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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2009

01-06-2009 | Original Article

Failure of Post-Action Stages of the Transtheoretical Model to Predict Change in Regular Physical Activity: A Multiethnic Cohort Study

Authors: Rod K. Dishman, Ph.D., Nathaniel J. Thom, Ph.D., Cherie R. Rooks, M.S., Robert W. Motl, Ph.D., Caroline Horwath, Ph.D., Claudio R. Nigg, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 3/2009

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Abstract

Background

Predicting variation in meeting recommended levels of physical activity is important for public health evaluation.

Purpose

The purpose of this study is to determine the predictive value of stages of the Transtheoretical Model (TTM) for classifying people who meet the US Healthy People 2010 guideline for regular physical activity.

Methods

A cohort (N = 497) from a random, multiethnic sample of 700 adults living in Hawaii was assessed at 6-month intervals three or more times for 2 years. Latent transition analysis was used to classify people according to TTM stages and separately according to whether they met the guideline. The predictive value of pre- vs. post-action stages was then tested.

Results

Stages were more likely to falsely classify people as meeting the guideline than to falsely classify them as not meeting it. Probabilities of predicting 6-month transitions were about 50% for the stable class of meeting the guideline each time and just 25% for transitions between meeting and not meeting the guideline.

Conclusion

The TTM post-action stages had limited usefulness in this cohort. Further longitudinal study is needed to determine whether TTM stages can accurately classify transitions from physical inactivity to physical activity below recommended levels.
Appendix
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Metadata
Title
Failure of Post-Action Stages of the Transtheoretical Model to Predict Change in Regular Physical Activity: A Multiethnic Cohort Study
Authors
Rod K. Dishman, Ph.D.
Nathaniel J. Thom, Ph.D.
Cherie R. Rooks, M.S.
Robert W. Motl, Ph.D.
Caroline Horwath, Ph.D.
Claudio R. Nigg, Ph.D.
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 3/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9113-8

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