Stages of change across ten health risk behaviors for older adults

Stages of change across ten health risk behaviors for older adults
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DOI:
10.1093/geront/39.4.473
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发表时间:
1999-08-01
期刊:
影响因子:
5.7
通讯作者:
Prochaska, JO
Prochaska, JO
中科院分区:
医学1区
文献类型:
--
作者:
Nigg, CR;Burbank, PM;Prochaska, JO

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基于行为改变的跨理论模型的成功和健康行为之间可能存在的关系,本研究对10种健康行为的阶段分布进行了研究(使用安全带,避免高脂肪食物,吃高纤维饮食,试图减肥,定期锻炼,避免阳光照射,使用防晒霜,试图减轻压力,戒烟,和进行癌症自我检查)和它们的相互关系在健康维护组织(HMO)成员的代表性样本。大多数老年人被发现是在考虑或维护,说明需要有针对性的干预措施,以考虑前。大多数老年人都在预先考虑减肥和/或使用防晒霜和锻炼,使这些行为成为干预研究的优先事项。可能的网关行为一般健康可以确定,但是,这些结果是初步的,需要纵向随访。
Owing to the recent success of the Transtheoretical Model of behavior change and the possible relationships between health behaviors, this study investigated the stage distribution of 10 healthy behaviors (seatbelt use, avoidance of high fat food, eating a high-fiber diet, attempting to lose weight, exercising regularly, avoiding sun exposure, sunscreen use, attempting to reduce stress, stopping smoking, and conducting cancer self-exams) and their interrelationships in a representative sample of health maintenance organization (HMO) members. The majority of older adults were found to be in either precontemplation or maintenance, illustrating the need to target interventions to precontemplation. Most older individuals were in precontemplation for losing weight and/or sunscreen use and exercise, making these behaviors a priority for intervention research. Possible gateway behaviors to general health could be identified; however, these results are preliminary and require longitudinal follow-up.