Abstract
The theory of planned behavior and the stages-of-change model were used to gain a clearer understanding of the factors associated with regular exercise in order to plan more effective programs in heart disease prevention. The study was conducted using a self-administered postal questionnaire sent to a sample of 2,269 men 30 to 60 years of age. Nearly a quarter (23.3%) of respondents were physically inactive, of whom 10.5% were in the precontemplation and 12.8% in the contemplation stages ; 42.1% exercised less than twice a week, of whom 22.4% were in the preparation I and 19.7% in the preparation II stages. Only 34.6% were in the action stage, exercising regularly for at least 20 minutes twice a week or more with the intention of continuing to do so. Logistic regression indicated that the variables derived from the theory of planned behavior, namely attitude, subjective norm and perceived behavioral control, were differently associated with the stages of behavior. Perceived behavioral control was strongly significant in all stages. Attitude was related with stages in which individuals have intention of exercising (contemplation and preparation II). In contrast, subjective norm seemed to be associated with stages in which individuals have no intention of doing so (precontemplation and preparation I). By identifying the specific needs of sub-groups, the results can help define programs most likely to accelerate men to the stage of regular exercise, part of an effective strategy for heart health promotion in this high-risk population.
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REFERENCES
Fletcher GF, Blair SN, Blumenthal J, Caspersen C, Chaitman B, Epstein S, Falls H, Froelicher ESS, Froelicher VF, Pina IL: Statement on exercise. Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Commitee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation 1992; 86:340–344.
Haskell WL, Leon AS, Caspersen CJ, Froelicher VF, Hagberg JM, Harlan W, Holloszy JO, Regensteiner JG, Thompson PD, Washburn RA, Wilson PWF: Cardiovascular benefits and assessment of physical activity and physical fitness in adults. Med Sci Sports Exerc 1992; 24:S201–S220.
Heart and Stroke Foundation of Canada. Cardiovascular Disease in Canada. Ottawa, Canada: Heart and Stroke Foundation of Canada, 1993.
Wood PD, Stefanick ML, Williams PT, Haskell WL: The effects on plasma lipoproteins of a prudent weight-reducing diet, with or without exercise, in overweight men and women. N Engl J Med 1991; 325:461–466.
Young DR, Haskell WL, Jatulis DE, Fortmann SP: Associations between changes in physical activity and risk factors for coronary heart disease in a community-based sample of men and women: The Stanford Five-City Project. Am J Epidemiol 1993; 138:205–216.
Stephens T: L'activité physique de loisir, in: Enquête Promotion de la Santé Canada 1990; Rapport technique. Ottawa, Canada: Santé et Bien-être Social, 1993, chap. 10, pp 147–157.
Santé Québec: Et votre coeur, ça va? Rapport de l'enquête québécoise sur la santé cardiovasculaire 1990. Montréal: Ministère de la Santé et des Services Sociaux, 1994.
Center for Disease Control: Prevalence of sedentary lifestyle—Behavioral risk factor surveillance system, United States, 1991. MMWR 1993; 42:576–579.
Dishman RK: Exercise adherence. Its impact on public health. Champaign (III): a division of Human Kinetics Publishers, Inc, 1988.
King AC, Blair SN, Bild DE, Dishman RK, Dubbert PM, Marcus BH, Oldridge NB, Paffenbarger RS Jr, Powell KE, Yeager KK: Determinants of physical activity and interventions in adults. Med Sci Sports Exerc 1992; 24:S221–S236.
Ajzen I, Fishbein M: Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs: Prentice Hall, 1980.
Ajzen I: The theory of Planned Behavior. Organ Behav Hum Decision Proc 1991; 50:179–211.
Sparks P, Hedderley D. Shepherd R: An investigation into the relationship between perceived control, attitude variability and the consumption of two common foods. Eur J Soc Psychol 1992; 22:55–71.
Godin G, Valois P, Lepage L, Desharnais R: Predictors of smoking behavior: an application of Ajzen's theory of planned behavior. Brit J Addict 1992; 87:1335–1343.
Schifter DE, Ajzen I: Intention, perceived control, and weight loss: an application of the theory of planned behavior. J Persona Soc Psychol 1985; 49:843–851.
DeVellis BM, Blalock SJ, Sandler RS: Predicting participation in cancer screening: The role of perceived behavioral control. J Appl Soc Psychol 1990; 2:639–660.
McCaul KD, Sandgren AK, O'Neill HK, Hinsz VB: The value of the theory of planned behavior, perceived control, and self-efficacy expectations for predicting health-protective behaviors. Basic Appl Soc Psychol 1993; 14:231–252.
Dzewaltowski DA, Noble JM, Shaw JM: Physical activity participation: social cognitive theory versus the theories of reasoned action and planned behavior. J Sport Exercise Psychol 1990; 12:388–405.
Godin G, Valois P, Lepage L: The pattern of influence of perceived behavioral control upon exercising behavior: an application of Ajzen's theory of planned behavior. J Behav Med 1993; 16:81–102.
Valois P, Shephard RJ, Godin G: Relationship of habit and perceived physical ability to exercise-behavior. Percept Mot Skills 1986; 62:811–817.
Godin G, Valois P, Shephard RJ, Desharnais R: Prediction of leisure-time exercise behavior: a path analysis (Lisrel V) model. J Behav Med 1987; 10:145–158.
Valois P, Desharnais R, Godin G: A comparison of the Fishbein and Ajzen and The Triandis attitudinal models for the prediction of exercise intention and behavior. J Behav Med 1988; 11:459–472.
