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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.
BioPsychoSocial Medicine ( IF 2.754 ) Pub Date : 2017-12-05 , DOI: 10.1186/s13030-017-0115-7
Sarah J Lacey 1 , Tamara D Street 1
Affiliation  

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.

中文翻译:

使用变化阶段模型测量健康行为:对澳大利亚矿工的身体活动和营养行为的调查。

背景技术肥胖是影响可预防疾病和过早死亡的现代发展最快的流行病之一。健康的生活方式行为,例如身体活动和营养消费,已被证明可以降低肥胖和肥胖相关健康风险的可能性。最初设计用于衡量不健康行为的“变化阶段”模型将“预先思考者”描述为从事不健康行为、不知道自己的行为存在问题并且抗拒变化的个人。本研究的目的是改进和评估变化阶段模型的测量,以便在健康行为的背景下实现对预想者的简洁和可靠的分类。方法 897 名员工参加了一项测量当前健康行为和变化阶段的健康调查。这项研究在评估两种健康行为时将传统的预想措施与修改后的方法进行了比较:身体活动和水果和蔬菜的消费。结果 与传统的变化阶段测量相比,修改后的测量更准确,目前满足体育活动和营养指南的人数更少。然而,在变化的所有阶段,该措施错误地将一些员工归类为符合健康准则。结 以及对改变的冷漠。此外,措施应定义健康指南,以增加所有变化阶段的可靠分类。这些发现可用于指导针对普通人群肥胖相关生活方式行为的健康促进策略的设计和实施。
更新日期:2019-11-01
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