보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제19권4호
  • /
  • Pages.61-76
  • /
  • 2002
  • /
  • 1229-4128(pISSN)
  • /
  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

Variables influencing older people's participation in exercise - Based on Transtheorethical Model (TM) -

  • 발행 : 2002.12.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study is to identify differences in processes of change, decision making, and self-efficacy by exercise behavioral stages and determine variables significantly affecting the older people's participation in exercises. The subjects of this study included 299 people aged 65 or over who were residents of G and S districts in Busan Metropolitan City. They were selected through purposive quota sampling at colleges and centers for old people and homes in order that they could be evenly distributed over stages of pre-contemplation, contemplation, preparation, action and maintenance. Data were analyzed using descriptive, ANOVA, Logistic Regression. Variables that discriminate between participants and non-participants in exercise include self-reevaluation, reinforcing management, cons and self-efficacy. Thus if variables that discriminate between participant and non-participation in exercise such as self-reevaluation, reinforcing management, cons and self-efficacy are fully considered in designing nursing interventions for inducing old people to become exercise participants, it would provide guidelines for nursing intervention programs as appropriate for the people's exercise stages. The purpose of this study is to identify differences in processes of change, decision making, and self-efficacy by exercise behavioral stages and determine variables significantly affecting the older people's participation in exercises. The subjects of this study included 299 people aged 65 or over who were residents of G and S districts in Busan Metropolitan City. They were selected through purposive quota sampling at colleges and centers for old people and homes in order that they could be evenly distributed over stages of pre-contemplation, contemplation, preparation, action and maintenance. Data were analyzed using descriptive, ANOVA, Logistic Regression. Variables that discriminate between participants and non-participants in exercise include self-reevaluation, reinforcing management, cons and self-efficacy. Thus if variables that discriminate between participation and non-participation in exercise such as self-reevaluation, reinforcing management, cons and self-efficacy are fully considered in designing nursing interventions for inducing old people to become exercise participants, it would provide guidelines for nursing intervention programs as appropriate for the people's exercise stages.

키워드

참고문헌

  1. Bandura, AA 1977. Self-efficacy toward a unifying theory of behavioral change. Psychological Review 84:191-215 https://doi.org/10.1037/0033-295X.84.2.191
  2. Burbank, P.M., Padula, CA., and Nigg, CR 2000. Changing health behaviors of older adults. J Gerontol Nurs 3:26-33
  3. Daley, M.J., and Spinks, W.L. 2000. Exercise mobility and aging. Journal of Sports Medicine 29(1): 1-12 https://doi.org/10.2165/00007256-200029010-00001
  4. Grimely, D.M., Riley, G.E., Bellis, J.M., and Prochaska, J.O. 1993. Assessing the stage and decision-making for contraceptive se for prevention ofpregnancy, sexually transmitted diseases, and acquired immunodefficiency syndrome. Health Educ Q, 20(4):455-470 https://doi.org/10.1177/109019819302000407
  5. Jun, YJ., Kim, S.I., Lee, P.S., Kim, S.Y., Park, E.S., and Chang, S.O. 2000. Process of change corresponding to the stage of change of exercise in elderly. J Korean Acad Nurs 30(2):354-365 https://doi.org/10.4040/jkan.2000.30.2.354
  6. Kim, C.l. 2002. Process ofchange, decisional balance and self-efficacy corresponding to stage of exercise behavior in patients with type 2 diabetes mellitus. J Korean Acad of Adult Nursing 14(1):83-92
  7. Kim, H.J. 1994. An effective of muscle training program on muscle strength, muscle endurance, instrumental activities of daily living and quality of life in the institutionalized elderly. Ph.D. dissertation, Department of Nursing, University of Seoul, Seoul, Korea
  8. Kim, S.M., and Kim, N.C. 2000. Elderly and exercise-the use of transtheoretical model. J of Korean Gerontolo Nurs Soc 2(1): 85-93
  9. Kwon, Y.J. 2001. Development and evaluation of a stage-matched exercise intervention program for elders- application of transtheoretical model-. Ph.D. dissertation, Department of Nursing, University of Yonsei, Seou1, Korea
  10. Lee, J.K. 1997. A study on construction of exercise prediction model for the low back pain patients. Ph.D. dissertation, Department of Nursing, University of Yonsei, Seoul, Korea
  11. Lee, P.S., and Chang, S.O. 2001. The study on effect of stage based exercise motivational intervention program for the elderly. J Korean Acad Nurs 31(5):818-834 https://doi.org/10.4040/jkan.2001.31.5.818
  12. Marcus, B.H., Banspach, S.W., Lefebvre, RC., Rossi, J.S., Carleton, R.A., and Abrams, D.B. 1992. Using the stages of change model to increase the adoption of physical activity among community participants, Am J Health Promotion 6(6):424-429 https://doi.org/10.4278/0890-1171-6.6.424
  13. Marcus, B.H., Goldstein, M.G., Jette, A., Silverman, L.S., Pinto, B.M., Milan, F., Washburn, R., Smith, K., Rakowski, W., and Dube, C.E. 1997. Training Physicians to conduct physical activity counselling. Preventive Medicine 26:382-388 https://doi.org/10.1006/pmed.1997.0158
  14. Marcus, B.H., Selby, B.C., Niaura, V.C., and Rossi, J.S. 1992. Self-efficacy and stages of exercise behavior change. Research Quarterly Exercise and Sport 63(1): 60-66 https://doi.org/10.1080/02701367.1992.10607557
  15. Nigg, C.R., Norman, G.J., Rossi, J.S., and Benisovich, S.V. 1999. Processes of exercise behavior change: redeveloping the scale. poster presentation material
  16. Prochaska, J.O., and DiClemente, C.C. 1983. Stages and integrative model of change. Journal of Consulting and Clinical Psychology 51:390-395 https://doi.org/10.1037/0022-006X.51.3.390
  17. Prochaska, J.O., DiClemente, C.C., and Norcross, J.C. 1992. In search of how people change: applications to addictive behaviors. American Psychologist 47: 1102-1114 https://doi.org/10.1037/0003-066X.47.9.1102
  18. Prochaska, J.O., and Velicer, W.F. 1997. The transtheoretical model of health behavior change. American J of Health Promotion 12(1):38-48 https://doi.org/10.4278/0890-1171-12.1.38
  19. Prochaska, J.O., Velicer, W.F., DiClemente, C.C., and Fava, J. 1988. Measuring process of change: applications to cessation of smoking. J Consult Clinic Psycho 56:520-528 https://doi.org/10.1037/0022-006X.56.4.520
  20. Resnick, B., and Spellbring, A.M. 2000. Understanding what motivates older adults of exercise. J Gerontol Nurs 26(3):34-42
  21. Social Indicators in Korea. 2000. Seoul, Korea
  22. Song, C.H. 1994. A study of literature on older peopl trait, health sickness, exercise examination and exercise program. Master's thesis. Department of Nursing, University of Han-Yang, Seoul, Korea
  23. Shin, Y.H. 1997. The effect of walking exercise program on physical function and emotional state in elderly women. Ph.D. dissertation, Department of Nursing, University of Ewha Womans, Seoul, Korea
  24. U.S. Department of Health and Human Services. 1996. Centers for disease for control and prevention, national center for chronic disease prevention and health promotion. Physical activity and health: a Report of the Surgeon General Atlanta, GA: Author
  25. Whang, S.J. 1999. Analysis on the factors influencing exercise modes in diabetes mellitus. Ph.D. dissertation, Department of Nursing, University of Yonsei, Seoul, Korea