Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Application of the Transtheoretical Model to Obese Adolescents' Exercise Behavior Change Stages

범이론적 모형을 적용한 비만 청소년의 운동행위변화단계 연구

  • Kim Nam Hee (Department of Nursing, College of Medicine, Pusan National University) ;
  • Kim Young Hae (Department of Nursing, College of Medicine, Pusan National University) ;
  • Kim Jeong Soon (Department of Nursing, College of Medicine, Pusan National University) ;
  • Hwang Sun Kyung (Department of Nursing, College of Medicine, Pusan National University) ;
  • Jun Seong Sook (Department of Nursing, College of Medicine, Pusan National University)
  • 김남희 (부산대학교 의과대학 간호학과) ;
  • 김영혜 (부산대학교 의과대학 간호학과) ;
  • 김정순 (부산대학교 의과대학 간호학과) ;
  • 황선경 (부산대학교 의과대학 간호학과) ;
  • 전성숙 (부산대학교 의과대학 간호학과)
  • Published : 2005.03.01
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Abstract

The Purpose of this study was to identify the process of change, decisional balance and self-efficacy corresponding to the stages of change in exercise behavior based on the Transtheoretical Model(TTM) in obese adolescents. A random sample of 517 obese adolescents was recruited in Pusan. The data were collected from June 15 to 30, 2004. The research instruments were Stages of Change for Exercise Behavior, Process of Change, Decisional Balance, and Self-Efficacy. The data were analyzed by descriptive statistics and ANOVA using SPSS WIN 10.0 program. The results of this study were as follows 1. The subjects were distributed in each stage of exercise behavior: There were 255 subjects($49.3\%$) in the contemplation stage, 131 subjects($25.3\%$) in the preparation stage, 52 subjects($10.1\%$) in the maintenance stage, 41 subjects($7.9\%$) in the action stage, and 38 subjects($7.4\%$) in the precontemplation stage. 2. Analysis of variance showed that cognitive process (F=13.57, p=.000), behavioral process(F=17.23, p=.000), decisional balance pros(F=11.95, p=.000), and self efficacy(F=12.52, p=.000) were significantly associated with the stages of exercise behavior change, but decisional balance cons(F=2.87, p=.023) was not significantly associated with the stages of exercise behavior change. This study can provide useful information for developing effective exercise behavior program considering obese adolescents' stages of change according t'.t the TTM.

