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

일 지역사회주민의 운동행위 변화단계 관련요인

  • Received : 2012.05.22
  • Accepted : 2012.09.13
  • Published : 2012.09.30

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

References

  1. Berry, T., Naylor, P. J., & Wharf-Higgins, J. (2005). Stages of change in adolescents: An examination of self-efficacy, decisional balance and reasons for relapse. Journal of Adolescent Health, 37, 452-459. https://doi.org/10.1016/j.jadohealth.2004.09.019
  2. Chae, D. Y. (2008). Determinants of exercise behavior according to the stage of exercise in employees. Unpublished master's thesis, Kosin University, Busan.
  3. Chang, S. O., Lee, P. S., & Park, E. Y. (2002). A study on the relationships among the influential variables on stage of change of exercise in the elderly. Journal of Korean Academy Nursing, 32 (5), 609-623.
  4. Fallon, E. A., Hausenblas, H. A., & Nigg, C. R. (2005). The transtheoretical model and exercise adherence: Examining construct associations in later stages of change. Psychology of Sport & Exercise, 6, 629-641. https://doi.org/10.1016/j.psychsport.2005.01.003
  5. Fava, J. L., Velicer, W. F., & Prochaska, J. O. (1995). Applying the transtheoretical model to a representative sample of smokers. Addictive Behaviors, 29 (2), 189-203.
  6. Froelicher, E. S., & Kozuki, Y. (2002). Theoretical applications of smoking cessation interventions to individuals with medical conditions: Women's initiative for nonsmoking (WINS)- Part III. International Journal of Nursing Studies, 39 (1), 1-15. https://doi.org/10.1016/S0020-7489(01)00009-8
  7. Han, E. J. (2004). Analysis of stages of change in Exercise Behavior in office workers using Transtheoretical model. Unpublished master's thesis, Yonsei University, Seoul.
  8. Jang, J. S. (2011). Process of change, decisional balance and self efficacy corresponding to stage of change in exercise behavior of elementary school obese students. Unpublished master's thesis, Korea National University of Education, Cheongwon.
  9. Kim, C. J. (2001). Development and effects of exercise intervention program based on a stage of exercise using transtheoretical model: In patients with type 2 diabetes mellitus. Unpublished doctoral dissertation, Yonsei University, Seoul.
  10. Kim, D. K. (2006). A study on development of transtheoretical prediction model by exercise behavior. Unpublished doctoral dissertation, Konyang University, Nonsan.
  11. Kim, M. H. (2006). A study on the relationships among the Transtheoretical Model construct on stage of change of exercise in the female elderly. Unpublished doctoral dissertation, Kyungpook National University, Daegu.
  12. Kim, N. H., Jun, S. S., Kim, Y. H., Kim, J. S., & Hwang, S. K. (2005). Application of the transtheoretical model to obese adolescents' exercise behavior change stages. Journal of Korean Society for Health Education & Promotion, 22 (1), 103-115.
  13. Kim, S. Y., Kim, S. I., Chun, Y. J., Lee, P. S., Lee, S. J., Park, E. S., et al. (2000). A prediction model for stage of change of exercise in the Korean elderly-based on the transtheoretical model. Journal of Korean Academy Nursing, 30 (2), 366-379.
  14. Kim, Y. H., & Hyun, S. K. (2005). Psychological determinants of exercise behavior according to exercise stages of university students. Journal of Sports & Leisure Studies, 25, 299-309.
  15. Korea Health Statistics. (2012, May 12). Korea health statistics 2010 - Korea national health and nutrition examination survey. Retrieved May 14, 2012, from http://www.bokjiro.go.kr/data/statusList.do.
  16. Kwon, Y. J. (2001). Development and evaluation of a stagematched exercise intervention program for elders-application of transtheoretical model. Unpublished doctoral dissertation, Yonsei University, Seoul.
  17. Lee, J. Y., Park, S. A, Kim, B. I., Yang, K. H., Ryu, J. S., Jeong, Y. S., et al. (2004). Epidemiology and health promotion. Seoul: Soomoonsa.
  18. Lee, Y. M. (2004). Process of change, decisional balance and self efficacy corresponding to stage of change in exercise behaviors in middle aged women. Journal of Korean Academy Nursing, 34 (2), 362-371.
  19. Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self efficacy and the stages of exercise behavior change. Research Quarterly for Exercise & Sport, 63 (1), 60-66. https://doi.org/10.1080/02701367.1992.10607557
  20. Ministry for Health & Welfare. (2010, January 28). A guide to major chronic disease in 2010. Retrived April 3, 2012, from http://www2.korea.kr/expdoc/viewDocument.req;JSESSIONID_KOREA=mLcMP06NmkF6JThyLLVtHnmP2y0 9LJhpsmsvFTgNh0l99HLLr16z!1787393604?id=26575.
  21. Nigg, C. R., & Courneya, K. S. (1998). Transtheoretical model: Examining adolescent exercise behavior. Journal of Adolescent Health, 22 (3), 214-224. https://doi.org/10.1016/S1054-139X(97)00141-9
  22. Nigg, C. R., Norman, G. J., Rossi, J. S., & Benisovich, S. V. (1999, March). Process of exercise behavior change: Redeveloping the scales. Poster session presented at the meeting of Society of Behavioral Medicine, San Diego, CA.
  23. Park, I. S., Park, J., Ryu, S. Y., & Kang, M. G. (2011). Factors associated with stages of exercise behavior change applying the transtheoretical model in upper grade elementary students. Korean Journal of Health Education & Promotion, 28 (3), 67-82.
  24. Park, J. H., & Kang, S. J. (2001). The transtheoretical model of exercise behavior change: Applications to decisional balance and stages of exercise change. The Korean Journal of Measurement & Evaluation in Physical Education & Sport Science, 3 (2), 1-12.
  25. Prochaska, J. O., & Diclemente, C. C. (1983). Stage and process of self change of smoking: Toward and integrative model of change. Journal of Consult Clinical Psychology, 51, 390-395.
  26. Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12 (1), 38-48. https://doi.org/10.4278/0890-1171-12.1.38
  27. Prochaska, J. O., Velicer, W. F., Diclemente, C. C., & Fava, J. L. (1988). Measuring the processes of change: Applications to the cessation of smoking. Journal of Consulting & Clinical Psychology, 56 (4), 520-528.
  28. Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., et al. (1994). Stages of change and decisional balance for 12 problem behavior. Health Psychology, 13 (1), 39-46.
  29. Seo, N. S. (2003). The effect of stage based exercise program on the physical and psychological variables in stroke survivors- using the transtheoretical model. Unpublished doctoral dissertation, Chonnam National University, Gwangju.
  30. Shin, B. C., & Park, J. H. (2006). The relationship between stages of change and decisional balance in middle school students. Korean Sports Research, 17 (2), 583-592.