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Grant Details

Grant Number: 5R01CA109941-04 Interpret this number
Primary Investigator: Nigg, Claudio
Organization: University Of Hawaii At Manoa
Project Title: Testing the Transtheoretical Model of Behavior Change
Fiscal Year: 2007
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Abstract

DESCRIPTION (provided by applicant): Over the last 100 years, the primary causes of morbidity and mortality in the United States have changed from infectious diseases to chronic diseases. The public health burden of these chronic diseases can be reduced by changing health behaviors such as physical activity and nutrition. However, surprisingly little is known about the mechanisms of change for physical activity and nutrition that can inform the design of successful intervention. Therefore, the primary aim of this project is to identify the mechanisms of behavior change for physical activity (PA) and nutrition (fruit and vegetable consumption) using a novel application of one of the most powerful frameworks of health behavior change - the Transtheoretical Model of Behavior Change (TTM). Specifically: (1) We will determine whether the stages of change, processes, pros, cons, self-efficacy and temptations defined by the TTM moderate and mediate, respectively, self-initiated health behavior changes over a 2 year period among a random, multi-ethnic sample. Due to the longitudinal and multi-behavioral nature of this project we will also be able to investigate the following secondary aims: 1) To identify the longitudinal relationship between behavior change and stage change for PA and fruit and vegetable consumption. 2) To evaluate the impact that the PA mechanisms have on fruit and vegetable consumption and vice versa. The aims will be addressed via a naturalistic longitudinal design assessing all TTM constructs (stage, processes, pros, cons, self-efficacy [confidence and temptations]) at baseline and 3, 6, 9, 12, 18, and 24 months follow-up. This type of rigorous comprehensive approach has not been conducted using the entire TTM for PA and nutrition behaviors and directly addresses several core model assumptions and criticisms. Further, including two behaviors will allow us to look at the gateway behavior issue - does change in one health behavior area lead to change in another, which has important practice implications.

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Publications

Food outlet accessibility and fruit and vegetable consumption.
Authors: Ollberding NJ, Nigg CR, Geller KS, Horwath CC, Motl RW, Dishman RK
Source: Am J Health Promot, 2012 Jul-Aug;26(6), p. 366-70.
PMID: 22747319
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA109941 NCI NIH HHS - R25 CA90956

MeSH Terms:
United States Nutritional Status Young Adult
Vegetables Analysis of Variance Humans
Food Supply Linear Models Cross-Sectional Studies
Adult Middle Aged Diet
Food Habits Fruit Adolescent
Geography Female Male

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Access to Environmental Resources and Physical Activity Levels of Adults in Hawaii.
Authors: Geller KS, Nigg CR, Ollberding NJ, Motl RW, Horwath C, Dishman RK
Source: Asia Pac J Public Health, 2012 Apr 11;null, p. null.
EPub date: 2012 Apr 11.
PMID: 22500037
Related Citations

Grant Numbers:
NCI NIH HHS - R25 CA090956-09 NCI NIH HHS - R01 CA109941-02

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A Research Agenda to Examine the Efficacy and Relevance of the Transtheoretical Model for Physical Activity Behavior.
Authors: Nigg CR, Geller KS, Motl RW, Horwath CC, Wertin KK, Dishman RK
Source: Psychol Sport Exerc, 2011 Jan;12(1), p. 7-12.
PMID: 21113323
Related Citations

Grant Numbers:
NCI NIH HHS - R25 CA090956-09 NCI NIH HHS - R01 CA109941-01

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Using constructs of the transtheoretical model to predict classes of change in regular physical activity: a multi-ethnic longitudinal cohort study.
Authors: Dishman RK, Vandenberg RJ, Motl RW, Nigg CR
Source: Ann Behav Med, 2010 Oct;40(2), p. 150-63.
PMID: 20552417
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA109941 NCI NIH HHS - R01 CA109941-03

MeSH Terms:
Models, Psychological Humans Healthy People Programs
Ethnic Groups Adult Cohort Studies
Motor Activity Health Behavior Guidelines as Topic
Self Efficacy Adolescent Female
Male

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Meeting U.S. Healthy People 2010 levels of physical activity: agreement of 2 measures across 2 years.
Authors: Dishman RK, Rooks CR, Thom NJ, Motl RW, Nigg CR
Source: Ann Epidemiol, 2010 Jul;20(7), p. 511-23.
PMID: 20538194
Related Citations

Grant Numbers:
NCI NIH HHS - R01CA109941 NCI NIH HHS - R01 CA109941-04

MeSH Terms:
Age Factors Educational Status Questionnaires
Sex Factors Chi-Square Distribution Humans
Continental Population Groups Healthy People Programs Hawaii
Body Mass Index Exercise Socioeconomic Factors
Prospective Studies Logistic Models Middle Aged
Guidelines as Topic Female Male

