Department of Dermatology, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Int J Environ Res Public Health. 2020 Jan 18;17(2):631. doi: 10.3390/ijerph17020631.
Veterinary students across the United States face the challenge of stress during school every day. When managed improperly, stress can become chronic and manifest in physical and emotional consequences. The purpose of this study was to examine the utility of the multi-theory model (MTM) of health behavior change in predicting the initiation and sustenance of stress management behaviors among veterinary students. A cross-sectional design was used to study the efficacy of the MTM in predicting initiation and sustenance of stress management behaviors among veterinary students at a private College of Veterinary Medicine in the Southeast United States. Researchers collected data using a 54-item valid and reliable survey. Only students who did not already engage in daily stress management behaviors were included in the study. After recruitment and exclusion, a total of 140 students remained and participated in the study. Hierarchical multiple regression revealed that, for initiation of stress management behaviors, 49.5% of the variance was explained by depression, academic classification, and behavioral confidence. Regarding sustenance of stress management behaviors, 50.4% of the variance was explained by perceived stress, depression, academic classification, and emotional transformation. MTM serves as a promising framework for predicting initiation and sustenance of health behavior change. Based on the results of this study, interventions aimed to promote stress management behaviors in veterinary students should focus on the MTM constructs of behavioral confidence and emotional transformation.
美国各地的兽医学生每天都面临着学校压力的挑战。如果管理不当，压力可能会变成慢性的，并表现出身体和情绪上的后果。本研究的目的是检验健康行为改变的多理论模型（MTM）在预测兽医学生开始和维持压力管理行为方面的效用。采用横断面设计研究了 MTM 在预测美国东南部一所私立兽医学院兽医学生开始和维持压力管理行为方面的功效。研究人员使用 54 项有效且可靠的调查收集数据。仅包括那些尚未进行日常压力管理行为的学生。在招募和排除后，共有 140 名学生参与了研究。分层多元回归显示，对于压力管理行为的开始，抑郁、学术分类和行为信心解释了 49.5%的方差。关于压力管理行为的维持，感知压力、抑郁、学术分类和情绪转变解释了 50.4%的方差。MTM 是预测健康行为改变开始和维持的有前途的框架。基于这项研究的结果，旨在促进兽医学生压力管理行为的干预措施应侧重于 MTM 行为信心和情绪转变的结构。
