A Study Using Transtheoretical Model Design Health related
Physical Fitness Education program Result
The purpose of this study was to investigate the effects of exercise intervention on improvement of stage of change, regular of exercise, perceived exercise benefit, perceived exercise barrier, exercise self-efficacy, social support, and health-related physical fitness. A Quasi-experimental design was utilized and purposive sampling was conducted at a girl’ senior high school in northern Taiwan . Three hundred and seventy subjects were assigned into the experimental and control group. The experimental group, which consisted of 200 subjects, participated in a program of exercise intervention within a period of five weeks . The intervention program applied the Transtheoretical Model to aid subjects in developing effective approaches within different stages of the exercise change. The intervention program includes teaching activities for the different stages of exercise. The control group, which consisted of 170 subjects, had no treatment during the same period. The collected data was composed of three questionnaires and the health-related physical fitness tests. The questionnaire included the following : stage of exercise, behavior of exercise, perceived exercise benefit, perceived exercise barrier, exercise self-efficacy, and social support. The health-related physical fitness includes sit-and-reach, sit-ups, standing long jump and 800m run. A closed-ended pretest-posttest questionnaire and another closed-ended follow-up test questionnaire were the instruments used to evaluate the outcome effects. The data were analyzed by using SPSS12.0/pc for Windows. Frequency, mean, standard deviation, percentage, paired t-test were used for statistical analyses.
The findings of this study were as follows:
(1) Significance was found with the experimental groups for stage of change, frequency, perceived exercise benefit, self-efficacy, standing long jump, sit-ups, and 800m run. There was also significance found on the control groups for stage of change, self-efficacy, sit-and-reach, and the 800m run.
(2) A significant difference was also found between the control and experimental groups for sit-ups and 800m run in the posttest. This study shows that there is an improvement in the experimental groups in their cardiovascular endurance and muscle endurance.
(3) Significance was found in the experimental groups for perceived exercise benefit, self-efficacy, standing long jump, sit-ups and 800m run in closed-ended test. A significance was found on the control groups for sit and reach, sit-ups and 800-m run. But there is a Significant that there were reduction in the standing long jump.
(4) In closed-ended we found that there were significant change between experimental groups and control group in their self-efficacy, and standing long jump. This study shows that was improvement in self-efficacy and strength in the experimental groups.
(5) The teaching evaluation in health related physical fitness study, shows that about 80% of students think these activities on them generally have positive effect.
This study uses transtheoretical model to design health related physical fitness to improve the stage of change, self-efficacy, standing long jump, sit ups, and 800-meter run as a physical activity. After doing these activities, students gain significant improvement in their stamina. But there is no significant results in the perceived benefits and barriers , social support, and sit-reach. When doing similar research in the future, one needs to overcome the obstacles and hindrances resulting from skills and methods. Moreover, one should make use of the strength of the small group to develop the right attitude of students toward physical fitness in order to improve their physical stamina.
許麗芳 (2002) ?某高職護校女生校園運動計畫介入效果之探討?高雄醫學大學護理學研究所碩士論文。
潘美玉 (1995) ?某公司中年白領階級男性規律運動習慣及其相關因素之研究?國立台灣大學護理學研究所碩士論文。
行政院衛生署國民健康局?1998 (cited 2004 Jane 20) Available from: http://www.bhp.doh.gov.tw/
行政院體育委員會?2001 (cited 2004 Jane 20) Available From： http://www.ncpfs.gov.tw/
教育部體育司?焦點新聞。2006 (cited 2006 Maay 3) Available from: http://epaper.edu.tw/news/950414/950414d.htm?open
Bandura A. Social foundation of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall;1986.
Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review 1977; 84:191-215.
Bandura A. Comments on the crusade against the causal efficacy of human thought Journal of Behavior Therapy Experimental Psychiatry 1995;26:179-90.
Barnekow-Bergkvist S. Adolescent determinants cardiovascular risk factors in adult men and women. Scandinavian Journal of Public Health 2001;29:208-2l7.
Berlin JA, Colditz GA. A meta-analysis of physicalactivity in the prevention of coronary heart disease. American Journal of Epidemiology 1990;132:612-627.
