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Le modèle transthéorique : description, intérêts et application dans la motivation à l’activité physique auprès de populations en surcharge pondérale

The transtheoretical model: description, interests and application in the motivation to physical activity among population with overweight and obesity

  • Article de Synthèse / Review Article
  • Published:
Obésité

Résumé

La surcharge pondérale, véritable fléau mondial en expansion, est souvent associée à une mauvaise alimentation et à un manque d’activité physique (AP). La modification thérapeutique de ces deux comportements de santé constitue alors une pierre angulaire de la gestion de la surcharge pondérale. Cependant, il s’avère extrêmement difficile de construire des programmes ayant pour but de motiver à l’AP et, ainsi, d’augmenter le niveau de pratique. Des modèles de motivation et de changement de comportement ont ainsi été élaborés afin d’identifier les processus psychologiques permettant d’aider les individus à changer leur conduite de santé. Parmi ces modèles, nous avons voulu présenter et décrire un modèle en particulier le modèle transthéorique, tout en expliquant comment l’utiliser dans la construction d’intervention d’éducation thérapeutique ayant pour but de motiver à la pratique d’AP chez des personnes en surcharge pondérale.

Abstract

Overweight and obesity are a worldwide burden still in expansion and are often related to an inappropriate nutrition and a lack of physical activity (PA). The therapeutic lifestyle change of these behaviours constitutes a cornerstone in the management of weight problem. However, it appears difficult to realize programme with the goal to motivate to PA, and consequently, to increase its levels of practice. Models of motivation and behaviour change have been elaborated to help people in their lifestyle behaviour change. Among these models, we wanted to introduce, describe a model of motivation and behaviour change: the transtheoretical model. Furthermore, we explained how to handle it in order to build therapeutics education interventions to motivate the practice of PA among persons with overweight and obesity.

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Références

  1. Ziegler O (2014) Éducation thérapeutique et parcours de soins de la personne obèse. Synthèse et propositions. Obésité 9:225–33.

    Article  Google Scholar 

  2. Maurie J, Brun JF, Jean E, et al (2011) Comparaison de deux modalités différentes d’activité physique (SWEET et Lipoxmax) chez des diabétiques de type 2. Sci Sports 26:92–6.

    Article  Google Scholar 

  3. Pollatz M, Guiraudou M, Romain AJ, et al (2014) Les effets d’un réentraînement de 45minutes au LIPOXmax sur le comportement alimentaire de patients obèses sont analogues le matin et l’aprèsmidi. Sci Sports 29:57–61.

    Article  Google Scholar 

  4. Baillot A, Romain AJ, Boisvert-Vigneault K, et al (2015) Effects of lifestyle interventions that include a physical activity component in class II and III obese individuals: A systematic review and meta-analysis. PloS One 10:e0119017.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Martin CK, Church TS, Thompson AM, et al (2009) Exercise dose and quality of life: a randomized controlled trial. Arch Intern Med 169:269–78.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Young DR, Jerome GJ, Chen C, et al (2009) Patterns of physical activity among overweight and obese adults. Prev Chronic Dis 6:1–9.

    Google Scholar 

  7. Lee PH, Chang WY, Liou TH, Chang P-C (2006) Stage of exercise and health-related quality of life among overweight and obese adults. J Adv Nurs 53:295–303.

    Article  PubMed  Google Scholar 

  8. Moroshko I, Brennan L, O’Brien P (2011) Predictors of dropout in weight loss interventions: A systematic review of the literature. Obes Rev 12:912–34.

    Article  CAS  PubMed  Google Scholar 

  9. Rhodes RE, Nigg CR (2011) Advancing physical activity theory: A review and future directions. Exerc Sport Sci Rev 39:113–9.

    Article  PubMed  Google Scholar 

  10. Prochaska JO, DiClemente CC (1983) Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol 51:390–5.

    Article  CAS  PubMed  Google Scholar 

  11. Satge J, Gremeaux V, Guiraud T, et al (2013) Comment optimiser l’alliance thérapeutique autour de l’activité physique dans les maladies cardiovasculaires? Lett Méd Phys Réadapt 29:119–28.

