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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

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. Origin...

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Autores principales: Lacey, Sarah J., Street, Tamara D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5715498/
https://www.ncbi.nlm.nih.gov/pubmed/29213300
http://dx.doi.org/10.1186/s13030-017-0115-7
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author Lacey, Sarah J.
Street, Tamara D.
author_facet Lacey, Sarah J.
Street, Tamara D.
author_sort Lacey, Sarah J.
collection PubMed
description 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.
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spelling pubmed-57154982017-12-06 Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners Lacey, Sarah J. Street, Tamara D. Biopsychosoc Med Research 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. BioMed Central 2017-12-05 /pmc/articles/PMC5715498/ /pubmed/29213300 http://dx.doi.org/10.1186/s13030-017-0115-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Lacey, Sarah J.
Street, Tamara D.
Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners
title Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners
title_full Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners
title_fullStr Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners
title_full_unstemmed Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners
title_short Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners
title_sort measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of australian miners
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5715498/
https://www.ncbi.nlm.nih.gov/pubmed/29213300
http://dx.doi.org/10.1186/s13030-017-0115-7
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