Validade da escala de estágios de mudança

Yoshida, Elisa Medici Pizão; Primi, Ricardo; Pace, Rosália

doi:10.1590/s0103-166x2003000300001

Cited by 10 publications

(20 citation statements)

References 6 publications

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“…Nineteen (19%) participants identifi ed other reasons, such as the taste and pleasure associated with smoking, the habit of smoking itself, socialization, distraction and the fear of being unable to quit. Graphs 2 and 3 show the degree of nicotine dependence in the sample according to the Fagerström Scale (7)(8) , and patient motivation to quit as per the Prochaska and DiClemente (10) scale.…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…Both of these instruments have been validated for use in Brazil (10) . The Fagerström Scale contains six questions whose scores are summed to produce a total ranging from zero to ten, which can be used to classify nicotine dependence as very low (scores 0-2), low (scores 3-4), moderate (5), high (scores 6-7) and very high (scores [8][9][10]. The Prochaska and Di Clemente scale assesses motivation to quit based on the cognitive and motivational stages involved in the quitting process: precontemplation (does not consider quitting in the next six months), contemplation (is motivated to quit in the next six months), action (has stopped smoking, and has been abstinent for < 6 months), maintenance (has not Sample characteristics n = 100…”

Section: Methodsmentioning

confidence: 99%

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Profile and motivation for smoking cessation in surgical inpatients

Corrêa

Echer

2015

Rev. Gaúcha Enferm.

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The aim of this cross-sectional study was to describe the profile of smokers hospitalized for surgery, and investigate their motivation to quit. The sample consisted of 100 patients recruited from a university hospital in southern Brazil. Data were collected between February and May 2013, and analyzed using descriptive statistics. The sample was predominantly male (n=58; 58%) and had a mean age of 54.5±13.8 years. Seventy-nine (79%) of the participants were white, 38(38%) were married and 67(67%) had primary education only. Patients started smoking at a mean age of 17±6.6 years, smoked approximately 20(10 to 28.7) cigarettes/day and had been smoking for a mean of 37.4±14.4 years. Ninety-one (91%) patients wanted to stop smoking, 57(57%) were in the preparation phase, 36(36%) had low nicotine dependence and 35(35%) had been encouraged to quit. We concluded that, although hospitalization is a good moment to address smoking cessation, health care professionals do not enact effective and systematic interventions in this regard.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Profile and motivation for smoking cessation in surgical inpatients

Corrêa

Echer

2015

Rev. Gaúcha Enferm.

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“…Quanto aos estágios de mudança de comportamento, 50% dos indivíduos estão na précontemplação, ou seja, não desejam, nem planejam perder peso. Ou seja: não existe ainda a intenção de mudança, o indivíduo não apresenta a consciência de que há um problema a ser enfrentado e existe uma resistência em reconhecer ou modificar um problema ou um padrão comportamental (YOSHIDA;PRIMI;PACE, 2003). Verificou-se que a outra metade (50% dos indivíduos) não tem mantido seu peso desejado por mais de seis meses.…”

Section: Discussionunclassified

Autoeficácia para redução de gordura nas dietas e estágios de mudança de comportamento para perda de peso entre funcionários de escolas viçosenses

Andaki

Vieira

Oliveira

2013

Nutrire

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Autoeficácia para redução de gordura nas dietas e estágios de mudança de comportamento para perda de peso entre funcionários de escolas viçosenses Self-efficacy for fat reduction in diets and stages of change in behavior for weight loss among school employees in Viçosa, Brazil ABSTRACT ANDAKI A. C. R.; VIEIRA D. M.; OLIVEIRA M. C. F. Self-efficacy for fat reduction in diets and stages of change in behavior for weight loss among school employees in Viçosa, Brazil. Nutrire: rev. Soc. Bras. Alim. Nutr. = J. Brazilian Soc. Food Nutr., São Paulo, SP, v. 38, n. 2, p. 134-143, ago. 2013 In this study, we aimed to evaluate self-efficacy in a diet with reduced fat and identify stages of change in behavior for weight loss in employees of two schools in the municipality of Viçosa, Minas Gerais state. It is a crosssectional study with a sample of 21 subjects, 95% females. Weight and height were self-reported and nutritional status was obtained by the body mass index (BMI). We applied a questionnaire containing Likert Scale from 0 to 100 points to measure self-efficacy in following a diet with reduced fat. We calculated the average value of each individual: the score 0 classifies the individual as "not confident", 50 as "moderately confident", and 100 as "very confident". Algorithm was also used to identify the stages of change in behavior. Body weight was 60.75±12.73kg. Overweight and obesity accounted for 21.1% and 15.7% of the subjects analyzed, respectively. We verified that 50% of individuals did not maintain their desired weight for more than six months and that 50% actively attempted to lose weight in the last month; of these, 40% were aimed at weight loss in the following six months. Regarding stage changes, 50% of subjects were in the pre-contemplation stage; 30%, 5%, and 15% were in the preparation, action, and maintenance stages, respectively. Results showed that the individuals studied were moderately confident in following a diet with reduced fat, mean score of 40.68±21.96, and that most of them were in their pre-action stages. It is suggested that interventions be accomplished with school officials, among individuals who are in the stages of preparation and maintenance, to promote body weight reduction besides encouraging self-efficacy among the less confident. . ANDAKI A. C. R.; VIEIRA D. M.; OLIVEIRA M. C. F. Autoeficácia e estágios de mudanças de comportamento. Nutrire: rev. Soc. Bras. Alim. Nutr.= J. Brazilian Soc. Food Nutr., São Paulo, SP, v. 38, n. 2, p. 134-143, ago. 2013.Recebido para publicação em 22/06/12. Aprovado em 17/06/13.

