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Dietary Stages of Change and Decisional Balance: A Meta-Analytic Review

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Objective : To examine evidence for properties of the transtheoretical model stages of change-decisional balance relationship as applied to dietary behavior.

Methods : Data extracted from 27 studies of 8 different behaviors were examined.

Results : The measurement structure of decisional balance, relative magnitude of the pros and cons within stages, and shifts in the pros and cons across stages were consistent with theory. Across behaviors, the average increase in pros (.82) was greater than the average decrease in cons (.55) from precontemplation to action stages.

Conclusions : The transtheoretical model is useful for understanding the decision-making process involved in dietary behavior change.

Keywords: decisional balance; dietary behavior; meta-analysis; stages of change; transtheoretical model

Document Type: Research Article


Affiliations: 1 Assistant Professor, Department of Sociology, William Paterson University, Wayne, NJ.

Publication date: September 1, 2010

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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