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Evaluating the decisional balance construct of the Transtheoretical Model: are two dimensions of pros and cons really enough?

Abstract

Objectives

The Transtheoretical Model of behavior change (TTM) postulates that behavior change is a process involving progress through five distinct stages of change (SOC). One of the key components for progress to a later stage is decisional balance (pros and cons of changing to the target behavior). The goal of the present study is to test the two dimensions of decisional balance as postulated in the TTM in the context of exercising behavior.

Methods

The analyses are based on data from an online survey of 266 freshman students at the University of Zurich; participants self-reported their frequency of exercising and their weighing of the importance of 49 pros and cons of exercising.

Results

The results indicate that a two-dimensional solution of decisional balance is insufficient. The analysis of pros and cons of exercising yielded a seven-factor solution with in part different progressions through the SOC.

Conclusions

With the subdivision into different pros and cons, intervention programs can be developed that better match the needs of participants in terms of fostering and decreasing the most important pros and cons of exercising.

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References

  • Bandura A (1997) Self-efficacy: the exercise of control. Freeman, New York

    Google Scholar 

  • Basler HD, Jäkle C, Keller S, Baum E (1999) Selbstwirksamkeit, Entscheidungsbalance und die Motivation zu sportlicher Aktivität—Eine Untersuchung zum transtheoretischen Modell der Vehaltensänderung. Zeitschrift für Differentielle und Diagnostische Psychologie 20(3):203–216

    Article  Google Scholar 

  • Bortz J (1999) Statistik für Sozialwissenschaftler (5th revised edn). Springer, Berlin

    Google Scholar 

  • Cavill N, Kahlmeier S, Racioppi F (2006) Physical activity and health in Europe: evidence for action. World Health Organization, Copenhagen

    Google Scholar 

  • Fuchs R (2003) Sport, Gesundheit und public health. Hogrefe, Göttingen

    Google Scholar 

  • Janis IL, Mann L (1977) Decision making: a psychological analysis of conflict chance and commitment. Free Press, New York

    Google Scholar 

  • Jordan PJ, Nigg CR, Norman GJ, Rossi JS, Benisovich SV (2002) Does the transtheoretical model need an attitude adjustment? Integrating attitude with decisional balance as predictors of stage of change for exercise. Psychol Sport Exerc 3(1):65–83

    Article  Google Scholar 

  • Lamprecht M, Stamm H (2006) Bewegung, Sport, Gesundheit. Fakten und Trends aus den Schweizerischen Gesundheitsbefragungen 1992, 1997, 2002. Bundesamt für Statistik, Neuchâtel

  • Marcus BH, Rakowski W, Rossi JS (1992) Assessing motivational readiness and decision making for exercise. Health Psychol 11(4):257–261

    CAS  Article  PubMed  Google Scholar 

  • Myers RS, Roth DL (1997) Perceived benefits of and barriers to exercise and stage of exercise adoption in young adults. Health Psychol 16(3):277–283

    CAS  Article  PubMed  Google Scholar 

  • Nigg CR, Courneya KS (1998) Transtheoretical model: examining adolescent exercise behavior. J Adolesc Health 22(4):214–224

    CAS  Article  PubMed  Google Scholar 

  • Prochaska JO, DiClemente CC (1983) Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 51(3):390–395

    CAS  Article  PubMed  Google Scholar 

  • Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, Fiore C, Harlow LL, Redding CA, Rosenbloom D (1994) Stages of change and decisional balance for 12 problem behaviors. Health Psychol 13(1):39–46

    CAS  Article  PubMed  Google Scholar 

  • Prochaska JO, Redding CA, Evers KE (1997) The transtheoretical model and stages of change. In: Glanz K, Lewis FM, Rimer BK (eds) Health behavior and health education. Jossey-Bass, San Francisco, pp 60–84

    Google Scholar 

  • Sallis JF, Owen N (1999) Physical activity and behavioral medicine. SAGE Publications, Thousand Oaks

    Google Scholar 

  • Schoenborn CA, Adams PF, Barnes PM, Vickerie JL, Schiller HS (2004) Health behaviors of adults: United States, 1999–2001. National Center for Health Statistics. Vital health Stat 10 219:1–79

    Google Scholar 

  • Sechrist KR, Walker SN, Pender NJ (1987) Development and psychometric evaluation of the Exercise Benefits/Barriers Scale. Res Nurs Health 10(6):357–365

    CAS  Article  PubMed  Google Scholar 

  • Sniehotta FF, Scholz U, Schwarzer R (2005) Bridging the intention–behaviour gap: planning, self-efficacy, and action control in the adoption and maintenance of physical exercise. Psychol Health 20(2):143–160

    Article  Google Scholar 

  • Sutton S (2001) Back to the drawing board? A review of applications of the transtheoretical model to substance use. Addiction 96:175–186

    CAS  Article  PubMed  Google Scholar 

  • Swiss Federal Statistical Office (2005) Gesundheit und Gesundheitsverhalten in der Schweiz 1992–2002 (Swiss Health Survey 2002), Publication #231-0206. Available via http://www.bfs.admin.ch/bfs/portal/de/index/infothek/publ.html?publicationID=1951. Accessed 6 Oct 2008

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Correspondence to Roger Keller.

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Kroll, C., Keller, R., Scholz, U. et al. Evaluating the decisional balance construct of the Transtheoretical Model: are two dimensions of pros and cons really enough?. Int J Public Health 56, 97–105 (2011). https://doi.org/10.1007/s00038-010-0175-y

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  • DOI: https://doi.org/10.1007/s00038-010-0175-y

Keywords

  • Decisional balance
  • Transtheoretical model
  • Exercise
  • Pros
  • Cons
  • Behavior change