Using the Stages of Change Model to Increase the Adoption of Physical Activity among Community Participants

Marcus, B.; Banspach, SW; Lefebvre, R. Craig; Js, Rossi; Carleton, R A; Abrams, DB

doi:10.4278/0890-1171-6.6.424

Cited by 406 publications

(226 citation statements)

References 12 publications

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“…Self-reported height and weight were colleted to determine Body Mass Index (BMI) for each individual. Physical activity was assessed using two self-report measures, the Yale Physical Activity Scale (DiPietro et al, 1993) and Stage of Motivational Readiness Scale (Marcus et al, 1992), and one objective indicator, accelerometry. Non-psychiatric comparisons completed the YPAS and interview, and a subsample participated accelerometry measurement.…”

Section: Assessmentsmentioning

confidence: 99%

“…We assessed PA motivational readiness with a five-item scale that classifies individuals into one of five stages of change that are based on intention and behavior--Precontemplation, Contemplation, Preparation, Action, and Maintenance (Marcus et al, 1992). Regular PA was defined according to the American College of Sports Medicine criteria: Any physical activity performed for 30 minutes per session for most days of the week (American College of Sports Medicine, 1990).…”

Section: Stage Of Motivational Readiness Scale-mentioning

confidence: 99%

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Assessment of physical activity in middle-aged and older adults with schizophrenia

Lindamer

McKibbin

Norman

et al. 2008

Schizophrenia Research

128

112

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Section: Assessmentsmentioning

confidence: 99%

Section: Stage Of Motivational Readiness Scale-mentioning

confidence: 99%

Assessment of physical activity in middle-aged and older adults with schizophrenia

Lindamer

McKibbin

Norman

et al. 2008

Schizophrenia Research

128

112

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“…The Transtheoretical Model and Stages of Change has been successfully used to predict diet and physical activity behaviors (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). Unfortunately, few studies have included individuals with chronic diseases or a significant number of ethnic minorities.…”

Section: Diabetes Care 24:1770 -1775 2001mentioning

confidence: 99%

Mediators of Lifestyle Behavior Change in Native Hawaiians

et al. 2001

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OBJECTIVE -To examine the association of stage of change with diet and exercise behaviors in response to a lifestyle intervention for Native Hawaiians (NHs). RESEARCH DESIGN AND METHODS-A family ('ohana) support lifestyle intervention was compared with a standard intervention in NHs with or at risk for diabetes in two rural communities in Hawaii (n ϭ 147). Stage of change, as a hypothesized mediator of behavior change, and dietary and exercise behaviors were measured at baseline and at 1 year postintervention.RESULTS -Stage of change was significantly associated with positive dietary and exercise behaviors. NHs receiving the 'ohana support (OS) intervention were more likely to advance from pre-action to action/maintenance for fat intake and physical activity than the group who received the standard intervention. Participants in the OS group who advanced from pre-action to action/ maintenance showed more improvement in fat intake and physical activity than those in the standard group.CONCLUSIONS -These initial findings suggest that stage of change is an important factor in mediating lifestyle behavior changes in persons with or at risk for diabetes and merits further study among minority populations at high risk for diabetes. Diabetes Care 24:1770 -1775, 2001N ative Hawaiians (NHs), the indigenous people of Hawaii, have the second highest rate of type 2 diabetes in the U.S. and have an increased risk for new cases of diabetes due to high rates of obesity, impaired glucose tolerance, and insulin resistance syndrome (1-4). Diet and exercise habits play a major role in the management and prevention of diabetes, and not surprisingly, a variety of interventions have been developed to address these adverse lifestyle behaviors (5-8). Unfortunately, few intervention programs have evaluated the process of changing lifestyle behaviors in individuals with diabetes, and furthermore, successful lifestyle behavior changes have not been consistently reported by all programs. Even less is known about how these processes may unfold in unique high-risk populations such as NHs. Understanding the process of behavior change may provide insight into the variable rates of success found and may also aid in the development of more effective methods for improving lifestyle behaviors in individuals with diabetes.The process of changing behaviors is complex, and several theories have been proposed to predict and/or explain observed lifestyle behaviors (9 -11). The Transtheoretical Model and Stages of Change has been successfully used to predict diet and physical activity behaviors (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). Unfortunately, few studies have included individuals with chronic diseases or a significant number of ethnic minorities. Therefore, the Native Hawaiian Diabetes Intervention Program (NH-DIP) sought to evaluate the Stages of Change model as a potential mediator in changing lifestyle behaviors in NHs with or at risk for diabetes.The NHDIP was a 4-year research project in which the main objective was to determine whether ...

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“…O Modelo Transteorético proposto por Prochaska et al 3 tem potencial para explicar e para facilitar mudanças em uma variedade de comportamentos relacionados à saúde [4][5][6][7][8][9] .…”

Section: N T R O D U ç ã Ounclassified

O modelo transteorético aplicado ao consumo de frutas e hortaliças em adolescentes

Oliveira

Duarte

2006

Rev. Nutr.

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ObjetivoIdentificar a relação entre dois constructos do Modelo Transteorético -estágios e processos de mudança -quanto ao consumo de frutas e de hortaliças por adolescentes. MétodosEm desenho transversal, foi aplicado um questionário a 61 adolescentes, verificando que o uso do processo autoliberação se distinguiu significativamente (p<0,05) em todos os estágios de mudança no consumo de frutas e de hortaliças. ResultadoO processo suporte social apresentou diferenças significativas (p<0,05) no seu uso entre estágios pré-contemplação/contemplação e preparação apenas no consumo de frutas. Quanto ao uso do processo auto-reavaliação, foram encontradas diferenças significativas (p<0,05) entre os estágios pré-contemplação/ contemplação e preparação no consumo de hortaliças. ConclusãoConcluiu-se que alguns processos específicos de mudança eram utilizados pelos adolescentes ao se moverem por meio dos estágios de mudança. Intervenções empregando tais processos devem ser realizadas para possibilitar avanços nos estágios de mudança do consumo de frutas e de hortaliças.Termos de Indexação: comportamento do adolescente; frutas; hortaliças.

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Using the Stages of Change Model to Increase the Adoption of Physical Activity among Community Participants

Abstract: Most participants increased their stage of exercise adoption during the six-week intervention. This study provides preliminary support for use of the stages of change model in designing exercise interventions.

Cited by 406 publications

References 12 publications

Assessment of physical activity in middle-aged and older adults with schizophrenia

Assessment of physical activity in middle-aged and older adults with schizophrenia

Mediators of Lifestyle Behavior Change in Native Hawaiians

O modelo transteorético aplicado ao consumo de frutas e hortaliças em adolescentes

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