Applying exercise stage of change to a low-income underserved population

UMMS Affiliation

Department of Emergency Medicine



Document Type


Medical Subject Headings

Adult; Behavior Therapy; *Behavioral Research; Behavioral Risk Factor Surveillance System; Educational Status; *Exercise; Female; Humans; Louisiana; Male; *Medically Underserved Area; Middle Aged; Models, Psychological; *Poverty; Questionnaires; Risk Factors; *Self Efficacy


Emergency Medicine


OBJECTIVES: To validate the transtheoretical model for exercise behavior and the constructs of decisional balance and self-efficacy for exercise in a low-income, poorly educated primary care sample.

METHODS: Patients attending public primary-care clinics from 4 separate sites in Louisiana were interviewed regarding their health behaviors.

RESULTS: The data provide equivocal support for applying the transtheoretical model for exercise and integrating it with other models of behavior change within this population.

CONCLUSIONS: Further studies modifying the decisional balance measures are necessary before definitive statements regarding the applicability of these models to exercise within this specialized population can be made.

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Citation: Am J Health Behav. 2003 Mar-Apr;27(2):99-107.


At the time of publication, Edwin Boudreaux was not yet affiliated with the University of Massachusetts Medical School.

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Link to Article in PubMed

PubMed ID