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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

Physical activity and fruit and vegetable intake: correlations between and within adults in a longitudinal multiethnic cohort.
Authors: Woolcott CG, Dishman RK, Motl RW, Matthai CH, Nigg CR
Source: Am J Health Promot, 2013 Nov-Dec;28(2), p. 71-9.
EPub date: 2013 Mar 4.
PMID: 23458370
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Does the transtheoretical model of behavior change provide a useful basis for interventions to promote fruit and vegetable consumption?
Authors: Horwath CC, Schembre SM, Motl RW, Dishman RK, Nigg CR
Source: Am J Health Promot, 2013 Jul-Aug;27(6), p. 351-7.
EPub date: 2013 Feb 11.
PMID: 23398135
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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
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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
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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
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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
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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
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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
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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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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
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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
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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
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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
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