A Study on the Relationships among the Influential Variables on Stage of Change of Exercise in the Elderly

노인의 운동실천단계와 관련변인과의 관계연구

  • Published : 2002.10.01

Abstract

The purpose of this study was to investigate the relationships among variables of transtheoretical model for exercise in the elderly. Method: A hypothetical model explaining the stage of change was constructed based on a transtheoretical model. Empirical data for testing the hypothetical model was collected from 246 old adults over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explain causal relationship of variables. Result: The fitness of modified model to the data was X2= 96.75(df=49, p=.00005), GFI= .98, NFI=.99, AGFI=.95, NNFI=.99. The the predictable variables of stage of change explained 64% of stage of change for exercise Conclusion: Results are consistent with the studies of application of the transtheoretical model, which has been used to understand how people change health behaviors. The findings of this study give useful informations to construct exercise intervention program for the elderly about relationships among variables influencing to the stage of change of exercise.

Keywords

References

  1. Bouchard, C., Shepard, R, & Stephen, T. (1993). Physical activity, fitness and health: Consensus statement Champagne, IL: Human Kinetics
  2. Burbank, P. M., Paudula, C. A, & Nigg, C. R. (2000). Changing health behaviors of older adults, J of Geronto Nur, 26(3), 26-33
  3. Burkholder, G. J., & Nigg, C. C. (2002). Overview of the transtheoretical model. In MB. Burbank & Riebe Deborah(Eds.), Promoting exercise and behavioral change in older adults: Interventions with the transtheorentical model(pp.57-84) Springer Publishing Company: New York
  4. Carmody, T. P., Senner, J. W., Manilow, M. R. & Martarazzo, J. D. (1980). Physical exercise rehabilitation: Long-term dropout rate in cardiac Patients. J Behavioral Med, 3, 163-168 https://doi.org/10.1007/BF00844988
  5. Choi, N. H. (1991). A critical analysis on methodology of nursing, Doctoral Dissertation, Yonsei University
  6. Chang, S. O. , Park, Y. J., Park, C. S., & Lim, Y. J. (2000). A. study of the stage of change and decisional balance: Exercise acquisition, smoking cessation, mammography screening and Kegel's exercise in Korea, J Korean, Acad Nsg, 30(5), 1265-1278
  7. DiClemente, C. C., Prochaska, J. O., & Gilbertini, M. (1985). Self-efficacy and the stages of self-change of smoking. Cogni Therapy and Res, 9, 181-200 https://doi.org/10.1007/BF01204849
  8. Kim, K. Y., & Kang, H. C. (2000) The analysis of structural equation model, Seoul: Jayou Academy Press
  9. Kim, S. Y., Kim, S. I., Chun, Y. J., Lee, P. S., Lee, S. J., Park, E. S., & Chang, S. O. (2000). A Prediction model for stage of change of exercise in the Korean elderly, J Korean, Acad Nsg, 30(2), 366-379
  10. Lee, P. S., Chang, S. O., & Park, E. Y. (2001). Theme analysis related to performance of exercise in the elderly. J. Korean Psychiatr Acad Nurs, 10(2), Manuscript summitted for Publication
  11. Lee, P. S., & Chang, S. O. (2001). Development of a tool to measure decisional balance of exercise in the elderly, J Korean Psychiatr Acad Nurs, 10(1), 43-52
  12. Marcus, B. H, & Simkin, L. R (1993). The stage of exercise behavior. J of Sport Med Physical Fitness, 33(1), 83-88
  13. Marcus, B. H, Banspach, S. W., Lefebvre, R. C., Rossi, J. S., Carleton, R. A, & Abrams, D. B. (1992a). Using the stage of change model to increase the adoption of physical activity among community participants. Am J Health Prom, 6, 424-429
  14. Marcus, B. H, Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992b). Self-efficacy and the stage of exercise behavior change, Res Q Exerc Sport, 63(1), 60-66
  15. Marcus, B. H, & Owen, N. (1992). Motivational readiness, self-efficacy, and decision-making for exercise, J Applied Social Psychol, 22(1), 3-16 https://doi.org/10.1111/j.1559-1816.1992.tb01518.x
  16. Marcus, B. H, Simkin, L. R., Rossi, J. S., & Pinto, B. M. (1996). Longitudinal shifts in employee's stages and process of exercise behavior change. Am J Health Promotion, 10(3), 195-200
  17. Norman, G. J., Velicer, W. F., Fava, J. L., & Prochaska, J. O. (1998). Dynamic typology clustering within the stage of change for smoking cessation Addictive Behaviors, 23, 139-153
  18. Pender, N. J. (translated by Choi, M. Y., & Lee, I. S.) (1997). Health Promotion in nursing practice. Seoul: Hyun Moon Sa
  19. Pender, N. J. (1999). Health Promotion and Nursing, Paper presented at Conference of College of Nursing, Korea University, Seoul, Korea
  20. Pollark, K. I., Carbonari, J. P., DiClemente, C. C., Niemann, Y. F., & Mullen, P. D. (1988). Causal relationships of process of change and decisional balance: stage- specific models for smoking, Addictive Behaviors 23(4), 437-448 https://doi.org/10.1016/S0306-4603(97)00079-8
  21. Powell. K, Thompson, P., Caspersen, C., & Kendrick, J. (1987). Physical activity and the incidence of coronary heart disease, Ann Rev Public Health, 8, 253-287
  22. Prochaska, J. O, DiClemente, C. C., & Norcross J. C. (1992). In search of how people change: Application to addictive behaviors, Am Psychol, 47, 1102-1114
  23. Robinson, J., & Rogers, M. (1994). Adherence to exercise program: Recommendation, Sports Med, 17, 39-52