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KMID : 0367020030150020236
Journal of Korean Academic of Adult Nursing
2003 Volume.15 No. 2 p.236 ~ p.246
The Process of Change, Decision Making, Self-efficacy and Perception of Subjective Health by the Stage of Exercise Behavior among Older Adults
Cho Young-Suk

Lee Hae-Jung
Abstract
Purpose: The purpose of this study was to examine the differences of the process of change, decision making. Self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical medals among older adults.

Method: The subjects consisted of 291 older adults. Trained research assistants interviewed the older adults using structured questionnaires. ANOVA analyses with post hoc test were used to examine the mean differences for each stage of exercise behavior using SPEE for windows.

Result: The subjects were divided into five stages of exercise behavior: 24.4% pre-contemplation, 12.4% contemplation, 17.9% preparation, 12.4% action, 33.0% maintenance stage. There were significant differences in process of change, decision making, self-efficacy and exercise stage of change. ¡®Self-liberation¡¯ and ¡®stimulus control¡¯ were important strategies for intention of exercise, while ¡®reinforcing management¡¯ for the actual practice of exercise. ¡®Self-liberation¡¯ was an effective strategy to change older adults from pre-contemplation to preparation stage.

Conclusion: For exercise intervention, older adults should be classified into groups according to their stages of exercise behaviors and provided effective individualized intervention depending on their stage.
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