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Application of the Transtheoretical Model to Obese Adolescents' Exercise Behavior Change Stages  

Kim Nam Hee (Department of Nursing, College of Medicine, Pusan National University)
Kim Young Hae (Department of Nursing, College of Medicine, Pusan National University)
Kim Jeong Soon (Department of Nursing, College of Medicine, Pusan National University)
Hwang Sun Kyung (Department of Nursing, College of Medicine, Pusan National University)
Jun Seong Sook (Department of Nursing, College of Medicine, Pusan National University)
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Korean Journal of Health Education and Promotion / v.22, no.1, 2005 , pp. 103-115 More about this Journal
Abstract
The Purpose of this study was to identify the process of change, decisional balance and self-efficacy corresponding to the stages of change in exercise behavior based on the Transtheoretical Model(TTM) in obese adolescents. A random sample of 517 obese adolescents was recruited in Pusan. The data were collected from June 15 to 30, 2004. The research instruments were Stages of Change for Exercise Behavior, Process of Change, Decisional Balance, and Self-Efficacy. The data were analyzed by descriptive statistics and ANOVA using SPSS WIN 10.0 program. The results of this study were as follows 1. The subjects were distributed in each stage of exercise behavior: There were 255 subjects($49.3\%$) in the contemplation stage, 131 subjects($25.3\%$) in the preparation stage, 52 subjects($10.1\%$) in the maintenance stage, 41 subjects($7.9\%$) in the action stage, and 38 subjects($7.4\%$) in the precontemplation stage. 2. Analysis of variance showed that cognitive process (F=13.57, p=.000), behavioral process(F=17.23, p=.000), decisional balance pros(F=11.95, p=.000), and self efficacy(F=12.52, p=.000) were significantly associated with the stages of exercise behavior change, but decisional balance cons(F=2.87, p=.023) was not significantly associated with the stages of exercise behavior change. This study can provide useful information for developing effective exercise behavior program considering obese adolescents' stages of change according t'.t the TTM.
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