Norman Gregory J, Velicer Wayne F
PACE Project, University of California San Diego, 9500 Gilman Drive, Department 0811, La Jolla, CA 92093-0811, USA.
Prev Med. 2003 Dec;37(6 Pt 1):635-45. doi: 10.1016/j.ypmed.2003.09.011.
Tailored interventions require the identification of distinct homogenous subgroups that will benefit from different intervention materials. One way to identify such subgroups is to use cluster analysis to identify an empirical typology.
A sample of 346 adults completed surveys through a telephone interview that included questions related to participating in regular exercise. The three variables used in the cluster analysis were the Pros of Exercise, the Cons of Exercise, and Exercise Self-Efficacy.
Six resulting clusters were labeled Disengaged, Immotive, Relapse Risk, Early Action, Maintainers, and Habituated. A series of analyses tested the internal and external validity of the typology. The internal validity test revealed that four of the clusters demonstrated high stability and replicability, while the Relapse Risk and Early Action clusters were less stable. Differences among clusters on self-reported exercise behavior and a strong association with stage of change for regular exercise provided external validity evidence of the typology.
The resulting typology reflects a range of motivational patterns that are likely to be responsive to different types of messages and strategies regarding adoption and maintenance of regular exercise. The typology also generates a number of hypotheses about the identified clusters that can be empirically tested in further studies.
量身定制的干预措施需要识别出不同的同质亚组,这些亚组将从不同的干预材料中受益。识别此类亚组的一种方法是使用聚类分析来确定一种经验类型学。
346名成年人的样本通过电话访谈完成了调查,调查包括与参与定期锻炼相关的问题。聚类分析中使用的三个变量是锻炼的好处、锻炼的弊端和锻炼自我效能感。
最终形成的六个聚类被标记为无参与意愿者、无动力者、复发风险者、早期行动者、维持者和习惯养成者。一系列分析检验了该类型学的内部和外部效度。内部效度测试表明,其中四个聚类表现出高稳定性和可重复性,而复发风险聚类和早期行动聚类稳定性较差。各聚类在自我报告的锻炼行为上的差异以及与定期锻炼改变阶段的强关联为该类型学提供了外部效度证据。
最终形成的类型学反映了一系列动机模式,这些模式可能对有关采用和维持定期锻炼的不同类型信息及策略做出反应。该类型学还产生了一些关于已识别聚类的假设,可在进一步研究中进行实证检验。