    Article  Google Scholar 

  12. Tafticht N, Csillik AS (2013). Nouvelles applications du modèle transthéorique: la pratique d’une activité physique régulière. Ann Méd Psychol Rev Psychiatr 171:693–9.

    Google Scholar 

  13. Bernard P, Romain AJ, Esseul E, et al (2013). Barrières et motivation à l’activité physique chez l’adulte atteint de schizophrénie: revue de littérature systématique. Sci Sports 28:247–52.

    Article  Google Scholar 

  14. Durrer-Schutz D, Schutz Y (2010) Comment aborder l’éducation thérapeutique d’un patient obèse? La motivation du patient... et du médecin: une des clefs du succès thérapeutique? Obésité 4:204–9.

    Article  Google Scholar 

  15. Chalfoun C, Abdel-Baki A, Letendre E, et al (2014) Amélioration de la santé cardiovasculaire par l’exercice physique chez les individus atteints de schizophrénie: un guide de pratique. Obésité 10:4–20.

    Article  Google Scholar 

  16. Gourlan M, Bernard P, Bortholon C, et al (2016) Efficacy of theory-based interventions to promote physical activity. A metaanalysis of randomised controlled trials. Health Psychol Rev 10:50–66

    Article  CAS  Google Scholar 

  17. Tuah NA, Amiel C, Qureshi S, et al (2011) Transtheoretical model for dietary and physical exercise modification in weight loss management for overweight and obese adults. Cochrane Database Syst Rev Online 2011:CD008066.

  18. Attalin V, Romain A-J, Avignon A (2012) Physical-activity prescription for obesity management in primary care: Attitudes and practices of GPs in a southern French city. Diabetes Metab 38:243–9.

    Article  CAS  PubMed  Google Scholar 

  19. Fayemendy P, Avodé Z, Pivois L, et al (2011) Prise en charge de l’obésité: quel est le niveau de formation des médecins généralistes du département de la Haute-Vienne et comment perçoivent-ils leur pratique? Cah Nutr Diététique 46:199–205.

    Article  Google Scholar 

  20. Prochaska JO, Prochaska JM (1999) Why don’t continents move? Why don’t people change? J Psychother Integr 9:83–102.

    Article  Google Scholar 

  21. Peretti-Watel P (2011) De quelques maux de la prévention contemporaine. Le cas de l’obésité et du surpoids. Cah Nutr Diététique 46:173–7

    Article  Google Scholar 

  22. Cropley M, Ayers S, Nokes L (2003) People don’t exercise because they can’t think of reasons to exercise: an examination of causal reasoning within the Transtheoretical Model. Psychol Health Med 8:409–14.

    Article  CAS  PubMed  Google Scholar 

  23. Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:191–215.

    Article  CAS  PubMed  Google Scholar 

  24. Nigg CR, Courneya KS (1998) Transtheoretical model: Examining adolescent exercise behavior. J Adolesc Health 22:214–24.

    Article  CAS  PubMed  Google Scholar 

  25. Plotnikoff RC, Lippke S, Johnson S, et al (2010) Physical Activity and Stages of Change: A Longitudinal Test in Types 1 and 2 Diabetes Samples. Ann Behav Med 40:138–49.

    Article  PubMed  Google Scholar 

  26. Kirk A, Mutrie N, MacIntyre P, et al (2003) Increasing physical activity in people with type 2 diabetes. Diabetes Care 26:1186–92.

    Article  PubMed  Google Scholar 

  27. Romain AJ, Bernard P (2015) L’amélioration de la santé cardiovasculaire par l’exercice physique, chez les individus atteints de schizophrénie, passe aussi par la psychologie de la santé. Obésité 10:63–5.

    Article  Google Scholar 

  28. Csillik AS (2009) Polémique actuelle autour du modèle transthéorique: ce modèle mérite-t-il d’être encore utilisé ? Ann Méd Psychol Rev Psychiatr 167:355–60.

    Google Scholar 

  29. Nigg C, Hellsten L, Norman G, et al (2005) Physical activity staging distribution: Establishing a heuristic using multiple studies. Ann Behav Med 29:35–45.

