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Measuring healthy behaviours using the stages of change model

An investigation into the physical activity and nutrition behaviours of Australian miners

Bibliographic Data

ID19536719
AuthorsSarah J Lacey (0000-0002-0619-8578, Wesley Research Institute, corresponding author), Tamara D Street (0000-0002-3718-3109, Wesley Research Institute)
Year2017
Volume11
Issue1
Pages30-30
Publication date2017-12-01
Open AccessYes
TypeARTICLE
VenueBioPsychoSocial Medicine (JOURNAL)
Journal identifiersISSN: 1751-0759 • E-ISSN: 1751-0759
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s13030-017-0115-7
PMID29213300
OpenAlexW2766894931
LanguageEN
Citations received5
References cited23

BACKGROUND: Obesity is one of the fastest growing modern day epidemics affecting preventable disease and premature deaths. Healthy lifestyle behaviours, such as physical activity and nutritional consumption, have been shown to reduce the likelihood of obesity and obesity related health risks. Originally designed for measurement of unhealthy behaviours, the Stages of Change model, describes 'precontemplators' as individuals who engage in the unhealthy behaviour, are unaware that their behaviour is problematic, and are resistant to change. The aim of this study was to refine and assess the measures of the Stages of Change model in order to achieve a concise and reliable classification of precontemplators, in the context of healthy behaviours. METHODS: Eight hundred and ninety-seven employees participated in a health survey measuring current health behaviours and stage of change. This study compared a traditional precontemplation measure to a modified version in the assessment of two healthy behaviours: physical activity and fruit and vegetable consumption. RESULTS: The modified measure was more accurate and captured fewer individuals currently meeting the guideline for both physical activity and nutrition, compared to the traditional measure of stages of change. However, across all stages of change, the measure incorrectly classified some employees with regards to meeting health guidelines. CONCLUSIONS: When applied to healthy behaviours, the stages of change measure for precontemplation should be further refined to reflect knowledge that the behaviour is unhealthy, and apathy to change. Additionally, measures should define health guidelines to increase reliable classification across all stages of change. The findings can be applied to inform the design and implementation of health promotion strategies targeting obesity related lifestyle behaviours in the general population

Behavior change · Behaviour change · Environmental health · Obesity · Psychiatry · Transtheoretical model · Health Promotion and Cardiovascular Prevention · Medicine · Physical Activity and Health · Psychology · Social Psychology · Workplace Health and Well-being · Gerontology

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Citations per year0.63
Citation span2018 - 2025 (8)
Highly citedNo

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