BACKGROUND AND PURPOSE: The transtheoretical model is a health behavior model used to understand an individual's readiness to change their behavior. This study aims to apply the transtheoretical model in understanding a person with stroke's readiness to change their activity level, as it relates to physical capacity, physical health, depressive symptoms, self-efficacy, and daily stepping activity. METHODS: This was a cross-sectional analysis of baseline data from a clinical trial. Participants' readiness to change their activity levels was measured via self-report and daily stepping activity was measured using a step activity monitor. Robust regression (M-estimation with robust standard errors) was used to test the relationship between readiness to change and measures of physical capacity (6-minute walk test, self-selected walking speed), physical health (body mass index, age-adjusted Charlson Comorbidity Index), depressive symptoms (Patient Health Questionnaire-9), self-efficacy (Activities-Specific Balance Confidence Scale), and daily stepping (steps per day). RESULTS: A total of 274 individuals were included in the analysis. Adjusted for age, readiness to change was positively related to daily stepping (β = 0.29, P < 0.001) and negatively related to depressive symptoms (β = -0.13, P = 0.01). Readiness to change was not significantly associated with measures of physical capacity, physical health, or self-efficacy. DISCUSSION: These results suggest that individuals with stroke in the later stages of change may demonstrate greater daily stepping activity and lower depressive symptoms compared with those in earlier stages. CONCLUSIONS: Understanding the relationship between readiness to change, daily stepping, and depressive symptoms will help clinicians implement appropriate stage-specific intervention strategies and facilitate greater improvement in activity levels.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A333).
BACKGROUND AND PURPOSE: The transtheoretical model is a health behavior model used to understand an individual's readiness to change their behavior. This study aims to apply the transtheoretical model in understanding a person with stroke's readiness to change their activity level, as it relates to physical capacity, physical health, depressive symptoms, self-efficacy, and daily stepping activity. METHODS: This was a cross-sectional analysis of baseline data from a clinical trial. Participants' readiness to change their activity levels was measured via self-report and daily stepping activity was measured using a step activity monitor. Robust regression (M-estimation with robust standard errors) was used to test the relationship between readiness to change and measures of physical capacity (6-minute walk test, self-selected walking speed), physical health (body mass index, age-adjusted Charlson Comorbidity Index), depressive symptoms (Patient Health Questionnaire-9), self-efficacy (Activities-Specific Balance Confidence Scale), and daily stepping (steps per day). RESULTS: A total of 274 individuals were included in the analysis. Adjusted for age, readiness to change was positively related to daily stepping (β = 0.29, P < 0.001) and negatively related to depressive symptoms (β = -0.13, P = 0.01). Readiness to change was not significantly associated with measures of physical capacity, physical health, or self-efficacy. DISCUSSION: These results suggest that individuals with stroke in the later stages of change may demonstrate greater daily stepping activity and lower depressive symptoms compared with those in earlier stages. CONCLUSIONS: Understanding the relationship between readiness to change, daily stepping, and depressive symptoms will help clinicians implement appropriate stage-specific intervention strategies and facilitate greater improvement in activity levels.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A333).
Authors: Tara D Klassen; Jennifer A Semrau; Sean P Dukelow; Mark T Bayley; Michael D Hill; Janice J Eng Journal: Stroke Date: 2017-08-07 Impact factor: 7.914
Authors: Janneke M de Man-van Ginkel; Floor Gooskens; Vera P M Schepers; Marieke J Schuurmans; Eline Lindeman; Thóra B Hafsteinsdóttir Journal: Nurs Res Date: 2012 Sep-Oct Impact factor: 2.381
Authors: Barbara Resnick; Kathleen Michael; Marianne Shaughnessy; Eun Shim Nahm; Susan Kobunek; John Sorkin; Denise Orwig; Andrew Goldberg; Richard F Macko Journal: J Phys Act Health Date: 2008-03
Authors: Catrine Tudor-Locke; Cora L Craig; Yukitoshi Aoyagi; Rhonda C Bell; Karen A Croteau; Ilse De Bourdeaudhuij; Ben Ewald; Andrew W Gardner; Yoshiro Hatano; Lesley D Lutes; Sandra M Matsudo; Farah A Ramirez-Marrero; Laura Q Rogers; David A Rowe; Michael D Schmidt; Mark A Tully; Steven N Blair Journal: Int J Behav Nutr Phys Act Date: 2011-07-28 Impact factor: 6.457