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Use of Social Cognitive Theory variables across exercise stages of change of employed women.

Publication: American Journal of Health Studies
Publication Date: 01-JAN-06
Format: Online
Delivery: Immediate Online Access

Article Excerpt
Abstract: Purpose: To describe the level of three Social Cognitive Theory (SCT) variables across exercise stages of change (ESOC). Methods: All employees of two worksites received an ESOC questionnaire. Subsequently, participants were stratified on stage and sent a questionnaire to measure No...

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...the SCT variables and exercise behavior. Results: differences were found for the SCT variables between adjacent ESOC. Significant differences were found for the SCT variables when analyzed across exercise behavior. Discussion: The differences in the selected SCT variables are realized based upon exercise behavior and not intentions to exercise. These results have significant implications for exercise behavior intervention development.

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Stage-matched interventions are shown to in crease the adoption and maintenance of exercise behavior (Marcus & Simkin, 1994; Prochaska, Redding, & Evers, 1997). Most research shows that staged-matched interventions are useful in developing effective exercise promotion programs. Yet, there is limited evidence for which program variables help people progress through stage models, in particular the Transtheoretical Model (TTM) Exercise Stages of Change (ESOC; Prochaska & Velicer, 1997). However, there is consistent evidence supporting strong associations between regular exercise behavior and Social Cognitive Theory (SCT) variables (Baranowski, Anderson, & Carmack, 1998; Hallam & Petosa, 1998). Three SCT variables that have shown potent relationships with exercise behavior are self-regulation, self-efficacy, and outcome-expectancy values (Baranowski et al.; Hallam & Petosa). What is not known is the magnitude of change in these variables necessary to help participants advance through ESOC. By identifying the magnitude of these variables across the ESOC, stage-matched exercise promotion programs can be tailored to each ESOC to increase the likelihood of exercise adoption and maintenance. Therefore, the purpose of this study was to describe the levels of exercise self-regulation, self-efficacy, and outcome-expectancy values across the ESOC. We were specifically interested in differences between adjacent ESOC.

METHOD

SAMPLE AND DESIGN

Upon approval from an appropriate institutional review board, an ESOC questionnaire (Marcus & Simkin, 1994) was sent to all employees of two hospitals located in the southwestern United States (N = 2,200). The questionnaire was included in the employees' payroll envelopes. It was not known at the time, but other materials, including insurance re-enrollment materials, were also included in the payroll envelopes. This may have limited the response rate. A second attempt was then made to collect ESOC data on the employees through interoffice mail. Two hundred and...

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