Effect Of Transtheoretical Model Research Articles

Effect of Trans Theoretical Model on Knowledge and Practices among Osteoarthritis Patients

Effect of Trans Theoretical Model on Knowledge and Practices among Osteoarthritis Patients

Effectiveness of a Transtheoretical Model-Based Intervention to Improve Blood Pressure Control of Hypertensive Patients in China: A Clustered Randomized Controlled Trial.

BackgroundHypertension can result in great cardiovascular risk, while medication adherence and blood pressure control of patients were suboptimal. Therefore, we conducted a 12-month clustered randomized controlled trial to evaluate the effectiveness of transtheoretical model (TTM)-based health intervention mode on blood pressure of Chinese newly-diagnosed hypertensive patients.MethodsThis trial was conducted in six primary healthcare centers, Shunyi District, Beijing, China from September 2016 to September 2017. A total of 400 patients were included and randomized, 194 patients in the control group and 206 patients in the intervention group. Patients in the intervention group received TTM-based health intervention and those in the control group received usual care. Multilevel modeling was used to adjust for clustering effect and repeated measurements.ResultsSystolic blood pressure of patient was reduced by 4.534 mm Hg at 3-month follow-up [95% CI (−3.054, −1.403), p = 0.005], 3.982 mm Hg at 6-month follow-up [95% CI (−7.387, −0.577), p = 0.022], and 5.803 mm Hg at 12-month follow-up [95% (−9.716, −1.891), p = 0.004]. Diastolic blood pressure of patient was reduced by 3.383 mm Hg at 3-month follow-up [95% CI (−5.724, −1.042), p = 0.005], 0.330 mm Hg at 6-month follow-up [95% CI (−2.870, 2.210), p = 0.799], and 3.129 mm Hg at 12-month follow-up [95% CI (−6.048, −0.21), p = 0.036]. Medication adherence of patients was improved at all the three time points. For stages of change for taking medication, patients in the intervention group were 8.401-fold more likely to be in a higher stage at 3-month follow-up [95% CI (4.186, 16.862), p < 0.001]. The odds ratio of being in a higher stage was 8.454 at 6-month follow-up [95% CI (3.943, 18.123), p < 0.001] and 19.263 at 12-month follow-up [95% CI (7.979, 46.505), p < 0.001].ConclusionTranstheoretical model-based health intervention might be a promising strategy to improve medication adherence of newly-diagnosed hypertensive patients in community.

Effectiveness of Trans Theoretical Model on diabetes self-management and HbA1C level in Men and Women with type 2 diabetes

Aim: The aim of this study was to determine the effectiveness of Trans Theoretical Model on diabetes self-management and HbA1C level in patients with type 2 diabetes. Methods: The method of this study was applied and quasi-experimental designs of pre-test-post-test and follow-up with the control group. The statistical population of the study consisted of 25-55 years old diabetic patients referred to one of the health centers in Ghaemshahr in 2020, among which 30 people were selected by purposeful sampling method and were assigned to two groups of Trans Theoretical Model (n=20) and control group (n=20). Data were obtained through Tobert and Glasgow Diabetes Self-Management Questionnaire (2002) and glycosylated hemoglobin test (HbA1c). For data analysis, repeatedly measuring variance analysis (MIX) and SPSS-22 software were used. Results: The results showed that cognitive-behavioral group had a significant effect on diabetes self-management (F=38.01, p&lt;0.001) and hypoglycemia (F=1.48, p=0.021). Also, the effectiveness of Trans Theoretical Model on diabetes self-management and HbA1C levels in patients with type 2 diabetes remained stable three months after the intervention. Conclusion: It can be concluded that Trans Theoretical Model was effective on diabetes self-management and HbA1C level in patients with type 2 diabetes.

The effect of Transtheoretical Model based motivational interviewing on smokeless tobacco cessation in high school students

ABSTRACT Background: Smokeless tobacco (ST) products are widely used because of the prohibition of the use of cigarettes in closed areas and the fact that they are less dangerous because smoke is not inhaled. Therefore, it is important to change these misconceptions about ST products.Methods: Ninety ST users who were high school students (35 controls, 39 interventions) were included in study. Data were collected using a questionnaire form, Fagerstrom Test for Nicotine Dependency scale (FTND), Stages of Change scale, Processes of Change (POC) scale, Self-efficacy (SE) scale and Temptations (TM) scale. After the baseline data were collected, the individuals in the intervention group conducted five motivational interviewing. Twelve months after the intervention, final data were collected from the experimental and control groups.Results and Conclusions: In the baseline, there was no statistical difference between two groups in term of all parameters (p > 0.05). In final observation, FTND score in intervention group decreased and POC score and SE score increased; TM scores were lower in the intervention group than the control group, 46.2% of ST users in the intervention group quitted using ST and there was statistical difference between intervention and control groups in term of these parameters (p < .001).

