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

Dishman, Rod K.; Thom, Nathaniel J.; Rooks, Cherie; Motl, Robert W.; Horwath, Caroline C.; Nigg, Claudio R.

doi:10.1007/s12160-009-9113-8

Cited by 20 publications

(15 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Observational studies of community adults have reported that both cognitive and behavioral processes were related to maintenance of moderate [66] or vigorous [67] physical activity. However, adherence in those studies was determined using self-reports of action and maintenance stages, which have modest agreement with maintenance of regular moderate or vigorous physical activity sufficient for public health [68]. …”

Section: Discussionmentioning

confidence: 99%

Self-regulation of Exercise Behavior in the TIGER Study

2013

Self Cite

View full text Add to dashboard Cite

Objective To test experiential and behavioral processes of change as mediators of the prediction of exercise behavior by two self-regulation traits, self-efficacy and self-motivation, while controlling for exercise enjoyment. Methods Structural equation modeling was applied to questionnaire responses obtained from a diverse sample of participants. Objective measures defined adherence (928 of 1279 participants attended 80% or more of sessions) and compliance (867 of 1145 participants exercised 30 minutes or more each session at their prescribed heart rate). Results Prediction of attendance by self-efficacy (inversely) and self-motivation was direct and also indirect, mediated through positive relations with the typical use of behavioral change processes. Enjoyment and self-efficacy (inversely) predicted compliance with the exercise prescription. Conclusions The results support the usefulness of self-regulatory behavioral processes of the Transtheoretical Model for predicting exercise adherence, but not compliance, extending the supportive evidence for self-regulation beyond self-reports of physical activity used in prior observational studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Self-regulation of Exercise Behavior in the TIGER Study

2013

Self Cite

View full text Add to dashboard Cite

show abstract

“…A cohort of 497 participants completed the measures at least three times and was used for analysis; 468 completed the measures four times and 394 completed them all five times. The cohort did not differ from the total random sample on physical activity or demographics reported elsewhere [44]. Characteristics of the cohort were: 63.6% female; 31.8% Asian; 19.3% Native Hawaiian/Pacific Islander; 39.8% Caucasian; 8.0% Other (African American, Mexican, Puerto Rican, American Indian, Mixed non-Hawaiian); 52.9% Married; mean age=48.8 years, SD=16.7, range=18–90; mean education=15.0 years, SD=2.9; median income=$40,000 to $50,000)…”

Section: Methodsmentioning

confidence: 99%

“…Participants provided self-reports of gender, age, race/ethnicity, years of education, household income, marital status, height, and weight, which have been described elsewhere [44]. …”

Section: Methodsmentioning

confidence: 99%

“…First, we used latent transition analysis to determine participants’ movement between discrete latent classes of meeting or not meeting the Healthy People 2010 recommendations for participation in regular moderate or vigorous physical activity, which we have described elsewhere [44]. Class 1 mostly met the guideline each time.…”

Section: Methodsmentioning

confidence: 99%

“…We report here on naturally occurring change in key transtheoretical variables across 2 years in a multi-ethnic cohort of adults living in Hawaii. We previously showed in the cohort that the stages were not useful for predicting 6-month changes in physical activity defined as meeting the Healthy People 2010 guidelines for regular participation in either moderate or vigorous physical activity [44]. So, in this paper, we were interested to learn whether the other transtheoretical variables, namely, processes of change, pros and cons for participating in physical activity, self-efficacy for overcoming barriers to physical activity, and temptations to remain inactive were useful for predicting whether people met the guideline during the two years of observation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Using Constructs of the Transtheoretical Model to Predict Classes of Change in Regular Physical Activity: A Multi-Ethnic Longitudinal Cohort Study

et al. 2010

Self Cite

View full text Add to dashboard Cite

Explaining variation in meeting recommended levels of physical activity across time is important for the design of effective public health interventions. To model longitudinal change in constructs of the Transtheoretical Model and test their hypothesized relations with change in meeting the Healthy People 2010 guidelines for regular participation in moderate or vigorous physical activity, a cohort (N=497) from a random, multi-ethnic sample of 700 adults living in Hawaii was assessed at 6-month intervals three or more times for 2 years. Latent class growth modeling was used to classify people according to their initial levels and trajectories of change in the transtheoretical variables and separately according to whether they met the physical activity guideline each time. Relations of the variables and their change with classes of meeting the guideline were then tested using multinomial logistic regression. Despite declines or no change in mean scores for all transtheoretical variables except self-efficacy, participants who maintained or attained the physical activity guideline were more likely to retain higher scores across the 2 years of observation. The usefulness of transtheoretical constructs for predicting maintenance of, or increases in, public health levels of physical activity was generally supported. These longitudinal results support earlier cross-sectional findings which indicate that, contrary to theory, people appear to use both experiential and behavioral processes while they attempt to increase or maintain their physical activity.

show abstract

Correlates of stages of change for physical activity in adults with multiple sclerosis

Plow

Finlayson

Cho

2011

Research in Nursing & Health

View full text Add to dashboard Cite

The Transtheoretical Model (TTM) is commonly used to understand physical activity (PA) behavior in the general population; however, few researchers have explored its relevance for persons with multiple sclerosis (MS). We examined the relative importance of health (symptoms and mobility impairments) and TTM constructs (behavioral and cognitive processes of change) in influencing stages of change placement for PA in a sample of 303 persons with MS using discriminant function analysis. The overall accuracy of predicting stages of change was 58.75%. Behavioral (r(2) = .35) and cognitive processes (r(2) = .17) accounted for the most variance, followed by mobility (r(2) = .11) and self-efficacy (r(2) = .05). Results provide support for evaluating whether TTM-based interventions can promote PA in adults with MS.

show abstract

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

Abstract: The TTM post-action stages had limited usefulness in this cohort. Further longitudinal study is needed to determine whether TTM stages can accurately classify transitions from physical inactivity to physical activity below recommended levels.

Cited by 20 publications

References 42 publications

Self-regulation of Exercise Behavior in the TIGER Study

Self-regulation of Exercise Behavior in the TIGER Study

Using Constructs of the Transtheoretical Model to Predict Classes of Change in Regular Physical Activity: A Multi-Ethnic Longitudinal Cohort Study

Correlates of stages of change for physical activity in adults with multiple sclerosis

Contact Info

Product

Resources

About