National University;Unpublished doctoral dissertation.

12. Kim NH, Jun SS, Kim YH, Kim JS, Hwang SK. Application of the transtheoretical model to obese adolescents' exercise behavior change stages. Journal of Korean Society for Health Education & Promotion. 2005. 22(1):103–115.

13. Kim SY, Kim SI, Chun YJ, Lee PS, Lee SJ, Park ES, et al. A prediction model for stage of change of exercise in the Korean elderly-based on the transtheoretical model. J Korean Acad Nurs. 2000. 30(2):366–379.

14. Kim YH, Hyun SK. Psychological determinants of exercise behavior according to exercise stages of university students. J Sport Leis Stud. 2005. 25:299–309.

15. Korea Health Statistics. Korea health statistics 2010 - Korea national health and nutrition examination survey. 2012. 05. 12. May 14, 2012. from http://www.bokjiro.go.kr/data/statusList.do.

16. Kwon YJ. Development and evaluation of a stage-matched exercise intervention program for elders-application of transtheoretical model. 2001. Seoul: Yonsei University;Unpublished doctoral dissertation.

17. Lee JY, Park SA, Kim BI, Yang KH, Ryu JS, Jeong YS, et al. Epidemiology and health promotion. 2004. Seoul: Soomoonsa.

18. Lee YM. Process of change, decisional balance and self efficacy corresponding to stage of change in exercise behaviors in middle aged women. J Korean Acad Nurs. 2004. 34(2):362–371.

19. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self efficacy and the stages of exercise behavior change. Research Quarterly for Exercise & Sport. 1992. 63(1):60–66.

20. Ministry for Health & Welfare. A guide to major chronic disease in 2010. 2010. 01. 28. April 3, 2012. from http://www2.korea.kr/expdoc/viewDocument.req;JSESSIONID_KOREA=mLcMP06NmkF6JThyLLVtHnmP2y09LJhpsmsvFTgNh0l99HLLr16z!1787393604?id=26575.

21. Nigg CR, Courneya KS. Transtheoretical model: Examining adolescent exercise behavior. Journal of Adolescent Health. 1998. 22(3):214–224.

22. Nigg CR, Norman GJ, Rossi JS, Benisovich SV. Process of exercise behavior change: Redeveloping the scales. Poster session presented at the meeting of Society of Behavioral Medicine. 1999. 03. San Diego, CA.

23. Park IS, Park J, Ryu SY, Kang MG. Factors associated with stages of exercise behavior change applying the transtheoretical model in upper grade elementary students. J Korean Soc Health Educ Promot. 2011. 28(3):67–82.

24. Park JH, Kang SJ. The transtheoretical model of exercise behavior change: Applications to decisional balance and stages of exercise change. Korean Soc Meas Eval Phys Edu Sports Sci. 2001. 3(2):1–12.

25. Prochaska JO, Diclemente CC. Stage and process of self change of smoking: Toward and integrative model of change. J Consult Clin Psychol. 1983. 51:390–395.

26. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. American Journal of Health Promotion. 1997. 12(1):38–48.

27. Prochaska JO, Velicer WF, Diclemente CC, Fava JL. Measuring the processes of change: Applications to the cessation of smoking. Journal of Consulting & Clinical Psychology. 1988. 56(4):520–528.

28. Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, et al. Stages of change and decisional balance for 12 problem behavior. Health Psychology. 1994. 13(1):39–46.

29. Seo NS. The effect of stage based exercise program on the physical and psychological variables in stroke survivors-using the transtheoretical model. 2003. Gwangju: Chonnam National University;Unpublished doctoral dissertation.

30. Shin BC, Park JH. The relationship between stages of change and decisional balance in middle school students. Korea Sports Res. 2006. 17(2):583–592.

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