INTRODUCTIONThe transtheoretical model (TTM) consists of a framework of five discrete stages adopted to study health-promoting behavior. These stages include precontemplation, contemplation, preparation, action, and maintenance [1]. Behavioral and cognitive processes of change, decisional balance which incorporates pros and cons, and self-efficacy are core constructs of TTM. A vast amount of research suggests that TTM is useful in promoting physical activity behavior change [2].The utility of the TTM in promoting physical activity behavior across varying executive function levels has not been fully investigated. Although the TTM has been shown to be effective in promoting physical activity across various populations including children/adolescents [3], adults in the general population [4], and adults with chronic disease [5], it is plausible that executive function may moderate the utility of the TTM in predicting physical activity. This plausibility stems from the fact that the previous research demonstrates that executive function improvement is associated with increased physical activity [6] and decreased sedentary behavior [7]. Executive functioning (EF) is defined as managing cognitive processes including working memory, cognitive flexibility, response selection, planning, and execution of tasks [8]. For illustrative purposes, EF may moderate the effects of TTM on physical activity. For example, those with worse cognitive function may be less inclined and able to set physical activity goals and enlist social support (behavioral processes of change), and further, those with lower levels of EF may have reduced self-efficacy to overcome physical activity barriers [9]. Despite this plausibility, no study, to our knowledge, has indeed evaluated whether EF plays a moderating role on the relationship between the TTM constructs and physical activity behavior. Thus, the purpose of this study was to examine the association of each of the TTM strategies on physical activity, with considerations by EF level. We hypothesize that EF will moderate the association between the TTM constructs and physical activity.
METHODS
Design and ParticipantsParticipants (undergraduate/graduate students) were recruited via a convenience-based sampling approach at the authors' institution, which is located in the Southeastern part of the
Examining the moderating effects of executive function on transtheoretical model utilization to predict physical activityChelsea Joyner, Paul D. Loprinzi ABSTRACT Introduction: The purpose of this study was to examine the association of each of the transtheoretical model (TTM) constructs on physical activity, with considerations by executive function levels, which has yet to be evaluated in the literature. This is a noteworthy investigation as this may help determine whether the utility of the TTM is contingent upon an individual's level of executive function. Methods: Data were collected from 200 University students (mean age: 21.6 years; 63% female). TTM constructs were assessed via a validated TTM surve...