Keywords

References

  1. 강윤주, 홍창호, 홍영진. 서울시내 초.중.고 학생들의 최근 18년간 비만도 변화추이 및 비만아 증가 양상. 한국보건연구회보 1997;27: 98-114
  2. 강재헌. 청소년 비만의 특징과 대책. 교육원보 1997;16(187):48-51
  3. 권이종. 청소년학 개론. 교육과학사, 1996
  4. 김소인 외 6명 . 노인운동의 변화단계에 따른 의사 결정균형에 대한 연구. 성인간호학회지 2000;12(1):40-51
  5. 김영호. 청소년의 운동행위변화단계, 의사결정균형, 자기효능감: 단계적 변화론 모형의 적용. 한국스포츠심리학회지 2002;13(3):1-19
  6. 김이순. 초.중.고등학교 비만관리프로그램 구축 및 CD-ROM 개발에 관한 연구. 동의대학교 건강증진기금연구사업, 2001
  7. 김춘자. 제2형 당뇨 환자의 운동행위변화단계에 따른 변화과정, 의사결정균형 및 자기효능감에 관한 연구. 성인간호학회지 2002;14(1):8392
  8. 대한비만학회. 임상비만학. 고려의학, 1995
  9. 병원협회신문. 2004. 07. 22
  10. 송정섭, 강성구. 비만 청소년의 운동 참여가 정신건강 변인들과 관련된 심리.생리적 변화에 미치는 효과. 세명논총 2000;8(1):199-217
  11. 신명용. 조깅운동이 비만 남고생의 체격 및 신체조성, 호흡순환기능에 미치는 효과. 신라대학교 석사학위논문, 2000
  12. 이광무. 유산소성 운동이 비만여고생의 체격, 신체 조성 및 혈청지질에 미치는 영향. 부산대학교 박사학위논문, 1993
  13. 이광무, 조승제, 박경자. 중등학교 남학생의 식.생활습관과 사회.경제.심리적 요인이 비만에 미치는 영향. 서울 국제스포츠과학 학술대회; 서울. 1999
  14. 이영자. 범이론적 모형에 근거한 여성 유방사진촬영 행위 단계별 예측요인. 연세대학교 박사학위논문. 2003
  15. 이평숙 외 6명. 노인 운동의 의사결정균형, 자아효능감, 운동행위변화단계에 대한 예측모형 연구. 정신간호학회지 1999;8(2):280-290
  16. 이평숙, 장성옥. 운동행위변화단계에 근거한 노인 운동동기화 중재프로그램의 효과에 관한 연구. 대한간호학회지 2001;31(5):818- 834
  17. 장석우. 걷기와 조깅운동프로그램이 비만여중생의 신체조성 및 혈중지질에 미치는 영향. 우석대학교 석사학위논문, 1998
  18. 정은숙. 운동요법이 비만여대생의 혈청지질 및 황산화계에 미치는 영향. 대한간호학회지 1998;28(4):832- 845
  19. Bandura, A Self-efficacy Mechanism in Human Agency. American Psychology 1982;37:122-147 https://doi.org/10.1037/0003-066X.37.2.122
  20. Gorely, T., & Gordon, S. An examination of the transtheoretical model and exercise behavior in older adults. Journal of Sports and Exercise Psychology 1995;17:312-324
  21. Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. Self efficacy and the stage of exercise behavioral change. Research Quarterly for Exercise and Sport 1992a; 63(1):60-66 https://doi.org/10.1080/02701367.1992.10607557
  22. Marcus, B. H., & Owen, N. Motivational readiness, self-efficacy and decisionmaking for exercise. Journal of Applied Social Psychology 1992b;22(1):3-16 https://doi.org/10.1111/j.1559-1816.1992.tb01518.x
  23. Marcus, B. H., Pinto, B. M., Simkin, L. R., Audrain, J. E., & Taylor, E. R. Application of theoretical models to exercise behavior among employed woman. American Journal of Health Promotion 1994;9(1): 49-55 https://doi.org/10.1093/heapro/9.1.49
  24. Marcus, B. H., Simkin, L. R., Rossi, J. S., & Pinto, B. M. Longitudinal shifts in employees' stages and process of exercise behavior change. American Journal of Health Promotion 1996;10(3):195-200 https://doi.org/10.4278/0890-1171-10.3.195
  25. Marcus, B. H. 외 9인. Training Physicians to Conduct Physical Activity Counseling. Preventive Medicine 1997;26:382-388 https://doi.org/10.1006/pmed.1997.0158
  26. Nigg, C. R., & Courneya, K. S. Transtheoretical model : examining adolescent exercise behavior. Journal of Adolescent Health 1998;22(3):214-224 https://doi.org/10.1016/S1054-139X(97)00141-9
  27. Nigg, C. S., Norman, G. J., Rossi, J. S., & Benisovich, S. V. Process of Exercise Behavior Change: Redeveloping the scale. Poster presented at SBM, CA 1999
  28. Oldridge, N. B., & Streiner, D. L. The Health Belief Model L: Predicting Compliance and Dropout in Cardiac Rehabilitation. Medical Science Sports and Exercise 1990;22(5): 678-683 https://doi.org/10.1249/00005768-199010000-00020
  29. Prochaska, J. O., & Diclemente, C. C. Stage and Process of self-change in smoking : Toward an integrative model of change. Journal of Consulting and Clinical Psychology 1983;51:390-395 https://doi.org/10.1037/0022-006X.51.3.390
  30. Prochaska, J. O., Velicer, W. F., Diclemente, C. C., & Fava, J. L. Measuring process of change: application to the cessation of smoking. Journal of Consulting and Clinical Psychology 1988;56:520-528 https://doi.org/10.1037/0022-006X.56.4.520
  31. Prochaska, J. O 외 10인. Stage of change and decisional balance for twelve problem behaviors. Health Psychology 1994;13(1): 39-46 https://doi.org/10.1037/0278-6133.13.1.39
  32. Prochaska, J. O., & Velicer, W. F. The transtheoretical model of health behavior change. American Journal of Health Promotion 1997;12(1):38-48 https://doi.org/10.4278/0890-1171-12.1.38
  33. Sonstroem, R. J. Psychological Models. In R. Dishman (Ed.), Exercise adherence Champagne, IL: Human Kinetics Book, 1990
  34. Velicer, W. F., Diclemente, C. C., Rossi, J. S., Prochaska, J. O. & Brandenburg, N. A decisional balance measure for assessing and predicting smoking status. Journal of Personality and Social Psychology 1985;48:1279-1289 https://doi.org/10.1037/0022-3514.48.5.1279
  35. Wallace, L. S., & Buckworth, J. Application of the transtheoretical model to exercise behavior among nontraditional college students. American Journal of Health Education 2001;32(1):39-47 https://doi.org/10.1080/19325037.2001.10609396