Browse > Article

Process of Change, Decisional Balance, Self-efficacy and Depression across the Stages of Change for Exercise among Middle Aged Women in Korea  

Lee Yun-Mi (Department of Nursing, College of Medicine, Inje University)
Park Nam-Hee (Department of Nursing, College of Medicine, Inje University)
Kim Young-Hee (Department of Nursing, Choonhae College)
Publication Information
Journal of Korean Academy of Nursing / v.36, no.4, 2006 , pp. 587-595 More about this Journal
Abstract
Purpose. The purpose of this study was to differentiate the change in exercise behavior into different stages and to investigate differences in the process of change, self efficacy, decisional balances and depression according to the stages of exercise behavior change among middle aged women in Korea by using the transtheoretical Model. Methods. A convenience sample of 434 middle aged women (40-64 years) completed measures of all transtheoretical model constructs involved in exercise behaviors (stages and processes of exercise behaviors change, self efficacy and decisional balance) and depression. The data were analyzed by using the SPSS 10.0 program including descriptive statistics, and one-way ANOVA. Results. The subjects were distributed in each stage of change in exercise behaviors: pre-contemplation (n = 106; 24.4%), contemplation (n = 126; 29%), preparation (n = 88; 20.3%), action (n = 51; 11.8%), and maintenance (n = 63; 14.5%). The processes of change, pros (advantages of behaviors), self-efficacy and depression were significantly differentiated across the stages of exercise behavior change. Cons(disadvantage of behaviors) was not significantly differentiated across the stages of exercise behavior change. Conclusions. Results of this study suggested that discriminating of processes of change, self-efficacy, decisional balance, and depression could provide positive information to people about the stages of change in exercise behavior. Therefore, in designing interventions, the stage of a client's exercise behaviors change needs to be assessed prior to application of intervention programs in order to increase and maintain exercise behavior in middle aged women.
Keywords
Middle aged women; Depression; Exercise behavior; Stage of change;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Blehar, M.C. (1997). Gender difference in depression. Medscape Womens Health, 2, 3
2 Brown, W.J., Ford, J.H., Burton, N.W., Marshall, A.L., & Dobson, A.J. (2005). Prospective study of physical activity and depressive symptoms in middle aged women. Am J Prev Med, 29(4), 265-272   DOI   ScienceOn
3 Dishman, R.K. (1991). Increasing and maintaining exercise and physical activity. Behav Ther, 22, 345-378   DOI
4 Hauenstein, E.H. (1996). A nursing practice paradigm for depressed rural women: Theoretical basis. Arch Psychiatr Nurs, 10,283-292   DOI   ScienceOn
5 Jordan, P.J., Nigg, CR., Norman, G.J., Rossi, J.S., & Benisovich, S.V.(2002). Does the transtheoretical model need an attitude adjustment Integrating attitude with decisional balance as predictors of stage of change for exercise. Psycho Sport and exerc, 3,65-83   DOI   ScienceOn
6 Lee, P.S., Kim, S.L., Chun, Y.l., Kim, S.Y., Lee, E.S., & Chung, S.D. (1999). Prediction model for decisional balance self-efficacy for exercise and stage of change of exercise in the Korean elderly. J Korean Psychiatric Nurs, 8(2), 280-290
7 Marcus, B.H., & Owen, N. (1992). Motivational readiness, self efficacy and decision making for exercise. J Applied Social Psycho, 22, 316
8 Park, J.H., & Kang, S.J. (2001). The transtheoretical model of exercise behaviors change: application to decisional balance and stage of exercise change. Korean J Meas Eval in Phys Educ and Sport Sci, 3(2), 1-12
9 Park, J.S. (1999). A study on the relation between physical exercise and health status in middle-aged women. J Korean Community Nurs, 10(2),400-411   과학기술학회마을
10 Pender, N.J. (1999). Health promotion and Nursing. Paper presented at Conference of College of Nursing. Korea University, Seoul, Korea
11 Shin, K.R. (2001). Depression Among Korean Women. J Korean Acad Nurs, 31(3), 391-400   과학기술학회마을   DOI
12 U.S. Department of Health and Human Services. (1996). Physical activity and Health: Report of Surgeon General. Atlanta Georgia: U.S. Department of Health and Human Services, CDC, National Center for Chronic Disease Prevention and Health Promotion
