Paper
Saturday, July 24, 2004
Process of Change, Decisional Balance and Self Efficacy Corresponding to Stage of Change in Exercise Behaviors in Middle Aged Women in Korea
Yun Mi Lee, RN, PhD, Department of Nursing, Department of Nursing, Inje University, Busan, South Korea
| Learning Objective #1: Identify the process of change corresponding to the stage of exercise behavior change based on Transtheoretical Model in middle aged women in Korea |
| Learning Objective #2: Identify decisional balance and self efficacy corresponding to the stage of exercise behavior change based on Transtheoretical Model in middle aged women in Korea |
Objective : The study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior change based on Transtheoretical Model in middle aged women in Korea. Design : Cross-sectional descriptive survey. Population, Sample. Setting, Years : The subjects consisted of 317 women residing in B city in Korea by convenience sampling. The data were collected from June 1 to August 31, 2003. Concept or Variable Studies Together or Intervention and Outcome Varables : The research concepts were Stage of change of exercise behavior, Process of change, Decisional balance, Self efficacy. Methods: The collected data were analyzed using one-way ANOVA, Tukey's HSD by SPSS/WIN program. Findings : 1. The subjects were distributed in each stage of exercise behaviors change: There were 53 subjects(16.7%) in the precontemplation stage, 86 subjects(27.1%) in the contemplation stage, 88 subjects(27.8%) in the preparation stage, 51 subjects(16.1%) in the action stage and 39 subjects(12.3%) in the maintenance stage. 2. Analysis of variance showed that consciousness raising(F=24.96, p=.00), environmental reevaluation(F=7.13, p=.00), self reevaluation(F=19.47, p=.00), dramatic relief(F=15.22, p=.00), social liberation(F=4.26, p=.00), counter conditioning(F=26.44, p=.00), helping relationship(F=13.17, p=.00), reinforcement management(F=21.25, p=.00), self liberation (F=27.70, p=.00), stimulus control(F=13.49, p=.00), pros(F=14.40, p=.00) self-efficacy(F=39.91, p=.00) were significantly associated with the stages of exercise behaviors change. Conclusions : Results are consistent with the application of the transtheoretical model, which has been used to understand how people change health behaviors. Implications : Even though this study is a cross-sectional and not a longitudinal study, this study can provide the basis of staged matching exercise program using TTM for more effective and useful intervention.
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