Examining a Stage-Based Intervention and Predictors of Exercise Behavior among Iranian Sedentary Adolescents

Zeinab Ghiami, Kim Geok Soh, M.S. Omar Fauzee, Kim Lam Soh

Abstract


This study evaluated the effect of an intervention based on Transtheoretical Model on exercise behavior and examined TTM constructs as predictors of stages of change among Iranian adolescents. Fifty-six sedentary adolescents completed an assessment at baseline, 2 months, and 4 months. Repeated measures ANOVA and logistic regression were used to analyze the data. The analysis showed a statistically significant difference in the mean scores on stages of change for the experimental group. Thus, students in the experiment group significantly improved their stages compared to the baseline. Furthermore, stages of change were found to correlate with TTM constructs, and self-efficacy was shown to be a strong predictor of stages of change. This study indicated that a stage-based intervention using TTM constructs could effectively improve adolescents’ intention to engage in physical activity. Moreover, the level of physical activity in adolescent can be improved by increasing their self-efficacy to exercise.

Keywords: Physical Activity; Stage of Change; Processes of Change; Decisional Balance; Self-efficacy; Transtheoretical Model


Full Text:

PDF

References


American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription: Lippincott Williams & Wilkins.

Berry, Tanya, Naylor, PJ, & Wharf-Higgins, Joan. (2005). Stages of change in adolescents: An examination of self-efficacy, decisional balance, and reasons for relapse. Journal of Adolescent Health, 37(6), 452-459. doi: 10.1016/j.jadohealth.2004.09.019

Biddle, Stuart JH, Gorely, Trish, & Stensel, David J. (2004). Health-enhancing physical activity and sedentary behaviour in children and adolescents. Journal of Sports Sciences, 22(8), 679-701. doi: 10.1080/02640410410001712412

Blissmer, Bryan, & McAuley, Edward. (2002). 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, 24(3), 181-189. doi: 10.1207/S15324796ABM2403_03

Bock, Beth C, Marcus, Bess H, Pinto, Bernardine M, & Forsyth, LeighAnn H. (2001). Maintenance of physical activity following an individualized motivationally tailored intervention. Annals of Behavioral Medicine, 23(2), 79-87. doi: 10.1207/S15324796ABM2302_2

Boonchuaykuakul, Jinda. (2005). Effectiveness of applying the transtheoretical model to improve physical activity behavior of university students. (PhD thesis), Oregon State University. Retrieved from Retrived from http://hdl.handle.net/1957/28755

Calfas, Karen J, Sallis, James F, Oldenburg, Brian, & Ffrench, Margot. (1997). Mediators of change in physical activity following an intervention in primary care. Journal of Preventive Medicine, 26(3), 297-304. doi: 10.1006/pmed.1997.0141

Caspersen, Carl J, Pereira, Mark A, & Curran, Katy M. (2000). Changes in physical activity patterns in the United States, by sex and cross-sectional age. Medicine and Science in Sports and Exercise, 32(9), 1601-1609. doi: 10.1097/00005768-200009000-00013

Dishman, Rod K, & Sallis, J F. (1994). Determinants and interventions for physical activity and exercise. In C. Bouchard, Shephard, R J., Stephens, T (Ed.), Physical activity, fitness and health: International proceedings and consensus statement (pp. 214-238). Champoign (IL): Human Kinetics.

Kelishadi, R, Razaghi, Emran Mohammad, Gouya, Mohammad Mehdi, Ardalan, Gelayol, Gheiratmand, Riaz, Delavari, Alireza, . . . Majdzadeh, Reza. (2006). Association of physical activity and the metabolic syndrome in children and adolescents. Hormone Research in Paediatrics, 67(1), 46-52. doi: 10.1159/000096121

Kim, Youngho. (2007). Application of the transtheoretical model to identify psychological constructs influencing exercise behavior: A questionnaire survey. International Journal of Nursing Studies, 44(6), 936-944. doi: 10.1016/j.ijnurstu.2006.03.008

Kirk, Alison F, Mutrie, Nanette, MacIntyre, Paul D, & Fisher, Miles B. (2004). Promoting and maintaining physical activity in people with type 2 diabetes. American Journal of Preventive Medicine, 27(4), 289-296. doi: 10.1016/j.amepre.2004.07.009

Lewis, Beth A, Forsyth, LeighAnn H, Pinto, Bernardine M, Bock, Beth C, Roberts, Mary, & Marcus, Bess H. (2006). Psychosocial mediators of physical activity in a randomized controlled intervention trial. Journal of Sport & Exercise Psychology, 28, 193-204.

Lindgren, Eva-Carin, Baigi, Amir, Apitzsch, Erwin, & Bergh, Håkan. (2011). Impact of a six-month empowerment-based exercise intervention programme in non-physically active adolescent Swedish girls. Health Education Journal, 70(1), 9-20. doi: 10.1177/0017896910379366

Livingstone, MBE. (2001). Childhood obesity in Europe: A growing concern. Public Health Nutrition, 4(1a), 109-116. doi: 10.1079/PHN2000106

Marcus, Bess H, & Forsyth, LeighAnn H. (2009). Motivating people to be physically active (2nd ed.). Champaign, IL: Human Kinetics.