13 Klein, M., Greist, J., Gurman, A., Neimeyer, R., Lesser, D., Bushnessel, N., & Smith, R. (1984). A comparative outcome study of group psychotherapy versus exercise treatments for depression. Int J Ment Health, 13,148-176   DOI
14 Gannon, L. (1988). The potential role of exercise in the alleviation of menstrual disorders and menopausal symptoms. Women & Health, 14(2), 105-127   DOI   ScienceOn
15 Fallon, E.A., Hausenblas, H.A., & Nigg, CR. (2005). The transtheoretical model and exercise adherence: Examining construct associations in later stages of change. Psycho Sport and Exerc, 6, 629-641   DOI   ScienceOn
16 Marshall, S.J., & Biddle, S.J.H. (2001). The transtheoretical model of behavior change: A meta-analysis of application to physical and exercise. Ann Behav Med, 23, 229-246   DOI   ScienceOn
17 Marcus, B.H., Simkin, L.R., J.S., & Pinto, B.M. (1996). Longitudinal shifts in employee's stages and process of exercise behaviors change. Am J Health Promot, 10(3), 195-200   DOI   ScienceOn
18 Fukukawa, Y., Nakashima, C., Tusboi, S., Kozakai, R, Doyo W., & Niino, N. (2004). Age difference in effect of physical activity on depressive symptoms. Psychol Aging, 19,346-351   DOI   ScienceOn
19 Marcus, B. H., Shelby, V. C, Niaura, R. S., & Rossi, 1. S. (1992a). Self-efficacy and the stages of exercise behavior change. Res Q for Exerc Sport, 63, 60-66   DOI   ScienceOn
20 Gorely, T., & Gordon, S. (1995). An examination of the transtheoretical model and exercise behaviors in older adults. J Sports Exerc Psycho, 17,312-324   DOI
21 Kim, Y.H. (2002). Adolescents' stage of change, decisional balance, self- efficacy in exercise: applcation of transtheoretical model. Korean J Sport Psycho, 13(3), 1-19
22 Centers for Disease Control. (1999). Physical Activity and Health: A Report of Surgeon General. from http://www.cdc.gov/nccphp
23 Nigg, C.R., Norman, G.J., Rossi, J.S., & Benisovich, S.V. (1999). Process of Behaviors Change: Redeveloping the Scale. Poster presented at SBM. San Diego, CA
24 Li, S., Holm, K., Gulanik, M., Lanusa, D., & Penckofer, S. (1999). The relationship between physical activity and perimenopause. Health Care Women Int, 20, 163-178   DOI   ScienceOn
25 Nigg, C.R., & Courneya, K.S. (1998). Transtheoretical model: Examining adolescent exercise behavior. J Adoles Health, 22, 214-224   DOI   ScienceOn
26 Caserta, M.S. & Gillett, P.A. (1988). Older women's feelings about exercise and their adherence to an aerobic regime over time. Gerontologist, 38(5), 602-609
27 Prochaska, J.O., & DiClemente, C.C. (1983). Stages and process of self-change of smoking: Toward and integrative model of change. J Consult Clin Psychol, 51, 390-395   DOI   ScienceOn
28 Robison, J.I., & Rogers, M.A. (1994). Adherence to exercise programmes: Recommendation. Sports Med, 17, 39-52   DOI   ScienceOn
29 Bandura, A. (1986). Social Foundations of Thought and Action. Englewood Cliffs, NJ; Prentice-Hall
30 Kim, N. J., & Chun, Y. I. (2003). The relation between depression symptoms or their health condition and the degree of exercise in middle-aged women. J Korean Phys Educ, 42(2), 83-92
31 Marcus, B.H., & Simkin, L.R. (1993). The stages of exercise behaviors. J Sports Med Phys Fitness, 63, 60-66
32 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. J Korean Acad Nurs, 32(5), 609-622   과학기술학회마을   DOI
33 Hellman, E.A. (1997). Use of the stage of change in exercise adherence model among older adults with a cardiac diagnosis. J Cardiopulm Rehabil, 17,145-155   DOI   ScienceOn
34 Kim, CJ. (2002). Process of change, decisional balance and self-efficacy corresponding to the stage of exercise behaviors in patients with type 2 diabetes mellitus. J Korean Acad Adults Nurs, 14(1),83-92
35 Prochaska, J.O., & Velicer, W.F. (1997). The transtheoretical model of health behavior change. Am J Health Promot, 12(1),3848
36 Radloff, L.S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas, 1,385-401   DOI
37 Lee, P.S., & Chang, S.O. (2001). The study on effect of stage based exercise motivational intervention program for the elderly. J Korean Acad Nurs, 31(5), 818-834   과학기술학회마을   DOI
38 Marcus, B. H., Rakowski, W., & Rossi, J.S. (1992b). Assessing motivational readiness and decisioin-making for exercise. J Appl Soc Psych, 22, 3-16   DOI
39 Prochaska, J.O., Velicer, W. F., DiClemente, C.C., & Fava, J.L. (1988). Measuring the processes of change: Application to the cessation of smoking. J Consult Clin Psychol, 56, 520-528   DOI   ScienceOn
40 Dishman, R.K. (1988). Exercise adherence research: Future directions. Am J Health Promot, 3, 52-56   DOI