Bozoian S, Rejeski WJ, McAuley E. Self-efficacy influences feeling status associated with acute exercise. Journal of Sport & Exercise Psychology 1994;16: 326-333.
Casperson CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports1985;100:126-133.
Clark DO. Age, socioeconomic status, and exercise self-efficacy. Gerontologist 1996;36:157-164.
DiClemente CC, Prochaska JO, Gibertini M. Self- efficacy and the stages of self-change of smoking. Cognitive Therapy and Research1985;9:181-200.
Dishman RK, Sallis JF, Orenstein D. The determinants Of physical activity and exercise. Public Health Report 1985;100:158-171.
Dunn H. High level wellness. Arlington 1961;100: 181-200.
Dzewaltowski DA. Physical activity determinants: A social cognitive approach. Medicine & Science in Sports & Exercise 1994;26:1395-1399.
Eliakim A, Barstow TJ, Brasel JA, Ajie H, Paul Lw, Renslo R, Berman N, Cooper DM . Effect of exercise training on energy expenditure, muscle volume, and maximal oxygen uptake in female adolescents. Journal of Pediatrics1996;129: 537-543.
Ewart CK, Young DR, Hagberg JM. Effects of School-Based Aerobic Exercise on Blood Pressure in Adolescent Girls at Risk for Hypertension. American Journal of public Health 1998;88:949-951.
Gormer SR, Jenkins LS. Self-efficacy and activity level following cardiac surgery. Journal of Advanced Nursing 1990;15:1132-1138.
Harrell JS, McMurray RG, Gansky SA., Bangdiwala SI, Bradley CK. A public health vs. risk-based intervention to improve cardiovascular health in elementary school children: The Cardiovascular Health in Children Study American Journal of Public Health 1999;89:1529-1535.
Hofman A, Walter HJ. The association between physical fitness and cardiovascular disease risk factors in children in a five-year follow-up study. International Journal of Epidemiology 1989;18:830-835.
Janis IL, Mann L. Decision Making: A Psychological Analysis of Conflict, Choice, and Commitment. New York: Collier Macmillan; 1977.
Jones M, Nies MA. The relationship of perceived benefits and barriers to reported exercise in older African American women. Public Health Nursing 1996; 13:151-158.
Kingery PM. Self-efficacy and self-monitoring of selected exercise and eating behaviors of college students. Health Education 1990;21:26-29.
LaPorte RE, Montoye HJ, Caspersen CJ. Assessment of physical activity in epidemiologic research problems and prospects.Public Health Reports 1985;100: 131-146.
Lowther M, Mutrie N, Scott EM. Promoting Physical activity in a Socially and economically deprived community: A 12 month randomized Control trial of fitness assessment and exercise consultation. Journal of Sports Sciences 2002;20: 577-588.
Marcus BH, Banspach SW, Lefebvre RC, Rossi JS, Carleton RA, Abrams DB. Using the stages of change model to increase the adoption of physical participants. American Journal of Health Promotion 1992;6:424-429.
Marcus BH, Owen N. Motivational readiness, self-efficacy and decision-making for exercise. Journal of Applied Social Psychology 1992;22:3-16.
Marcus BH, Pinto BM, Simkin LR, Audrain JE, Taylor ER. Application of theoretical models to exercise behavior among employed women. Journal of Health Promotion 1994;9:49-55.
Marcus BH, Rossi JS, Selby VC, Niaura RS, Abrams DB.The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology 1992;11:386-395.
McAuley E, Courneya KS. Self-efficacy reladonships with affective and exertion responses to exercise. Journal of Applied Social Psychology 1992;22: 312-326.
McAuley E, Lox C, Duncan TE. Long-term maintenance of exercise, self-efficacy, and physiological change in older adults. Journal of Gerontology 1993;48:218-224.
Myers RS, Roth DL. Perceived benefits of and Barriers to exercise And stage of exercise adoption in young adults. Health Psychology 1997;16:277-283.
