Validation of the Decisional Balance Scales in the Exercise Domain From the Transtheoretical Model: A Longitudinal Test

Plotnikoff, Ronald C.; Blanchard, Chris M.; Hotz, Stephen B.; Rhodes, Ryan E.

doi:10.1207/s15327841mpee0504_01

Cited by 144 publications

(138 citation statements)

References 22 publications

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“…Mean internal consistency was 0.8 for the pro subscale, and 0.7 for the cons subscale. Test-retest reliability was 0.84 and 0.74 for the pros and cons, respectively [67].…”

Section: Attitudementioning

confidence: 94%

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Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Kooijmans

Post

Woude

et al. 2012

Disability and Rehabilitation

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Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Purpose: To evaluate the effectiveness of a 16-week selfmanagement intervention on physical activity level and self-management skills (self-efficacy, proactive coping and problem solving skills) in persons with chronic SCI. Method and design: Multicenter randomized controlled trial (RCT). Eighty persons with a SCI for at least 10 years and aged 18 to 65 will randomly be assigned to the intervention (self-management) or the control group (information provision). During the 16-week self-management intervention (one home-visit, five group and five individual sessions) active lifestyle will be stimulated and self-management skills will be taught. Data will be collected at baseline (T0), 16 (T1) and 42 (T2) weeks after baseline. Primary outcome measure is level of daily physical activity (self-report/ objectively measured). Secondary outcome measures are selfmanagements skills, stage of behaviour change and attitude. Conclusion: This is the first RCT on self-management in people with chronic spinal cord injury. This trial will provide knowledge on the effects of a self-management intervention on physical active lifestyle in persons with a long-term SCI.

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“…Mean internal consistency was 0.8 for the pro subscale, and 0.7 for the cons subscale. Test-retest reliability was 0.84 and 0.74 for the pros and cons, respectively [67].…”

Section: Attitudementioning

confidence: 94%

“…This questionnaire reflects the individual's relative weighing of the pros and cons of changing exercise behaviour [67]. The questionnaire consists of 10 statements (5 con's, 5 pro's).…”

Section: Attitudementioning

confidence: 99%

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Kooijmans

Post

Woude

et al. 2012

Disability and Rehabilitation

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“…Based on the Marcus, Rakowski, and Rossi (1992) decisional balance scale revised by Plotnikoff, Blanchard, Hotz, and Rhodes (2001), we adapted the scale to PA and breast cancer survivor population, in French. After examining the advantages and disadvantages of exercising with this population, four pros were completed by the participants, including relaxation (I feel better after exercising), social network (PA allows me to come out of isolation), body image (PA is a good way to regain confidence in my image) and reconditioning (Regular PA is one way for me to improve my shape).…”

Section: Study 1 Methodsmentioning

confidence: 99%

Barriers Identification as Intervention to Engage Breast Cancer Survivors in Physical Activity

André

Pillaud

Davoust

et al. 2018

Psychosocial Intervention

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Although scientific evidence supports the role of physical activity (PA) as a safe and effective intervention for improving health-related quality of life (for a review, see Mishra et al., 2012;Irwin, 2009), the majority of cancer survivors do not comply with public health guidelines (Blanchard, Courneya, & Stein, 2008;Lynch et al., 2010), i.e. at least 150 minutes per week of moderate-intensity aerobic PA throughout the week or at least 75 minutes of vigorous-intensity aerobic PA throughout the week, or an equivalent combination of This study was designed to demonstrate the advantage of adding cancer barriers to components of decision-making in the transtheoretical model (TTM). In study 1, questionnaires were completed by 139 breast cancer survivors including decisional balance, cancer-related barriers and stages of readiness. In study 2, efficiency of directly tackling cancer-related barriers through motivational-style conversation was tested in a quasi-experimental design. From study 1, all decisionmaking variables were related to stages of readiness, but cancer-related barriers were the sole predictors of engagement in physical activity. Out of the three groups of study 2, only the group with motivational-style conversation displayed a significant progress for engagement in physical activity. Demonstrating that cancer-related barriers predict stage of change above the effects of the two components of decisional balance provides a validation of positions that put cancer-related barriers as uniquely related to stages of change, and suggests that adding them in decision making variables in TTM's model can provide a genuinely new contribution to the understanding of physical activity adherence. Regarding implication for cancer survivors, these results suggest that in order to stimulate progress in early stages of change, a greater emphasis may be needed on reducing cancer-related barriers. La identificación de barreras como intervención para involucrar a supervivientes de cáncer de mama en actividades físicas R E S U M E NEste estudio fue diseñado para demostrar la ventajas de tener en cuenta las barreras relacionadas con el cáncer en el proceso de toma de decisiones en el modelo transteórico. En el estudio 1 los cuestionarios fueron respondidos por 139 supervivientes de cáncer de mama, en ellos se incluyó el equilibrio decisional, las barreras relacionadas con el cáncer y las etapas de preparación. En el estudio 2 la eficacia de abordar las barreras relacionadas con el cáncer a través de conversaciones de tipo motivacional se puso a prueba con un diseño cuasi-experimental. En el estudio 1 todas las variables de toma de decisiones se relacionaron con las etapas de preparación, pero las barreras relacionadas con el cáncer fueron los únicos predictores de la participación en la actividad física. De los tres grupos del estudio 2, sólo el grupo con conversación de tipo motivacional mostró un progreso significativo para la participación en la actividad física. Demostrar que las barreras relacionadas con el cáncer pre...

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“…A sample item of cons for exercise is "PA would take too much of my time." This measure has previously demonstrated evidence of reliability and validity [17]. Pros and cons were scored separately by summing the respective items, with a higher pros score indicating more perceived pros of exercise and a lower cons score indicating fewer perceived cons of exercise.…”

Section: Decisional Balancementioning

confidence: 99%

Examining the Association of Transtheoretical Model Constructs on Physical Activity: Considerations of Anxiety Symptomology as a Potential Moderator

Joyner¹,

Loprinzi²

2017

J Mol Pathophysiol

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Background: The purpose of this study was to examine the potential moderating effects of anxiety symptomology on the association between constructs from the transtheoretical model (TTM) and physical activity (PA). Methods: Data were collected from 200 University students from October 2015 to June 2016. To assess TTM constructs, a validated TTM survey was utilized. PA was assessed via the validated international PA questionnaire. Anxiety was assessed utilizing the 5-item overall anxiety severity and impairment scale questionnaire. A multivariable logistic regression analysis was used to evaluate the association between TTM constructs and PA. Interaction analyses were computed to see if there was an interaction effect of TTM constructs and anxiety on PA. Results: The only TTM construct associated with meeting moderate-to-vigorous PA (MVPA) guidelines was behavioral processes of change (odds ratio = 1.14, 95% confidence interval = 1.07-1.21; P < 0.05). Further, there was no interaction effect of anxiety and any of the TTM constructs on MVPA (all P > 0.05). Conclusion: TTM seems to have some utility of promoting MVPA among University students and does not appear to be a function of anxiety levels.KEY WORDS: Anxiety, behavioral processes of change, moderate-to-vigorous physical activity, transtheoretical model Joyner and Loprinzi: Exercise, TTM, and anxiety

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Validation of the Decisional Balance Scales in the Exercise Domain From the Transtheoretical Model: A Longitudinal Test

Cited by 144 publications

References 22 publications

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Barriers Identification as Intervention to Engage Breast Cancer Survivors in Physical Activity

Examining the Association of Transtheoretical Model Constructs on Physical Activity: Considerations of Anxiety Symptomology as a Potential Moderator

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