Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Stages of Change in Caregiver's Exercise Behavior

요양보호사의 운동행위 변화단계 확인

  • Ki, Eun-jeong (Department of Nursing, Graduate School, Cheonnam National University) ;
  • Kim, Eun Joo (Department of Nursing, Daejeon University) ;
  • Kim, Jeong Sun (College of Nursing, Cheonnam National University)
  • Received : 2014.10.12
  • Accepted : 2014.11.25
  • Published : 2014.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to identify the differences by the stages of change in exercise behaviors of caregivers based on Transtheoretical Model. Methods: The subjects were consisted of randomly chosen 105 caregivers working in a nursing home. The collected data were analyzed with descriptive statistics, chi-square test, ANOVA and Duncan test using IBM SPSS Statistics 19. Results: The results showed that in the stages of exercise behaviors, there were most participants in contemplation stage with 24.7%, followed by 22.8% in preparation, 21.9% maintenance, 19.0% action and 11.4% pre-contemplation. As for the process of change by the stages of change in exercise behaviors, it showed statistically significant differences in behavioral strategies (F=7.64, p<.001). In decisional balance, pros (F=3.75, p=.007) showed statistical significance, with higher pros in all stages except pre-contemplation. Self-efficacy was also statistically significant (F=6.25, p<.001), especially in the maintenance stage. Conclusion: This study suggested that in order to encourage caregivers to exercise, a strategic intervention to reinforce the process of change, recognition of positive decision-making and promotion of self-efficacy in exercise behaviors should be developed.

Keywords

References

  1. Bae, P. W. (2012). Application of the transtheoretical model to exercise behavior change stages of women in nursing college and factors affecting the stages. Korean Public Health Nursing, 26(1), 147-157. https://doi.org/10.5932/JKPHN.2012.26.1.147
  2. Benisovich, S., Rossi, J., Norman, G., & Nigg, C. (1998). Development of a multidimensional measure of exercise self-efficacy? Annals of Behavioral Medicine, 20(Suppl).
  3. 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(6), 452-459. https://doi.org/10.1016/j.jadohealth.2004.09.019
  4. Cardinal, B. J. E. (1998). Application of the transtheoretical model of behavior change to preadolescents' physical activity and exercise behavior. Pediatric Excercise Science, 10(1), 69-80. https://doi.org/10.1123/pes.10.1.69
  5. 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 and Exercise, 6, 629-641. https://doi.org/10.1016/j.psychsport.2005.01.003
  6. 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.
  7. JeGal, H. S. (2009). Elderly long-term care insurance 1 year evaluation: Challenges for the 'marketization' criticism and settlement systems. Seoul: Public Policy Institute for People.
  8. Jeong, J. O. (2010). An analysis on the determinants for transition of stages of exercise participation in transtheoretical model. Korean Journal of Sport Psychology, 21(3), 261-273.
  9. Jung, Y. A. (2008). Decisional balance and self-efficacy according to elementary school teachers' sage of change on exercise. Unpublished master's thesis, Korea National University of Education, Cheongju.
  10. Kim, C. J. (2006). Detailed overview and clinical implications of the trastheoretical model. Journal of Nursing Query, 15(1), 48-71.
  11. Kim, R. J., & Lee, C. H. (2013). Woman with upper extremity musculoskeletal disorders on workers health center symptoms of kidney care program bohosa exercise influence. Environmental Medicine Occupation Conference, 11, 722-723.
  12. Korea Occupational Safety & Health Agency. (2012). Major industrial accidents statistics - the end of february 2012 criteria. Incheon: KOSHA.
  13. Lee, T. H. (2005). Psychological determinants of exercise behavior according to exercise stages of university students. Unpublished master's thesis, Soule National University, Seoul.
  14. Lee, Y. M. (2004). Process of change, decisional balance and self efficacy corresponding to stages of change in exercise behaviors in middle aged women. Journal of Korean Academy of Nursing, 34(2), 362-311. https://doi.org/10.4040/jkan.2004.34.2.362
  15. Marcus, B. H., Rakowski, W., & Rossi, J. S. (1992). Assessing motivational readiness and decision making for exercise. Health Psychology, 11, 257-261. https://doi.org/10.1037/0278-6133.11.4.257
  16. 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 and Sport, 63(1), 60-66. https://doi.org/10.1080/02701367.1992.10607557
  17. Ministry of Health & Welfare. (2014, September 01). Caregiver standard textbook. Retrieved October 10, 2014, from http://www.mw.go.kr /front_new/sch/index.jsp
  18. National Health Insurance. (2014, July 01). Long-term care insurance: History of long term care. Retrieved October 10, 2014, from http://www.longtermcare.or.kr/portal/site/nydev/MENUITEM_CAREPROGRESS/
  19. Nigg, C. R., & Courneya, K. S. (1998). Trans-theoretical model: Examining adolescent exercise behavior. Adolescent Health, 22, 214-224. https://doi.org/10.1016/S1054-139X(97)00141-9
  20. Nigg, C., Norman, G., Rossi, J., & Benisovich, S. (1999). Processes of exercise behavior change: Redeveloping the scale. Annals of Behavioral Medicine, 21 , S79.
  21. Norcross, J. C. 1. K. (2011). Stages of change. Journal of Clinical Psychology, 67(2), 143-154. https://doi.org/10.1002/jclp.20758
  22. Paek, K. S. (2012). Factors associated with stages of exercise behavior change of residents in a community. Journal of Korean Academy of Community Health Nursing, 23(3), 316-326. https://doi.org/10.12799/jkachn.2012.23.3.316
  23. Park, J. H. (2001). Validity of transtheoretical model. doctoral dissertation. Unpublished doctoral dissertation, Korean National University, Seoul.
  24. Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390-395. https://doi.org/10.1037/0022-006X.51.3.390
  25. Prochaska, J. O., & Norcross, J. C. (2001). Stages of change. Psychotherapy, 38(4), 443-448. https://doi.org/10.1037/0033-3204.38.4.443
  26. Seo, Y. J., Kim, B. W., Song, Y. E., Kim, J. W., & Kim, C. H. (2012). Difference in musculoskeletal symptoms and health perception and health promotion behavior of caregivers by rehabilitation hospital. Korea Society for Wellness, 7(4), 25-34.
  27. Spencer, L., Adams, T. B., Malone, S., Roy, L., & Yost, E. (2006). Applying the transtheoretical model to exercise: A systematic and comprehensive review of the literature. Health Promotion Practice, 7(4), 428-443. http://dx.doi.org/10.1177/1524839905278900
  28. Suh, B. D. (2006). Influencing factors of exercise behavior change in nursing students. Journal of Korean Society of Adult Nursing, 18(4), 573-581.
  29. Wallace, L. S., Buckworth, J., Kirby, T. E., & Sherman, W. M. (2000). Characteristics of exercise behavior among college students: Application of social cognitive theory to predicting stage of change. Preventive Medicine, 31(5), 494-505. https://doi.org/10.1006/pmed.2000.0736

Cited by

  1. 요양병원 요양보호사의 노인 구강건강관리 수행도 관련요인 vol.17, pp.5, 2017, https://doi.org/10.13065/jksdh.2017.17.05.791