Stages of Change Model for Participation in Physical Activity during Pregnancy

Autor: Nanna Voldner, Kari Bø, Lene Annette Hagen Haakstad
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Adult
medicine.medical_specialty
Article Subject
physical education and training / standards / statistics & numerical data
Population
patient education as topic / methods
Overweight
Motor Activity
lcsh:Gynecology and obstetrics
Patient Education as Topic
Pregnancy
Surveys and Questionnaires
sosioeconomic factors
medicine
Humans
Patient participation
education
Pregnancy Trimesters
lcsh:RG1-991
Demography
Monitoring
Physiologic
education.field_of_study
Physical Education and Training
business.industry
Norway
Transtheoretical model
Obstetrics and Gynecology
Health Status Disparities
questionnaires
Pelvic girdle pain
Models
Theoretical
medicine.disease
Physical activity level
pregnancy trimesters / physiology / psychology
monitoring
psychologic
Socioeconomic Factors
Physical therapy
Female
Pregnant Women
medicine.symptom
Patient Participation
business
Research Article
Zdroj: Journal of Pregnancy
Journal of Pregnancy, Vol 2013 (2013)
ISSN: 2090-2727
DOI: 10.1155/2013/193170
Popis: Background. The transtheoretical model (TTM) has been successful in promoting health behavioral change in the general population. However, there is a scant knowledge about physical activity in relation to the TTM during pregnancy. Hence, the aims of the present study were (1) to assess readiness to become or stay physically active according to the TTM and (2) to compare background and health variables across the TTM.Methods. Healthy pregnant women (n=467) were allocated to the study from Oslo University Hospital, Norway. The participants filled in a validated self-administered questionnaire, physical activity pregnancy questionnaire (PAPQ) in gestation, weeks 32–36. The questionnaire contained 53 questions with one particular question addressing the TTM and the five stages: (1) precontemplation stage, (2) contemplation stage, (3) preparation stage, (4) action stage, and (5) maintenance stage.Results. More than half of the participants (53%) were involved in regular exercise (stages 4-5); however, only six specified that they had recently started an exercise program (stage 4). About 33% reported engaging in some physical activity, but not regularly (stage 3). The results showed that receiving advice from health professionals to exercise during pregnancy increased the likeliness of being in stages 4-5, while higher age, multiparity, pregravid overweight, unhealthy eating habits, pelvic girdle pain, and urinary incontinence were more prevalent with low readiness to change exercise habits (stages 1–3).Conclusion. According to the TTM, more than half of the participants reported to be physically active. Moreover, most of the participants classified as inactive showed a high motivational readiness or intention to increase their physical activity level. Hence, pregnancy may be a window of opportunity for the establishment of long-term physical activity habits.
Databáze: OpenAIRE
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