Marcus, Bess H, Rakowski, William, & Rossi, Joseph S. (1992a). Assessing motivational readiness and decision making for exercise. Health Psychology, 11(4), 257-261. doi: 10.1037/0278-6133.11.4.257

Marcus, Bess H, Rossi, Joseph S, Selby, Vanessa C, Niaura, Raymond S, & Abrams, David B. (1992b). The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11(6), 386-395. doi: 10.1037/0278-6133.11.6.386

Marcus, Bess H, Selby, Vanessa C, Niaura, Raymond S, & Rossi, Joseph S. (1992c). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63(1), 60-66. doi: 10.1080/02701367.1992.10607557

McAuley, Edward, Courneya, Kerry S, Rudolph, David L, & Lox, Curt L. (1994). Enhancing exercise adherence in middle-aged males and females. Preventive Medicine, 23(4), 498-506. doi: 10.1006/pmed.1994.1068

Naylor, PJ, Simmonds, G, Riddoch, C, Velleman, G, & Turton, P. (1999). Comparison of stage-matched and unmatched interventions to promote exercise behaviour in the primary care setting. Health Education Research, 14(5), 653-666. doi: 10.1093/her/14.5.653

Nigg, Claudio R, & Courneya, Kerry S. (1998). Transtheoretical model: Examining adolescent exercise behavior. Journal of Adolescent Health, 22(3), 214-224. doi: 10.1016/S1054-139X(97)00141-9

Nigg, Claudio R, Geller, Karly S, Motl, Rob W, Horwath, Caroline C, Wertin, Kristin K, & Dishman, Rodney K. (2011). A research agenda to examine the efficacy and relevance of the transtheoretical model for physical activity behavior. Psychology of Sport and Exercise, 12(1), 7-12. doi: 10.1016/j.psychsport.2010.04.004

Pirasteh, Ashraf, Hidarnia, Alireza, Asghari, Ali, Faghihzadeh, Soghrate, & Ghofranipour, Fazlollah. (2011). Stages of changes for physical activity among Iranian adolescent girls. World Academy of Science, Engineering and Technology, 53, 1146-1148.

Prochaska, J O, & DiClemente, Charles C. (2005). The transtheoretical approach. Handbook of psychotherapy integration, 2, 147-171.

Prochaska, J O, Redding, CA, & Evers, KE. (1997). The transtheoretical model and stages of change (2nd ed.). San Francisco: Jossey-Bass Publishers.

Sallis, J F, Hovell, Melbourne F, & Hofstetter, C. (1992). Predictors of adoption and maintenance of vigorous physical activity in men and women. Preventive Medicine, 21(2), 237-251. doi: 10.1016/0091-7435(92)90022-A

Sallis, J F, Prochaska, J O, & Taylor, Wendell C. (2000). A review of correlates of physical activity of children and adolescents. Medicine and Science in Sports and Exercise, 32(5), 963-975.

Sanaeinasab, Hormoz, Saffari, Mohsen, Nazeri, Mojtaba, Karimi Zarchi, Aliakbar, & Cardinal, Bradley J. (2013). Descriptive analysis of Iranian adolescents' stages of change for physical activity behavior. Nursing and Health Sciences, 15(3), 280-285. doi: 10.1111/nhs.12020

Speiser, Phyllis W, Rudolf, Mary CJ, Anhalt, Henry, Camacho-Hubner, Cecilia, Chiarelli, Francesco, Eliakim, Alon, . . . Iughetti, Lorenzo. (2005). Childhood obesity. Journal of Clinical Endocrinology & Metabolism, 90(3), 1871-1887. doi: 10.1210/jc.2004-1389

Taymoori, Parvaneh, & Lubans, David Revalds. (2008). Mediators of behavior change in two tailored physical activity interventions for adolescent girls. Psychology of Sport and Exercise, 9(5), 605-619. doi: 10.1016/j.psychsport.2007.09.001

Taymoori, Parvaneh, Rhodes, RE, & Berry, T. (2010). Application of a social cognitive model in explaining physical activity in Iranian female adolescents. Health Education Research, 25(2), 257-267. doi: 10.1093/her/cyn051

U.S. Department of Health and Human Services. (2008). Physical Activity Guidelines. . Retrieved 7/ 7/ 2013, from Disease Prevention and Health Promotion http://www.health.gov/paguidelines/guidelines/chapter2.aspx

Woods, Catherine, Mutrie, Nanette, & Scott, Marian. (2002). Physical activity intervention: A transtheoretical model-based intervention designed to help sedentary young adults become active. Health Education Research, 17(4), 451-460. doi: 10.1093/her/17.4.451

World Health Organization [WHO]. (2005). Preventing Chronic Diseases. A vital investment. (0300-5771). from WHO http://www.who.int/chp/chronic_disease_report


Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2018 (CC-BY) Australian International Academic Centre PTY.LTD.

International Journal of Kinesiology and Sports Science

You may require to add the 'aiac.org.au' domain to your e-mail 'safe list’ If you do not receive e-mail in your 'inbox'. Otherwise, you may check your 'Spam mail' or 'junk mail' folders.