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Applying Exercise Stage of Change to a Low-income Underserved Population

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Objective: To validate the transtheoretical model for exercise behavior and the constructs of decisional balance and self-efficacy for exercise in a low-income, poorly educated primary care sample. Methods: Patients attending public primary-care clinics from 4 separate sites in Louisiana were interviewed regarding their health behaviors. Results: The data provide equivocal support for applying the transtheoretical model for exercise and integrating it with other models of behavior change within this population. Conclusion: Further studies modifying the decisional balance measures are necessary before definitive statements regarding the applicability of these models to exercise within this specialized population can be made.

Keywords: exercise; models of behavior change; stages of change; underserved population

Document Type: Research Article


Affiliations: 1: The University of Texas M.D. Anderson Cancer Center, Department of Behavioral Science, Houston, TX. 2: Robert Wood Johnson Medical School, Camden, NJ. 3: Department of Preventive Medicine, University of Kansas Medical Center, Kansas City, KS. 4: University of Memphis Center for Community Health, Memphis, TN. 5: Division of Educational Programs, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA.

Publication date: March 1, 2003

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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