Do the Transtheoretical Model Instruments for Exercise Behavior Apply to Older Adults?

Nigg, Claudio R.; Riebe, Deborah; Rossi, Jennifer; Stillwell, Kira; Garber, Carol Ewing; Burbank, Patricia M.; Clark, Phillip G.

doi:10.1097/00005768-200105001-00847

Cited by 41 publications

(46 citation statements)

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“…Both the pros and cons were significantly related to stage of change in cross-over studies, as demonstrated for 10 problem behaviors (Nigg et al, 1999). In a separate study of 504 older adults, the decisional balance model fit well, with the pro/con average item loading being α = .78 (Nigg et al, 2001).…”

Section: Decisional Balance Questionnairementioning

confidence: 70%

“…The exercise stage questionnaire (Table 4) was developed by Nigg et al (1999) and is known as the Exercise Stage Assessment (Nigg et al, 2001). The questionnaire measures respondents' current level of exercise during leisure time, with regular exercise defined as planned activity with the purpose of increasing physical fitness.…”

Section: Exercise Stage Questionnairementioning

confidence: 99%

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Exercise and exercise intentions among obese and overweight individuals

Smith

Griffin

Fitzpatrick

2011

Journal of the American Academy of Nurse Practitioners

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Purpose: To determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking advanced practice nurse (APN) care. Data sources: A convenience sample of 175 persons aged 40 or above with the values of body mass index (BMI) exceeding 25. Conclusions: One fourth of the respondents were considering beginning exercise within the next month; 23% had exercised regularly for more than 6 months and 39% indicated that they exercised regularly. Most respondents believed the pros of exercise outweighed the cons, and as the pros increased, so did the likelihood of exercising. Implications for practice: In approaching the subject of exercise among obese and overweight individuals it is important for the APN to understand behavioral change. Thus, it would be more fruitful to ask, "What would it take to move those who intend to begin exercising to the next stage?" For health behavior change to occur, the pros must be twice as numerous as the cons. In clinical practice, reviewing and adding to the pros of exercise as outlined by the patient might tip the decisional balance in favor of exercise.Exercise, while studied in the general population, has been less studied in the overweight and obese population in the primary care setting. In particular, no studies looked at obese and overweight people who seek primary care from advanced practice nurses (APNs) in independent APN practice. The present descriptive correlational study was designed to determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking primary care from APNs. The methodology box summarizes reasons for selection of this approach.

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Section: Decisional Balance Questionnairementioning

confidence: 70%

Section: Exercise Stage Questionnairementioning

confidence: 99%

Exercise and exercise intentions among obese and overweight individuals

Smith

Griffin

Fitzpatrick

2011

Journal of the American Academy of Nurse Practitioners

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“…Stages were assessed using a standard staging algorithm [25,26] that defined current participation in regular moderate or vigorous physical activity in a way consistent with the types and level of participation specified by US Healthy People 2010 [2]. The primary measure used to assess physical activity was the International Physical Activity Questionnaire (IPAQ) short form [27].…”

Section: Methodsmentioning

confidence: 99%

Failure of Post-Action Stages of the Transtheoretical Model to Predict Change in Regular Physical Activity: A Multiethnic Cohort Study

et al. 2009

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“…A sample BPC item is "Instead of relaxing by watching TV or eating, I take a walk or do PA." A sample cognitive process of change question is "I believe that regular PA will make me a healthier, happier person." Reliability and validity of both the behavioral and cognitive process of change have been previously established [14]. Behavioral and CPC were calculated by summing the items for each process of change separately.…”

Section: Processes Of Changementioning

confidence: 99%

Examining the Association of Transtheoretical Model Constructs on Physical Activity: Considerations of Anxiety Symptomology as a Potential Moderator

Joyner¹,

Loprinzi²

2017

J Mol Pathophysiol

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Background: The purpose of this study was to examine the potential moderating effects of anxiety symptomology on the association between constructs from the transtheoretical model (TTM) and physical activity (PA). Methods: Data were collected from 200 University students from October 2015 to June 2016. To assess TTM constructs, a validated TTM survey was utilized. PA was assessed via the validated international PA questionnaire. Anxiety was assessed utilizing the 5-item overall anxiety severity and impairment scale questionnaire. A multivariable logistic regression analysis was used to evaluate the association between TTM constructs and PA. Interaction analyses were computed to see if there was an interaction effect of TTM constructs and anxiety on PA. Results: The only TTM construct associated with meeting moderate-to-vigorous PA (MVPA) guidelines was behavioral processes of change (odds ratio = 1.14, 95% confidence interval = 1.07-1.21; P < 0.05). Further, there was no interaction effect of anxiety and any of the TTM constructs on MVPA (all P > 0.05). Conclusion: TTM seems to have some utility of promoting MVPA among University students and does not appear to be a function of anxiety levels.KEY WORDS: Anxiety, behavioral processes of change, moderate-to-vigorous physical activity, transtheoretical model Joyner and Loprinzi: Exercise, TTM, and anxiety

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Do the Transtheoretical Model Instruments for Exercise Behavior Apply to Older Adults?

Cited by 41 publications

References 0 publications

Exercise and exercise intentions among obese and overweight individuals

Exercise and exercise intentions among obese and overweight individuals

Failure of Post-Action Stages of the Transtheoretical Model to Predict Change in Regular Physical Activity: A Multiethnic Cohort Study

Examining the Association of Transtheoretical Model Constructs on Physical Activity: Considerations of Anxiety Symptomology as a Potential Moderator

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