Factors Associated with Perticipation in a Walking Campaign

걷기행사 참가의 결정요인

  • Jo, Heui-Sug (Department of Health Policy & Management, College of Medicine, Kangwon National University) ;
  • Song, Yea-Li-A (Health Promotion Supporting Team, Kangwon Province) ;
  • Hong, Seon-Young (Health Promotion Supporting Team, Kangwon Province) ;
  • Yoo, Seung-Hyun (Department of Behavioral & Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, USA) ;
  • Lee, Jeong-Reol (Korea Data Network)
  • 조희숙 (강원의대 의료관리학 교실) ;
  • 송예리아 (강원도 건강증진사업지원단) ;
  • 홍선영 (강원도 건강증진사업지원단) ;
  • 유승현 (미국 피츠버그 대학교 보건대학원) ;
  • 이정렬 (코리아 데이터 네트워크)
  • Published : 2007.09.30

Abstract

Objective: The purposes of this study are to understand the characteristics of the participants in a community walking campaign and to analyze the factors related to their participation based on the Transtheoretical Model (TTM). Methods: The study composed of the description of participant characteristics and comparison of them with non-participant characteristics in a walking campaign in K province. The data were collected through a survey of 2,590 participants and 258 non-participants from the same community. The survey instrument included questions about stages of walking and exercise, knowledge and attitude toward walking, and environmental condition for walking. Results: A majority of the walking campaign participants were in the action(24.8%) and maintenance(43.6%) stages of walking and exercise behavior. The non-participant group was split between maintenance(51.6%) and precontemplation (30.6%) stages. Among the participants, effective campaign promotion channels differed by age group while motivation for participation and participation patterns were associated with both age and gender. Favorable physical environment was a significant factor of participating in walking campaign(OR=1.396, CI=1.149-1.696). Although the campaign participants scored higher than the non-participants in most attitude toward walking questions, differences in knowledge scores between two groups were less significant. Conclusion: In conclusion, further social marketing to increase the awareness and to increase the concern of population in the community is needed based on the survey result. Transtheoretical model seems appropriate to apply to the evaluation and the planning the program of the behavior change in the community. Also, more organized and sustainable support in need to maintain the good habit of walking for the participants in walking campaign.