Nigg CR, Burbank PM, Padala C, Dufresne R, Rossi JS, Velicer WF, Laforge RR, Prochaska JO. Stages of change across ten health risk behaviors for older adults. The Gerontologist 1999;39:473-482.
Paffenbarger RS, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. The association of changes in physical activity level and other lifestyle characteristics with mortality among men. New England Journal of Medicine 1993;328:538-545.
Prochaska JO, DiClemente CC. Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory Research and Practice 1982; 19:276-288.
Prochaska JO, Johnson S, Lee P. The Handbook of Health Behavior Change(p. 98). New Yolk: Springer Publishing Company; 1998.
Prochaska JO, Marcus BH. The transtheoretical model:Applications to exercise. Advances in Exercise Adherence 1994;100:161-180.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. American Journal of Health Promotion 1997;12:38-48.
Powell KE, Dysinger W. Childhood participation in organized school sports and physical education as precursors of adult physical activity. Preventive Medicine 1987;3:276-281.
Reglin JS. Exercise and mental health: beneficial and detrimental effect. Sport Medicine 1990;9:323-329.
Rejectski WJ, Brawley LR, Schumaker SA. Physical activity and health-related quality of life. Exercise and Sport Sciences Reviews 1996;24:71-108.
Reynolds KD. Psychosocial predictors of physical activity in adolescents. Preventive Medicine 1990;19:541-551.
Rober N, Rod D. Physical activity and psychological benefit. International society of sport psychology position statement. Physician and Sport Medicine 1992;20:179-180.
Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, Paffenbarger RS. Physical activity assessment methodology in the five-city project. American Journal of Epidemiology 1985;121:91-106.
Salli JF, Hoven MF, Hofstettrr CR, Barrington E. Explanation of vigor Physical Activity during two years using social learning variables. Social Science of Medicine 1992;34:25-32.
Sallis JF, Hovell MF, Hofstetter RC. Predictors of Adoption and Maintenance of Vigorous Physical Activity in Men and Women. Preventive Medicine 1992;21:237-251.
Sallis JF, Hovell MF. Social learning correlates of exercise self –efficacy:Early experience with physical activity. Social Science Medicine 1990;19:541-551.
Sallis JF, Patterson TL, Buono MJ, Nader P. Relation of cardiovascular fitness and physical activity to cardiovascular disease risk factors in children and adults. American Journal of Epidemiology 1989;127:933-941.
Sandvik L, Erikssen J, Thaulow E. Physical fitness as a predictor of mortality among healthy, middle-aged Norwegian men. New England Journal of Medicine 1993;328:533-537.
State ST, Chicago IL. Physical Activity and Cardiovascular Health. Journal of the American Medical Association 1996;276:241-246.
Stucky-Ropp RC, DiLorenzo TM. Determinants of exercisein children. Preventive Medicine 1993;22:880-889.
Sallis JF, Hovell MF, Hofstetter CR. Predictors of adoption and maintenance of vigorous physical activity in men and women. Preventive Medicine 1992;21:237-251.
Schuster C, Petosa R, Petosa S. Using social cognitive theory to predict intentional exercise on post-retirement adults. Journal of Health Education 1995; 26:14-24.
Steven NB, Harold WK, Ralph SP, Debra GC,Cooper MD, Larry WG. Physical Fitness and All-Cause Mortality-A Prospective Study of Healthy Men and Women. JAMA 1989; 262:2395-2402.
Steven NB, Harold WK, Ralph SP, Debra GC, Cooper MD, Larry WG. Comparison of Lifestyle and Structured Intervention to Increase Physical Activity and Cardiorespiratory Fitness. JAMA 1999;281:327-334.
Steven NB. McCloy Research Lecture: Physical Activity, Physical Fitness, and Health. Res Quart Exerc Sport 1993;270:365-376.
Taylor PA, Ward W. Women, high density lipoprotein cholesterol and exercise. Archives in Intemal Medicine 1993;153:1178-1184.
Taylor WC. Physical activity among African and Latino middle school girls: consistent belief, expectations, and experience across two sites. Women Health 1999;30:67-82.
Weitzel MH. A test of the health promotion model with blue collar workers. Nursing Research 1989;38:99-104.