Herrick A B, Stone W J, Mettler M M
Fresno Pacific University, CA 93702, USA.
Am J Health Promot. 1997 Sep-Oct;12(1):49-56. doi: 10.4278/0890-1171-12.1.49.
This study examined differences in decisional balance and self-efficacy scores across the five stages of change and across four health behaviors (exercise, protection from sun exposure, smoking, and dietary fat consumption), and explored the relationship between the frequency of subjects at each stage across four health behaviors.
Data for this study were collected as part of a health behavior survey of employees.
The study was conducted in a municipal government worksite in Arizona.
A total of 393 employees completed the survey. The sample was predominantly white (84.9%) and male (64.4%), with an average age of 42.2 years and a median annual household income of between $40,000 and $59,999.
Previously validated questions to measure stages of change, decisional balance, and self-efficacy were administered, along with questions about demographic variables.
Significant differences were found for decisional balance and self-efficacy scores across the five stages of change, but they were not significantly different between the four health behaviors. A minority of subjects (18.6%) were in the same stage of change for all four health behaviors.
This study provides preliminary evidence that there is considerable stage specificity across multiple health behaviors. Because employees at each stage of change possess differences in terms of their pros, cons, and self-efficacy, wellness programs need to focus on stage-specific interventions.
本研究考察了在行为改变的五个阶段以及四种健康行为（运动、防晒、吸烟和饮食脂肪摄入）中决策平衡和自我效能得分的差异，并探讨了四种健康行为中各阶段受试者频率之间的关系。
本研究的数据是作为员工健康行为调查的一部分收集的。
该研究在亚利桑那州的一个市政府工作场所进行。
共有393名员工完成了调查。样本主要为白人（84.9%）和男性（64.4%），平均年龄为42.2岁，家庭年收入中位数在40,000美元至59,999美元之间。
使用先前验证过的问题来测量行为改变阶段、决策平衡和自我效能，同时还包括有关人口统计学变量的问题。
在行为改变的五个阶段中，决策平衡和自我效能得分存在显著差异，但在四种健康行为之间没有显著差异。少数受试者（18.6%）在所有四种健康行为中处于相同的行为改变阶段。
本研究提供了初步证据，表明多种健康行为存在相当程度的阶段特异性。由于处于每个行为改变阶段的员工在利弊和自我效能方面存在差异，健康促进项目需要关注针对特定阶段的干预措施。
