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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


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.



Publications

Temporal Sequencing of Physical Activity Change Constructs within the Transtheoretical Model.
Authors: Nigg C.R. , Harmon B. , Jiang Y. , Ginis K.A.M. , Motl R.W. , Dishman R.K. .
Source: Psychology of sport and exercise, 2019 Nov; 45, .
EPub date: 2019-06-25.
PMID: 34421367
Related Citations

Periodic Change in Sufficient Physical Activity: A 2-Year Study of a Multi-Ethnic Cohort.
Authors: Dishman R.K. , Nigg C. .
Source: Journal of physical activity & health, 2015 Oct; 12(10), p. 1369-77.
EPub date: 2015-03-05.
PMID: 25742492
Related Citations

Access to environmental resources and physical activity levels of adults in Hawaii.
Authors: Geller K.S. , Nigg C.R. , Ollberding N.J. , Motl R.W. , Horwath C. , Dishman R.K. .
Source: Asia-Pacific journal of public health, 2015 Mar; 27(2), p. NP288-98.
EPub date: 2012-04-11.
PMID: 22500037
Related Citations

Predictors of Change in Physical Activity and Fruit and Vegetable Intake in a Multiethnic Population in Hawaii at 6 and 12 Months Follow-up.
Authors: Galloway J.C. , Nigg C.R. , Liu M. , Banna J.C. .
Source: International journal of applied psychology, 2015; 5(2), p. 45-53.
PMID: 27525198
Related Citations

Physical activity and fruit and vegetable intake: correlations between and within adults in a longitudinal multiethnic cohort.
Authors: Woolcott C.G. , Dishman R.K. , Motl R.W. , Matthai C.H. , Nigg C.R. .
Source: American journal of health promotion : AJHP, 2013 Nov-Dec; 28(2), p. 71-9.
EPub date: 2013-03-04.
PMID: 23458370
Related Citations

Does the transtheoretical model of behavior change provide a useful basis for interventions to promote fruit and vegetable consumption?
Authors: Horwath C.C. , Schembre S.M. , Motl R.W. , Dishman R.K. , Nigg C.R. .
Source: American journal of health promotion : AJHP, 2013 Jul-Aug; 27(6), p. 351-7.
EPub date: 2013-02-11.
PMID: 23398135
Related Citations

Transtheoretical Model Constructs for Physical Activity Behavior are Invariant across Time among Ethnically Diverse Adults in Hawaii.
Authors: Geller K.S. , Nigg C.R. , Motl R.W. , Horwath C. , Dishman R.K. .
Source: Psychology of sport and exercise, 2012-09-01; 13(5), p. 606-613.
PMID: 22778669
Related Citations

Food outlet accessibility and fruit and vegetable consumption.
Authors: Ollberding N.J. , Nigg C.R. , Geller K.S. , Horwath C.C. , Motl R.W. , Dishman R.K. .
Source: American journal of health promotion : AJHP, 2012 Jul-Aug; 26(6), p. 366-70.
PMID: 22747319
Related Citations

A Research Agenda to Examine the Efficacy and Relevance of the Transtheoretical Model for Physical Activity Behavior.
Authors: Nigg C.R. , Geller K.S. , Motl R.W. , Horwath C.C. , Wertin K.K. , Dishman R.K. .
Source: Psychology of sport and exercise, 2011 Jan; 12(1), p. 7-12.
PMID: 21113323
Related Citations

Using constructs of the transtheoretical model to predict classes of change in regular physical activity: a multi-ethnic longitudinal cohort study.
Authors: Dishman R.K. , Vandenberg R.J. , Motl R.W. , Nigg C.R. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2010 Oct; 40(2), p. 150-63.
PMID: 20552417
Related Citations

Meeting U.S. Healthy People 2010 levels of physical activity: agreement of 2 measures across 2 years.
Authors: Dishman R.K. , Rooks C.R. , Thom N.J. , Motl R.W. , Nigg C.R. .
Source: Annals of epidemiology, 2010 Jul; 20(7), p. 511-23.
PMID: 20538194
Related Citations

Investigating fruit and vegetable consumption using the transtheoretical model.
Authors: Horwath C.C. , Nigg C.R. , Motl R.W. , Wong K.T. , Dishman R.K. .
Source: American journal of health promotion : AJHP, 2010 May-Jun; 24(5), p. 324-33.
PMID: 20465146
Related Citations

The benefits and challenges of multiple health behavior change in research and in practice.
Authors: Prochaska J.J. , Nigg C.R. , Spring B. , Velicer W.F. , Prochaska J.O. .
Source: Preventive medicine, 2010 Jan-Feb; 50(1-2), p. 26-9.
EPub date: 2009-12-04.
PMID: 19948184
Related Citations

Failure of post-action stages of the transtheoretical model to predict change in regular physical activity: a multiethnic cohort study.
Authors: Dishman R.K. , Thom N.J. , Rooks C.R. , Motl R.W. , Horwath C. , Nigg C.R. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2009 Jun; 37(3), p. 280-93.
PMID: 19727997
Related Citations

Are constructs of the transtheoretical model for physical activity measured equivalently between sexes, age groups, and ethnicities?
Authors: Paxton R.J. , Nigg C.R. , Motl R.W. , McGee K. , McCurdy D. , Matthai C.H. , Dishman R.K. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2008 Jun; 35(3), p. 308-18.
EPub date: 2008-07-08.
PMID: 18607667
Related Citations

Methods of quantifying change in multiple risk factor interventions.
Authors: Prochaska J.J. , Velicer W.F. , Nigg C.R. , Prochaska J.O. .
Source: Preventive medicine, 2008 Mar; 46(3), p. 260-5.
EPub date: 2007-08-15.
PMID: 18319099
Related Citations

Multiple health behavior change research: an introduction and overview.
Authors: Prochaska J.J. , Spring B. , Nigg C.R. .
Source: Preventive medicine, 2008 Mar; 46(3), p. 181-8.
EPub date: 2008-02-06.
PMID: 18319098
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