運用跨理論模式於體重過重、肥胖學童運動行爲之研究

Applying Transtheoretical Model to Exercise Behavior in Overweight and Obese Children

李碧霞(Pi-Hsia Lee) ； 周雨樺(Yu-Hua Chou) ； 賴香如(Hsiang-Ru Lai)

《醫護科技期刊》 11卷2期 (2009/06) Pp. 71-86

https://doi.org/10.6563/TJHS.2009.11(2).1

摘要

Based on the Transtheoretical Model, this study investigates the stages of exercise behavior among overweight and obese children, and assesses relationships among behavioral stages and other constructs. Using the definition of obesity for children and adolescents of the Taiwan Department of Health, Executive Yuan (2002), 353 overweight and obese children out of 1,714 school children from two deliberately selected primary schools, aged 11-13 years old, were selected for participation in this investigation. The instruments included Stage of Exercise Behavior Change Questionnaire, Process of Change Questionnaire, Exercise Self-efficacy Scale, and Decision Balance Scale for Exercise. Data were analyzed using frequency, χ^2 tests, one-way MANOVA, one-way ANOVA, and Tukey's Honestly Significant Difference (HSD). The study results are as follows: The majority of the participants were in the preparation stage (50.7%), with only a small minority (7.1%) in the precontemplation stage. About 68.3% did no regular exercise. Furthermore, the mean score for the process of change for exercise was 3.14±0.84 (5 in total), with the highest score being for counter conditioning, while the lowest was for social liberation. Furthermore, the average score for exercise self-efficacy was 43.10±22.64 (100 in total). The average scores for perceived benefits of and barriers to exercise were 3.57±0.54 and 2.44±0.66 (for a total of four), respectively. Participants in different stages differed in scores of the process of change for exercise, exercise self-efficacy, exercise benefits, and exercise barriers (Wilk's Lambda =.637, p＜.001). Scores of process of change for exercise, exercise self-efficacy, and exercise benefits increased from the precontemplation through to the maintenance stage. However, the score of perceived barriers to exercise decreased. The results generally supported the validity of TTM for understanding the exercise behavior of obese children. Thus providing useful information for future studies and exercise promotion programs.

關鍵字

跨理論模式 ； 體重過重 ； 肥胖 ； 學童 ； 運動行爲

並列摘要

Based on the Transtheoretical Model, this study investigates the stages of exercise behavior among overweight and obese children, and assesses relationships among behavioral stages and other constructs. Using the definition of obesity for children and adolescents of the Taiwan Department of Health, Executive Yuan (2002), 353 overweight and obese children out of 1,714 school children from two deliberately selected primary schools, aged 11-13 years old, were selected for participation in this investigation. The instruments included Stage of Exercise Behavior Change Questionnaire, Process of Change Questionnaire, Exercise Self-efficacy Scale, and Decision Balance Scale for Exercise. Data were analyzed using frequency, χ^2 tests, one-way MANOVA, one-way ANOVA, and Tukey's Honestly Significant Difference (HSD). The study results are as follows: The majority of the participants were in the preparation stage (50.7%), with only a small minority (7.1%) in the precontemplation stage. About 68.3% did no regular exercise. Furthermore, the mean score for the process of change for exercise was 3.14±0.84 (5 in total), with the highest score being for counter conditioning, while the lowest was for social liberation. Furthermore, the average score for exercise self-efficacy was 43.10±22.64 (100 in total). The average scores for perceived benefits of and barriers to exercise were 3.57±0.54 and 2.44±0.66 (for a total of four), respectively. Participants in different stages differed in scores of the process of change for exercise, exercise self-efficacy, exercise benefits, and exercise barriers (Wilk's Lambda =.637, p＜.001). Scores of process of change for exercise, exercise self-efficacy, and exercise benefits increased from the precontemplation through to the maintenance stage. However, the score of perceived barriers to exercise decreased. The results generally supported the validity of TTM for understanding the exercise behavior of obese children. Thus providing useful information for future studies and exercise promotion programs.

並列關鍵字

Transtheoretical model ； overweight ； obesity ； children ； exercise behavior

參考文獻

王淑芳、顏效禹、李思招、何佩玲、張碧芳、呂昌明(2007)。臺北市國中學生運動行爲之研究－跨理論模式之應用。學校衛生。50，23-38。

王蕙雯、張媚(2006)。應用跨理論模式於工作場所實施運動介入之成效。臺灣醫學。10(3)，292-301。

兒童與青少年肥胖定義

臺灣青少年BMI過重及肥胖情形

死因統計結果分析