Processes of change, pros, cons, and self-efficacy as variables associated with stage transitions for effective stress management over a month: a longitudinal study.
Processes of change, pros, cons, and self-efficacy as variables associated with stage transitions for effective stress management over a month: a longitudinal study.
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DOI：
10.1186/s40359-022-00822-8
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发表时间：
2022-05-12
期刊：
影响因子：
3.6
通讯作者：
Aoki, Shuntaro
中科院分区：
文献类型：
--
作者：
Deng, Ke;Tsuda, Akira;Horiuchi, Satoshi;Aoki, Shuntaro
意向性健康行为改变的跨理论模型将人们在理解启动和保持有效压力管理的过程中分为五个阶段(即，参与任何形式的健康活动，每天至少练习20分钟)。这项研究的第一个目的是观察是否有病例会在一个月内披露阶段错误分类。第二项研究是检验不同模型的变量是否与不同阶段的压力管理阶段转变有关。对946名中国学生和工人的数据进行了分析。这项研究是一个更大的、基于网络的纵向研究的一部分，该研究在2014年3月、4月和9月进行了三项调查。本研究分析了第一次调查时的人口统计变量、感受到的压力、变化的阶段、变化的过程、利弊和自我效能感，以及第二次调查时的变化阶段。在144名从行动前阶段发展到行动后阶段的参与者中，44人随后进入维持阶段(实践有效的压力管理6个月或更长时间)。从技术上讲，这些模式是不可能发生的，因此，这些参与者被排除在以下分析之外。对其余902名参与者的数据进行了一系列逻辑回归分析。一般来说，模型的变量无法预测阶段转变。研究发现，较高的经验过程(在各个阶段取得进展所需的认知活动)和较低的自我效能感(对尽管存在障碍也能进行有效的压力管理的信心)可以预测从预想阶段(无意在接下来的六个月内启动有效的压力管理)和行动/维持阶段(实践有效的压力管理)的向前和向后阶段的转变。阶段错误分类的证据表明了模型阶段分类的局限性。经验过程和自我效能感作为不同阶段的预测变量符合模型的假设，即不同的变量被假设为不同阶段的阶段转换的预测因素，这部分支持了阶段分类的实用性。
The transtheoretical model of intentional health behavior change categorizes people into experiencing five stages in understanding the process of initiating and maintaining effective stress management (i.e., engagement in any form of healthy activity that is practiced for at least 20 min per day). The first purpose of this study was to observe whether any cases would disclose stage misclassification over one month. The second was to examine whether different model's variables are associated with the stage transitions for effective stress management at different stages. Data from 946 Chinese students and workers were subjected to analyses. This study is a part of a larger, longitudinal web-based study in which three surveys were conducted in March, April, and September 2014. This study analyzes the data of demographic variables, perceived stress, stages of change, processes of change, pros, cons, and self-efficacy at the point of the first survey and stages of change at the point of the second survey. Of 144 participants who progressed from the pre-Action stages to the post-Action stages, 44 then progressed to Maintenance (practicing effective stress management for six months or longer). These patterns could not technically occur, and thus, these participants were excluded from the following analyses. Data from the remaining 902 participants were subject to a series of logistic regression analyses. Generally, the model’s variables failed to predict the stage transitions. Exceptions were found that higher experiential processes (the cognitive activities required to progress through stages) and lower self-efficacy (the confidence that one can engage in effective stress management despite barriers to it) predicted the forward and backward stage transitions from Precontemplation (with no intention to initiate effective stress management in the next six months) and Action/Maintenance (practicing effective stress management). Evidence of stage misclassification indicated the limitations of the model’s stage classification. Experiential processes and self-efficacy as predictors at different stages were in line with the model’s assumption that different variables are assumed to be predictors of stage transitions at different stages, partially supporting the utility of the stage classification.
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