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Application of the Transtheoretical Model to Exercise Behavior Change Stages of Women in Nursing College and Factors Affecting the Stages

범이론적 모형을 적용한 간호대 여학생의 운동행위 변화단계와 관련요인

  • Received : 2012.02.23
  • Accepted : 2012.04.08
  • Published : 2012.04.30

Abstract

Purpose: The purpose of this study was to identify the related factors of change affecting the stages of change for exercise, on the assumption that there are various stages of change in the exercise behavior of women in nursing college. Methods: The subjects were 496 female college students in D city. The research instruments were stages of change for exercise behavior, the process of change, decisional balance, and self-efficacy. The dates were analyzed by descriptive statistics, ANOVA, and stepwise multiple regression using the SPSS 18.0 program. Results: The distribution of the subjects across the stages was: pre-contemplation, 17.7%; contemplation, 58.7%; preparation, 19.0%; action, 2.8%; maintenance, 1.8%. Analysis of variance showed that cognitive process (F=17.26, p<0.01), behavioral process (F=27.05, p<0.01), the pros of decisional-balance (F=7.07, p<0.01), the cons of decision-balance (F=5.82, p<0.01), and self efficacy (F=17.79, p<0.01) were significantly associated with the change of exercise behavior stages. The related factors of change affecting the change of exercise behavior stage were the cons of decision-making, counter conditioning, self re-evaluation, and body mass index, including 28.4% R-square. Conclusion: The transtheoretical model would be applicable to explain the exercise behavior of some women in nursing college. So, this study will be useful information for developing effective exercise behavior programs considering female students' stages of change.

Keywords

References

  1. American College of Sports Medicine. (2000). ACSM's guidelines for exercise testing and prescirption (6th ed). Baltimore : Lippincott, Williams & wilkins.
  2. Bandura, A. (1997). Self-efficacy: The exercise and control. New York: W. H. Freeman.
  3. Chang, O. J., & Chaung, S. K. (2000). Eating habits and workout patterns of some college students. Journal of Korean Public Health Nursing, 14(2), 415-430.
  4. Cho, K. H., Yim, S. Y., & Baik, S. H. (2011). Relationship between health behavior factors and bone mineral denisty among college students in a health related department. Journal of Korean Public Health Nursing, 25(2), 266-275
  5. Choi, H. C. (2000). A Study of factors influencing health promoting behavior and quality of life in the nursing students. Journal of Korean Public Health Nursing, 14(1), 161-171.
  6. Glanz, K., Lewis, F. M., & Rimer, B. K. (1997). Health behavior and health education: Theory, research and practice. San Francisco: Jossey-Bass Publishers.
  7. Inoue, S., Zimmet P., Caterson, I., Chunming, Chen., Ikeda, Y., Khalid. A, K., Kim, Y. S., & Bassett, J. (2000). The Asia-Pacific Perspective: Redefining obesity and its treatment. Health Communications Australia Pty Limited on behalf of the Steering Committee.
  8. Kim, C. K. (2002). Process of change, decisional balance, self efficacy corresponding to the stage of exercise behavior in patients with Type 2 diabetes mellitis. Journal of Korean Society of Adult Nusing, 14(1), 15-23.
  9. Kim, M. H., & Suh, S. R. (2006). A study on the transtheoretical model constructs that influence stage of change of exercise in the female elderly. Korean Society of Welfare for the aged, 33, 257-278.
  10. Kim, N. H., Jun, S. S., Kim, Y. H., Kim, J. S., & Hwang, S. K. (2005). Application of the transtheoretical model to obese adolescents' exercise behavior change stages. Journal of Korean Society for Health Education and Promotion, 22(1), 103-115..
  11. Kim, Y. H. (2002). Adolescents' stages of change decisional balance, self efficacy in exercise: Application of transtheoretical model. Korean Society of Sport Psychology, 13(3), 1-19.
  12. Kim, Y. H. (2004). Korean and American university students' exercise behavior.Journal of Korean Society of Sport Psycology, 12(2), 29-44.
  13. Kwon, Y. S. (2008). A study on obesity stress and related factors among female college students. Journal of Korean Academy of Community Health Nursing, 19(3), 431-442
  14. Lee, B. H., Ko, D. S., Bae, S. Y., Noth, J. S., Choi, M. S., & Park, J. (2010). Factors associated with physical activity among female college students: Using TPB. Journal of Korean Society for Health Education and Promotion, 27(2), 23-31.
  15. Lee, P. S., & Chang, S. O. (2001). The study on the effect of stage based exercise motivational intervention program for the elderly. Journal of Korean Academy of Nursing, 31(5), 818-834. https://doi.org/10.4040/jkan.2001.31.5.818
  16. Lee, R. L., & Loke, A. Y.(2005) Health promoting behaviors and psychosocial well being of university students in Hong Kong. Public Health Nursing, 22(3), 209-220. https://doi.org/10.1111/j.0737-1209.2005.220304.x
  17. Marcus, B. H & Owen, N. (1992). Motivational readiness, self-efficacy and decision-making for exercise. Journal of Applied Social Psychology, 22(1), 3-16. https://doi.org/10.1111/j.1559-1816.1992.tb01518.x
  18. Marcus, B. H., Pinto, B. M., Simkin, L. R., Audrain, J. E., & Taylor, E. R. (1994). Application of theoretical models to exercise behavior among employed woman. American Journal of Health Promotion, 9(1), 49-55.
  19. Marcus, B. H., Goldstein, M. G., Jette, A., Simkin, S. L., Pinto, B. M., Milan, F., & Duse, C. E. (1997). Traning physicians to conduct physical activity counseling. Preventive Medicine, 26(3), 382-388. https://doi.org/10.1006/pmed.1997.0158
  20. Nigg, C. R., & Courneya, K. S. (1998). Transtheoretical model: examining adolescent exercise behavior. Journal of Adolescent Health, 22(3), 214-224. https://doi.org/10.1016/S1054-139X(97)00141-9
  21. Nigg, C. S., Norman, G. J., Rossi, J. S., & Benisovich, S. V. (1999). Process of exercise behavior change: Redeveloping the scale. CA: Poster presented at SBM.
  22. Park, I. S. (2008). A study on the stage of exercise behavior change applying transthe -oretical model in some high grade Pupils elementary schools.. Unpublished master's thesis, Chosun University, Gwangju.
  23. Prochaska et al. (1994). Stage of change and decisional balance for 12 problem behaviors. American psychological association, 13(1), 39-46.
  24. Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. Amercan Journal of Health Promotion, 12(1), 37-48.
  25. Seo, G. S., & Lee, D. B. (2006). Factors effecting to the stage of change for exercise on the workers. Journal of Korean Society for Health Education and Promotion, 23(1), 63-75.
  26. Shim, Y. B., Na, B. J., Lee, M. S., Roh, Y. S., Kim, K. Y., & Kim, D. K. (2009). The relationship between physical activity function and the stages of self change for exercise in a rural aged people. Journal of Korean Society for Health Education and Promotion, 26(2). 15-23.
  27. Sin, M. Y. (2000). The effects of jogging tranning on physique body composition & cardiopulmonary in obeses high school men. Unpublished master's thesis, Sila University, Busan.
  28. Song, S. S., & Kang, S. G. (2000). Effect of exercise participation of obesity adolescent on psycho-physiological changes for the concerned with mental health variable. Journal of Thesis Collection, 8(1), 199-217.

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