Keywords

References

  1. 김남희, 전성숙, 김영혜, 김정순, 황선경. 범 이론적 모형을 적용한 비만 청소년의 운동행위변화 단계 연구. 보건교육건강증진학회지 2005;22 (1):103-115
  2. 김소인 외 6명. 노인운동의 변화단계에 따른 의사 결정균형에 대한 연구. 성인간호학회지 2000; 12(1):40-51
  3. 김영복. 일부 중년여성의 유방암 수검행동 변화단계와 인지-행동적 요인간의 관련성 분석. 보건교육 건강증진학회지 2006;23(2):77-89
  4. 김춘자. 제 2형 당뇨 환자의 운동행위변화단계에 따른 변화과정, 의사결정균형 및 자기효능감에 관한 연구. 성인간호학회지 2002;14(1):83 92
  5. 이평숙 외 6명. 노인 운동의 의사결정 균형, 자아효능감, 운동행위변화단계에 의한 예측모형 연구. 정신간호학회지 1999;8(2):280-290
  6. 이평숙, 장성옥. 운동행위변화단계에 근거한 노인 운동 동기화 중재프로그램 효과에 관한 연구. 대한간호학회지 2001;31(5):818-834
  7. Bauman AE, Bellew B, Owen N, Vita P. Impact of an Australian mass media campaign targeting physical activity in 1998. American Journal of Preventive Medicine 2001;21(1); 41-47 https://doi.org/10.1016/S0749-3797(01)00313-0
  8. Bauman A, Smith BJ, Maibach EW, Reger-Nash B. Evaluation of mass media campaigns for physical activity. Evaluation and program planning 2001;29(3):312- 322 https://doi.org/10.1016/j.evalprogplan.2005.12.004
  9. Beaudoin CE, Fernandez C, Wall JL, Farley TA. Promoting healthy eating and physical activity: Short-term effects of a mass media campaign. Am J Prev Med 2007;32(3):217-223 https://doi.org/10.1016/j.amepre.2006.11.002
  10. Bessinger R, Katende C, Gupta N. Multi -media campaign exposure effects on knowledge and use of condoms for STI and HIV/AIDS prevention in Uganda. Evaluation and program planning 2004;27(4):397-407 https://doi.org/10.1016/j.evalprogplan.2004.07.003
  11. Bjaras G, Klinge Harberg L, Sydhoff J, Ostenson C.-G. Walking campaign: a model for developing participation in physical activity? Experiences from three campaign periods of the Stockholm Diabetes Prevention Program (SDPP). Patient Education and ccounseling 2001;42(1); 9-14 https://doi.org/10.1016/S0738-3991(99)00119-6
  12. Blissmer B, McAuley D. Testing the requirements of stages of physical activity among adults: The comparative effectiveness of stage-matched, mismatched, standard care, and control interventions. Annals of Behavioral Medicine 2002;24(3):181-189 https://doi.org/10.1207/S15324796ABM2403_03
  13. Burgoyne L, Coleman R, Perry IJ. Walking in a city neighbourhood, paving the way. Journal of Public Health 2007;29(3):222-229 https://doi.org/10.1093/pubmed/fdm027
  14. Dubbert PM. Physical activity and exercise: Recent advances and current challenges. Journal of Consulting and Clinical Psychology 2002;70(3):526-536 https://doi.org/10.1037/0022-006X.70.3.526
  15. Giles-Corti B 외 7인. Increasing walking: How important is distance to, attractiveness, and size of Public Open Space? Am J Prev Med 2005;28(2S2):169-176
  16. Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Social Science & Medicine 2002;54: 1793-1812 https://doi.org/10.1016/S0277-9536(01)00150-2
  17. Hastings G, Haywood A. Social marketing and communication in health promotion. Health Promot. Int. 1991;6(2):135-145 https://doi.org/10.1093/heapro/6.2.135
  18. Kim YH. Korean adolescents' exercise behavior and its relationship with psychological variables based on stages of change model. Journal of Adolescent Health 2004;34:523-530 https://doi.org/10.1016/S1054-139X(03)00349-5
  19. Kolt GS 외 5인. An overview and process evaluation of TeleWalk: A telephone-based counseling intervention to encourage walking in older adults. Health Promot. Int. 2003;21 (3):201-208 https://doi.org/10.1093/heapro/dal015
  20. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stage of exercise behavior change. Res Q Exerc Sport 1992; 63:60-6 https://doi.org/10.1080/02701367.1992.10607557
  21. Merseyside Local Authority. Merseyside Walking Strategy report. February 2002;1-43
  22. Nigg CR. Explaining adolescent exercise behavior change: A longitudinal application of the transtheoretical model. Annals of Behavioral Medicine 2001;23(1):11-20 https://doi.org/10.1207/S15324796ABM2301_3
  23. Owen N. Strategic initiatives to promote participation in physical activity. Health Promot. Int. 1996;11(3):213-218 https://doi.org/10.1093/heapro/11.3.213
  24. Prochaska JO, DiClemente C. Stages and processes of self-changing in smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology 1983;5:390- 395
  25. Prochaska JO, DiClemente CC. Stage and processes of self change of smoking: Toward an integrative model. J Consult Clin Psychol 1983;51:390-395 https://doi.org/10.1037/0022-006X.51.3.390
  26. Prochaska JO 외 5인. Stages of change and decisional balance for health problem behaviors. Health Psychology 1994;12:39-46
  27. Simpson ME 외 6인. Walking trends among U.S. adults: The behavioral risk surveillance system, 1987-2000. Am J Prev Med 2003; 25(2):95-100 https://doi.org/10.1016/S0749-3797(03)00096-5
  28. Smith BJ, Ferguson C, McKenzie J. Bauman A, Vita P. Impacts from repeated mass media campaigns to promote sun protection in Australia. Health Promot. Int. 2002; 17:51-60 https://doi.org/10.1093/heapro/17.1.51
  29. Schumann A, Estabrooks PA, Nigg CR, Hill J. Validation of the stages of change with mild, moderate, and strenuous physical activity behavior, intentions, and selfefficacy. International Journal of Sports Medicine 2003;24:363-365 https://doi.org/10.1055/s-2003-40706
  30. Spencer L, Adams TB, Malone S, Roy L, Yost E. Applying the transtheoretical model to exercise: A systematic and comprehensive review of the literature. Health Promotion Practice 2006;7(4):428-443 https://doi.org/10.1177/1524839905278900
  31. Suminski RR, Carlos Poston WS, Petosa RL, Stevens E, Katzenmoyer LM. Features of the neighborhood environment and walking by U.S. adults. Am J Prev Med 2005; 8(2):149-155
  32. Velicer WF, Prochaska JO, Fava JL, Norman GJ, Redding CA. Smoking cessation and stress management: Applications of the Transtheoretical Model of behavior change. Homostasis 1998;38:216-233. in http://www.uri.edu/research/cprc/
  33. Velicer WF 외 6인. Using the Transtheoretical Model for population-based approaches to health promotion and disease prevention. Homeostasis in Health and Disease 2000; 40:174-195
  34. Wimbush E, MacGregor A, Fraser E. Impacts of a national mass media campaign on walking in Scotland. Health Promot. Int. 1998;13:45-53 https://doi.org/10.1093/heapro/13.1.45