Hays RD: Robustness of a model of exercice. J Behav Med 1989; 12:599–603.
Godin G, Gionet NJ: Determinants of an intention to exercise of an electric power commission's employees. Ergonomics 1991; 34:1221–1230.
Prochaska JO, DiClemente CC: Stages and process of self-change in smoking. Toward an integrative model of change. J Consult Clin Psychol 1983; 51:390–395.
Prochaska JO, Velicer WF, DiClemente CC, Fava J: Measuring process of change: Applications to the cessation of smoking. J Consult Clin Psychol 1988; 56:520–528.
Marcus BH, Owen N: Motivational readiness, self-efficacy and decision-making for exercise. J Appl Soc Psychol 1992; 22:3–16.
Marcus BH, Selby VC, Niaura RS, Rossi JS: Self-efficacy and the stages of exercise behavior change. Res Quart Exercise Sport 1992; 63:60–66.
Marcus BH, Rakowski W, Rossi JS: Assessing motivational readiness and decision-making for exercise. Health Psychol 1992; 11:257–261.
Booth ML, Macaskill P, Owen N, Oldenburg B, Marcus BH, Bauman A: Population prevalence and correlates of stages of change in physical activity. Health Educ Quart 1992; 20:431–440.
DiClemente C, Hughes S: Stages-of-change profiles in out patient alcoholism treatment. J Subst Abuse 1992; 2:217–235.
DiClemente CC, Prochaska JO, Fairhurst SK, Velicer WF, Velasquez MM, Rossi JS: The process of smoking cessation: An analysis of precontemplation, contemplation and preparation stages of change. J Consult Clin Psychol 1991; 59:295–304.
Rakowski W, Dube C, Marcus BH, Prochaska JO, Velicer WF, Abram DB: Assessing elements of women's decisions about mammography. Health Psychol 1992; 11:111–118.
Prochaska J, DiClemente C: Common processes of self-change in smoking, weight control, and psychological distress, in: Coping and Substance Use. S. Shiffman, T. Wills (EDS). New-York: Academic Press, 1985, pp 345–363.
American College of Sport Medecine: Guidelines for Exercise Testing and Prescription. Philadelphia: Lea and Febiger, 1986.
Marcus BH, Banspack SW, Lefebvre RC, Rossi JS, Carleton RA, Abrams DB: Using the stages of change model to increase the adoption of physical activity among community participants. Am J Health Promot 1992; 6:424–429.
Wilkins R: Mortalité générale et années potentielles de vie perdues selon la cause de décès, région 06A, 1979–1983. Montréal, Québec: document non publié, 1988.
Bernier L, Gratton J, Kapétanakis C, Seliske P: La morbidité hospitalière dans la région Montréal-Métropolitain 1980–1985. Montréal, Québec: Regroupement des départements de santé communautaire du Montréal-Métropolitain, 1991.
Benoit P, Chrétien S, Grignon R: Données lavalloises du recensement 1986. Laval, Québec: Département de santé communautaire de l'hôpital Cité de la Santé de Laval, 1987.
Dillman DA, Sinclair MD, Clark JR: Effects of questionnaire length, respondent-friendly design, and a difficult question on response rates for occupant-addressed census mail surveys. Public Opin Quart 1993; 57:289–304.
Gionet NJ, Godin G: Self-reported exercise behavior of employees: a validity study. J Occup Med 1989; 31:969–973.
Santé-Québec: Vos Habitudes de Vie et Votre Santé. Montréal: Enquête Santé Québec, 1986.
Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Soc Behavior 1983; 24:385–396.
Hosmer DW, Lemeshow S: Applied Logistic Regression. New York: Wiley and Sons, 1989.
Gatch CL, Kendzierski D: Predicting exercise intentions: the theory of planned behavior. Res Quart Exercise Sport 1990; 61:100–102.
Dzewaltowski DA: Toward a model of exercise motivation. J Sport Exercise Psychol 1989; 11:251–269.
Young DR, Steinhardt MA: The importance of physical fitness versus physical activity for coronary artery disease risk factors: a cross-sectional analysis. Res Quart Exercise Sport 1993; 64:377–384.
Otis J, Godin G, Lambert J, Vallerand RJ, Pronovost R: Aids prevention: a test of Ajzen's theory of planned behavior applied to the use of condoms. Canadian Psychologist Association Conference, Ottawa, May 1990.
Pender NJ, Pender AR: Attitudes, subjective norms, and intentions to engage in health behaviors. Nurs Res 1986; 35:15–18.
DiPietro L, Williamson DF, Caspersen CJ, Eaker E: The descriptive epidemiology of selected physical activities and body weight among adults trying to lose weight: the Behavioral Risk Factor Surveillance System survey, 1989. Int J Obes 1993; 17:69–76.
Lakka TA, Salonen JT: Physical activity and serum lipids: a cross-sectional population study in eastern Finnish men. Am J Epidemiol 1992; 136:806–818.
Harvey G, Brossard B, Morel L, Sauvageau Y: Promotion de la pratique de l'activité physique familiale en milieu municipal: étude des besoins de la population. Can J Public Health 1993; 84:346–349.
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Nguyen, M.N., Potvin, L. & Otis, J. Regular Exercise in 30- to 60-Year-Old Men: Combining The Stages-of-Change Model and The Theory of Planned Behavior to Identify Determinants for Targeting Heart Health Interventions. Journal of Community Health 22, 233–246 (1997). https://doi.org/10.1023/A:1025196218566
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DOI: https://doi.org/10.1023/A:1025196218566