    Article  PubMed  Google Scholar 

  30. Kearney JM, De Graaf C, Damkjaer S, et al (1999) Stages of change towards physical activity in a nationally representative sample in the European Union. Public Health Nutr 2:115–24.

    CAS  PubMed  Google Scholar 

  31. Romain AJ, Bernard P, Attalin V, et al (2012) Health-related quality of life and stages of behavioural change for exercise in overweight/obese individuals. Diabetes Metab 38:352–8.

    Article  CAS  PubMed  Google Scholar 

  32. Romain AJ, Bernard P, Hokayem M, et al (2015) Measuring the Processes of Change From the Transtheoretical Model for Physical Activity and Exercise in Overweight and Obese Adults. Am J Health Promot, In press. doi: http://dx.doi.org/10.4278/ajhp. 140103-QUAN-9.

    Google Scholar 

  33. Sarkin JA, Johnson SS, Prochaska JO, et al (2001) Applying the Transtheoretical Model to Regular Moderate Exercise in an Overweight Population: Validation of a Stages of Change Measure. Prev Med 33:462–9.

    Article  CAS  PubMed  Google Scholar 

  34. Robinson AH, Norman GJ, Sallis JF, et al (2008) Validating stage of change measures for physical activity and dietary behaviors for overweight women. Int J Obes 32:1137–44.

    Article  CAS  Google Scholar 

  35. Nigg CR (2005) There is more to stages of exercise than just exercise. Exerc Sport Sci Rev 33:32–5.

    PubMed  Google Scholar 

  36. Hwang J, Kim YH (2011) Adolescents’ physical activity and its related cognitive and behavioural processes. Biol Sport 28: 19–22.

    Article  Google Scholar 

  37. Marshall SJ, Biddle SJ (2001) The transtheoretical model of behavior change: a meta-analysis of applications to physical activity and exercise. Ann Behav Med 23:229–46.

    Article  CAS  PubMed  Google Scholar 

  38. Rhodes RE, Quinlan A (2015) Predictors of physical activity change among adults using observational designs. Sports Med 45:423–41.

    Article  PubMed  Google Scholar 

  39. Kanning M (2010) Physically active patients with coronary artery disease: A longitudinal investigation of the processes of exercise behaviour change. Br J Health Psychol 15:583–97.

    Article  PubMed  Google Scholar 

  40. Gallagher KI, Jakicic JM, Napolitano MA, et al (2006) Psychosocial Factors Related to Physical Activity and Weight Loss in Overweight Women. Med Sci Sports Exerc 38:971–80.

    Article  PubMed  Google Scholar 

  41. Romain AJ, Attalin V, Sultan A, et al (2014) Experiential or behavioral processes: which one is prominent in physical activity? Examining the processes of change 1 year after an intervention of therapeutic education among adults with obesity. Patient Educ Couns 97:261–8.

    Article  CAS  PubMed  Google Scholar 

  42. Kirk AF, Mutrie N, MacIntyre PD, et al (2004) Promoting and maintaining physical activity in people with type 2 diabetes. Am J Prev Med 27:289–96.

    Article  PubMed  Google Scholar 

  43. Riebe D, Blissmer B, Greene G, et al (2005) Long-term maintenance of exercise and healthy eating behaviors in overweight adults. Prev Med 40:769–78.

    Article  PubMed  Google Scholar 

  44. Napolitano MA, Hayes S (2011) Behavioral and psychological factors associated with 12-month weight change in a physical activity trial. J Obes 2011:515803.

    PubMed Central  PubMed  Google Scholar 

  45. Rollnick S, Butler CC, McCambridge J, et al (2005) Consultations about changing behaviour. BMJ 331:961–3.

    Article  PubMed Central  PubMed  Google Scholar 

  46. Marteau T, Lerman C. (2001) Genetic risk and behavioural change BMJ 322:1056–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  47. Beauchamp MR, Rhodes RE, Kreutzer C, et al (2011) Experiential Versus Genetic Accounts of Inactivity: Implications for Inactive Individuals’ Self-Efficacy Beliefs and Intentions to Exercise. Behav Med 37:8–14.

