Supplemental Digital Content is Available in the Text. 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).

中文翻译：

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准备好改变与现实世界的步行和慢性中风的抑郁症状有关

补充数字内容在文本中可用。背景和目的：跨理论模型是一种健康行为模型，用于了解个人是否准备好改变其行为。本研究旨在应用跨理论模型来了解中风患者是否准备改变其活动水平，因为它与体能、身体健康、抑郁症状、自我效能感和日常踏步活动有关。方法：这是对临床试验基线数据的横断面分析。通过自我报告测量参与者改变活动水平的准备情况，并使用步进活动监视器测量每日步进活动。鲁棒回归（具有鲁棒标准误差的 M 估计）用于测试改变准备与体能测量（6 分钟步行测试，自选步行速度）、身体健康（体重指数、年龄调整）之间的关系Charlson 合并症指数）、抑郁症状（患者健康问卷 9）、自我效能（特定活动平衡信心量表）和每日步数（每天步数）。结果：共有 274 个人被纳入分析。调整年龄后，准备好改变与每日步数呈正相关（β = 0.29，P < 0.001），与抑郁症状呈负相关（β = -0.13，P = 0.01）。准备好改变与身体能力、身体健康或自我效能的测量没有显着相关性。讨论：这些结果表明，与早期阶段的人相比，处于变化后期的中风个体可能表现出更多的日常踏步活动和更低的抑郁症状。结论：了解准备好改变、每日踏步和抑郁症状之间的关系将有助于临床医生实施适当的特定阶段干预策略并促进活动水平的更大改善。视频摘要可提供作者的更多见解（参见视频，补充数字内容 1，可在：http://links.lww.com/JNPT/A333 获得）。和抑郁症状将帮助临床医生实施适当的特定阶段干预策略并促进活动水平的更大改善。视频摘要可提供作者的更多见解（参见视频，补充数字内容 1，可在：http://links.lww.com/JNPT/A333 获得）。和抑郁症状将帮助临床医生实施适当的特定阶段干预策略并促进活动水平的更大改善。视频摘要可提供作者的更多见解（参见视频，补充数字内容 1，可在：http://links.lww.com/JNPT/A333 获得）。