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Investigating fruit and vegetable consumption using the transtheoretical model.
Authors: Horwath CC, Nigg CR, Motl RW, Wong KT, Dishman RK
Source: Am J Health Promot, 2010 May-Jun;24(5), p. 324-33.
PMID: 20465146
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA109941

MeSH Terms:
Vegetables Randomized Controlled Trials as Topic Humans
Hawaii Longitudinal Studies Choice Behavior
Cross-Sectional Studies Food Preferences Adult
Health Behavior Self Efficacy Middle Aged
Research Food Habits Fruit
Adolescent Female Male
Models, Theoretical

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The benefits and challenges of multiple health behavior change in research and in practice.
Authors: Prochaska JJ, Nigg CR, Spring B, Velicer WF, Prochaska JO
Source: Prev Med, 2010 Jan-Feb;50(1-2), p. 26-9.
EPub date: 2009 Dec 4.
PMID: 19948184
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Grant Numbers:
NIDA NIH HHS - R01 DA022291 NCI NIH HHS - R01 CA085807-05S1 NIDA NIH HHS - P50 DA09253
NCI NIH HHS - R01 CA119195 NIA NIH HHS - R01 AG024490-04 NIDA NIH HHS - R01 DA020112-04
NIMH NIH HHS - R01 MH083684 NCI NIH HHS - R01 CA109941-04 NCI NIH HHS - R01 CA85807
NIDA NIH HHS - R01 DA020112 NCI NIH HHS - R01 CA119195-04 NIA NIH HHS - R01 AG024490
NCI NIH HHS - R01 CA109941 NIMH NIH HHS - R01 MH083684-01A1 NCI NIH HHS - R01 CA119195-05
NIDA NIH HHS - P50 DA009253-15 NIDA NIH HHS - K23 DA018691-05 NIDA NIH HHS - R01 DA022291-01A2
NIDA NIH HHS - K23 DA018691 NCI NIH HHS - R01 CA119195-03S1 NIMH NIH HHS - R01 MH083684-04

MeSH Terms:
Risk Reduction Behavior Risk Factors Humans
Health Behavior Data Collection Chronic Disease
Research Male Female
Health Promotion

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Failure of post-action stages of the transtheoretical model to predict change in regular physical activity: a multiethnic cohort study.
Authors: Dishman RK, Thom NJ, Rooks CR, Motl RW, Horwath C, Nigg CR
Source: Ann Behav Med, 2009 Jun;37(3), p. 280-93.
PMID: 19727997
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA109941 NCI NIH HHS - R01 CA109941-04

MeSH Terms:
Models, Psychological Humans Healthy People Programs
Predictive Value of Tests Ethnic Groups Adult
Cohort Studies Health Surveys Motor Activity
Guidelines as Topic Middle Aged Adolescent
Time Factors Female Male

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Are constructs of the transtheoretical model for physical activity measured equivalently between sexes, age groups, and ethnicities?
Authors: Paxton RJ, Nigg CR, Motl RW, McGee K, McCurdy D, Matthai CH, Dishman RK
Source: Ann Behav Med, 2008 Jun;35(3), p. 308-18.
EPub date: 2008 Jul 8.
PMID: 18607667
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA109941 NCI NIH HHS - R01 CA109941-03

MeSH Terms:
United States Models, Psychological Questionnaires
Reproducibility of Results Motivation Humans
Aged Hawaii Decision Making
Psychometrics Cross-Sectional Studies Ethnic Groups
Motor Activity Adult Health Behavior
Self Efficacy Middle Aged Female
Male

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Methods of quantifying change in multiple risk factor interventions.
Authors: Prochaska JJ, Velicer WF, Nigg CR, Prochaska JO
Source: Prev Med, 2008 Mar;46(3), p. 260-5.
EPub date: 2007 Aug 15.
PMID: 18319099
Related Citations

Grant Numbers:
NCI NIH HHS - CA85807 NCI NIH HHS - CA27821 NIDA NIH HHS - DA09253
NIDA NIH HHS - DA 018691 NIMH NIH HHS - R01 MH083684 NCI NIH HHS - CA109941
NCI NIH HHS - CA 50087 NIDA NIH HHS - K23 DA018691-01

MeSH Terms:
Biometry Risk Reduction Behavior Humans
Health Behavior Research Design Health Promotion

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Multiple health behavior change research: an introduction and overview.
Authors: Prochaska JJ, Spring B, Nigg CR
Source: Prev Med, 2008 Mar;46(3), p. 181-8.
EPub date: 2008 Feb 6.
PMID: 18319098
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA109941 NIMH NIH HHS - R01 MH083684 NIDA NIH HHS - K23 DA018691
NIDA NIH HHS - K23 DA018691-01

MeSH Terms:
Risk Reduction Behavior Humans Health Behavior
Health Education Research Design Health Promotion

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