    Article  PubMed  Google Scholar 

  48. Marteau TM, French DP, Griffin SJ, et al (2010) Effects of communicating DNA-based disease risk estimates on risk-reducing behaviours. Cochrane Database Syst Rev 2010:CD007275.

  49. Kirk AF, Higgins LA, Hughes AR, et al (2001) A randomized, controlled trial to study the effect of exercise consultation on the promotion of physical activity in people with Type 2 diabetes: a pilot study. Diabet Med 18:877–82.

    Article  CAS  PubMed  Google Scholar 

  50. Rhodes RE, Dickau L (2012) Experimental evidence for the intention–behavior relationship in the physical activity domain: A meta-analysis. Health Psychol 31:724–7.

    Article  PubMed  Google Scholar 

  51. Lally P, van Jaarsveld CHM, Potts HWW, et al (2010) How are habits formed: Modelling habit formation in the real world. Eur J Soc Psychol 40:998–1009.

    Article  Google Scholar 

  52. Dishman RK, Jackson AS, Bray MS (2014) Self-regulation of Exercise Behavior in the TIGER Study. Ann Behav Med 48: 80–91.

    Article  PubMed Central  PubMed  Google Scholar 

  53. Hankonen N, Sutton S, Prevost AT, et al (2015) Which Behavior Change Techniques are Associated with Changes in Physical Activity, Diet and Body Mass Index in People with Recently Diagnosed Diabetes? Ann Behav Med 49:7–17.

    Article  PubMed Central  PubMed  Google Scholar 

  54. Romain AJ, Bernard P, Galvez M, et al (2015) Supervised Exercise Intervention for Adults with Type 2 Diabetes: Longitudinal Investigation of Processes of Change. J Appl Biobehav Res 20:130–6.

    Article  Google Scholar 

  55. Bernard P, Romain AJ, Trouillet R, et al (2014) Validation of the TTM processes of change measure for physical activity in an adult French sample. Int J Behav Med 21:402–10.

    Article  PubMed  Google Scholar 

  56. Kirk AF, Barnett J, Mutrie N (2007) Physical activity consultation for people with Type 2 diabetes. Evidence and guidelines. Diabet Med 24:809–16.

    Article  CAS  PubMed  Google Scholar 

  57. Johnson SS, Paiva AL, Mauriello L, et al (2014) Coaction in multiple behavior change interventions: consistency across multiple studies on weight management and obesity prevention. Health Psychol 33:475–80.

    Article  PubMed Central  PubMed  Google Scholar 

  58. Bernard P (2014) Les systèmes d’orientation à l’activité physique au Royaume-Uni: efficacité et enseignements. Santé Publ 26:647–54

    Google Scholar 

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Authors and Affiliations

  1. Centre de Recherche du CHU de Montréal (CRCHUM), H2X 0A9, Montréal, Québec, Canada

    A. J. Romain

  2. EA 4556, Laboratoire Epsylon : dynamique des capacités humaines et des conduites de santé, Université de Montpellier, 34000, Montpellier, France

    G. Chevance

  3. Laboratoire CRIS, Université Claude Bernard Lyon 1, 69622, Villeurbanne, France

    J. Caudroit

  4. Centre de recherche du CHU du Québec, G1R 2J6, Québec, Québec, Canada

    P. Bernard

  5. Centre de recherche sur le cancer, Université de Laval, G1R 2J6, Québec, Québec, Canada

    P. Bernard

  6. École de Psychologie, Université Laval, G1V 0A6, Québec, Québec, Canada

    P. Bernard

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  1. A. J. Romain
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  2. G. Chevance
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  3. J. Caudroit
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  4. P. Bernard
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Correspondence to A. J. Romain.

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Romain, A.J., Chevance, G., Caudroit, J. et al. Le modèle transthéorique : description, intérêts et application dans la motivation à l’activité physique auprès de populations en surcharge pondérale. Obes 11, 47–55 (2016). https://doi.org/10.1007/s11690-015-0504-7

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