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“…For the individual to be classified in preparation, it is necessary to obtain maximum scores (score = 40) in both the contemplation and action stages. A study of the reliability and validity of the EEM (Yoshida, Primi, & Pace, 2003) indicated a lower internal consistency for the precontemplation (α = 0.56) and contemplation (α = 0.57) stages, when compared to the action (α = 0.82) and maintenance (α = 0.77) stages. The factorial structure obtained by varimax rotation with Kaiser normalization indicated four-factor solution, compatible with that of the original version.…”

Section: Instrumentsmentioning

confidence: 99%

Mudança em pacientes de clínica-escola: avaliação de resultados e processos

Honda

Yoshida

2012

Paidéia (Ribeirão Preto)

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This study investigated changes in patients cared for in a Training-Clinic and sought to understand the factors influencing the results of psychotherapeutic practices. The sample was composed of nine participants (eight women and one man) aged 33 years old or older, after they had completed psychotherapy treatment. Semi-structured interviews were conducted to evaluate adaptive efficacy, stage of change, and psychopathological symptoms. The Scale for Efficacy of Adaptation (EDAO-R), the Stage of Change Scales (EEM), and the Symptom Assessment Scale 40 (EAS-40) were used. Data suggest that easing symptoms is possible, as is progressing in stage changes; adaptive efficacy, however, is more resistant to change. Positive therapeutic bonds and the willingness of patients to act as agents of their own change may have been relevant in the psychotherapies outcomes, even though these were not directly evaluated. Longitudinal studies are needed to monitor processes from their beginnings.Keywords: Psychotherapeutic Processes, Process Assessment (Health Care), Change (Psychology), Training-clinic. Mudança em Pacientes de Clínica-escola: Avaliação de Resultados e ProcessosResumo: Este artigo objetivou avaliar mudanças em pacientes atendidos em clínica-escola e compreender possíveis fatores que influenciaram os resultados das psicoterapias. A amostra foi composta por nove participantes (oito mulheres e um homem), com idade igual ou superior a 33 anos, em fase de término de atendimento psicoterápico. Realizou-se entrevista individual semiestruturada para avaliar eficácia adaptativa, estágio de mudança e sintomas psicopatológicos. Utilizaram-se a Escala Diagnóstica Adaptativa Operacionalizada Redefinida (EDAO-R), a Escala de Estágios de Mudança (EEM) e a Escala de Avaliação de Sintomas (EAS-40). Os resultados sugerem ser possível esperar abrandamento dos sintomas psicopatológicos e progresso nos estágios de mudança. A qualidade da configuração adaptativa é mais resistente a melhoras. A aliança terapêutica positiva e a disposição do paciente como agente da própria mudança podem ter sido relevantes nos resultados das psicoterapias, ainda que não diretamente avaliados. São necessárias pesquisas longitudinais para o acompanhamento dos processos desde o início. Palavras-chave:Processos Psicoterapêuticos, Avaliação de Processos (Cuidados de Saúde), Mudança (Psicologia), Clínica-escola. Cambio en Pacientes de Clínica-escuela: Evaluación de Resultados y ProcesosResumen: Se puso como objetivo evaluar los cambios en pacientes acogidos en clínica-escuela y comprender posibles factores que influenciaron en los resultados de las psicoterapias. La muestra abarcó a nueve participantes (ocho mujeres y un hombre), con edad igual o superior a 33 años, en fase final de atención psicoterápica. Fueron realizadas entrevistas individuales semi-estructuradas para evaluar la eficacia de adaptación, etapa de cambio y síntomas psicopatológicos. Fue utilizada la Escala Diagnóstica Adaptativa Operacionalizada Redefinida (EDAO-R), la Escala Etapas ...

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Validade da escala de estágios de mudança

Abstract: RESUMO(1) É Psicóloga Docente do Programa de Pós-Graduação em Psicologia e do curso de graduação em Psicologia da Pontifícia Universidade Católica de Campinas.

Cited by 10 publications

References 6 publications

Profile and motivation for smoking cessation in surgical inpatients

Profile and motivation for smoking cessation in surgical inpatients

Autoeficácia para redução de gordura nas dietas e estágios de mudança de comportamento para perda de peso entre funcionários de escolas viçosenses

Mudança em pacientes de clínica-escola: avaliação de resultados e processos

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