Effects of transtheoretical model on patients after percutaneous coronary intervention

Objective To explore the effects of transtheoretical model on patients after percutaneous coronary intervention (PCI) . Methods Totally 200 patients who received PCI and 1-4 cardiovascular stents in the 4 wards of the Department of Cardiology, Tenth People's Hospital of Shanghai between March and September 2018 were selected by convenient sampling and divided into the control group (n=100) and the intervention group (n=100) according to the random number table. The Short Form Health Survey (SF-36) was used to evaluate the effects of intervention. Results The total SF-36 score, overall physical health score and overall mental health score were (84.17±15.67) , (80.56±15.76) and (84.93±15.66) , respectively after the intervention, higher than those of the control group (t=-21.44, -21.063, -34.729; P<0.001) , which were (62.58±13.24) , (63.87±12.34) and (62.69±10.45) , respectively. Conclusions The transtheoretical model used in follow-up visits after PCI helps to improve patients' quality of life, which is worth promoting in clinical practice. Key words: Quality of life; Transtheoretical model; Percutaneous coronary intervention; Postoperative follow-up; Health behavior intervention

Transtheoretical Model of Health Behavioral Change: A Systematic Review.

Background:Transtheoretical model (TTM) is one of the most commonly used methods in behavioral change modeling. The aim of this study was to conduct a systematic review (SR) to determine research gaps with regard to this template with an emphasis on intervention for patients with chronic diseases (CDs).Materials and Methods:ISI-WOS, Scopus, PubMed, SID, and Magiran databases were examined systematically and on the basis of defined criteria. Titles, abstracts, and full texts of articles retrieved were examined for the presence of defined criteria. Then finalized articles were analyzed in consensus meetings. After that, references of selected articles and full text of those meeting the criteria were also analyzed.Results:We screened 103 articles, excluded 27 in abstract review and 34 in full-text review, leaving 42 articles for critical appraisal. Then the references of these 42 articles were also screened. Fifty articles were excluded on abstract review and 5 on full-text review, leaving 15 articles. The result of the analysis of 57 final articles of this SR determined that 28 articles were about aspects of TTM and 5 stages of change were the most commonly used aspect. Eight articles used TTM in intervention about CDs. A total of 21 articles examined TTM's pros and cons, most of which were about TTM's pros.Conclusions:The majority of studies focused on the effectiveness of TTM on the behavioral change management. This finding supported the hypothesis that TTM can be applied in the prevention of CDs.

Effects of transtheoretical model on smoking behavior in patients with coronary heart disease

Objective To explore the effects of intervention plans based on transtheoretical model on smoking behavior in patients with coronary heart disease. Methods From July to December 2016, a total of 120 patients with coronary heart disease who were hospitalized in the cardiology department of a Class Ⅲ Grade A hospital of Harbin City were selected by convenience sampling method. The patients hospitalized during the period from July to September in 2016 were assigned to the control group, and the patients hospitalized during the period from October to December 2016 were assigned to the experimental group, with 60 patients in each group. Routine nursing intervention was applied in the control group, while the intervention plan based on the transtheoretical model was adopted in the experimental group. The Coronary Heart Disease and Smoking Belief Scale was adopted to compare the patients in the two groups. Results After intervention, the scores of the 3 dimensions of the Coronary Heart Disease and Smoking Belief Scale, including smoking and coronary heart disease treatment, smoking and weight gaining, smoking cessation and coronary heart disease control were (14.41±5.94) , (11.22±4.66) and (6.58±3.22) respectively, which were lower than those of the control group (17.35±5.97) , (13.45±4.71) and (10.11±3.95) , the differences were statistically significant (t=-2.610, -2.495, -5.153; P<0.05) . After intervention, there was a significant difference in the changes of smoking behavior between the two groups (Z=3.344, P=0.001) . Conclusions The intervention program based on the transtheoretical model can improve the belief of smoking cessation in patients with coronary heart disease, which is worthy of promotion. Key words: Smoking; Coronary heart disease; Transtheoretical model

Effect evaluation of intervene on healthy behavior of soldiers on platesu area to prevent hemorrhoids based on transtheoretical model

Objective To explore the effect of trans theoretical model in changing on healthy behavior of soldiers on plateau area to prevent hemorrhoids. Methods Fifty-four soldiers respectively from the artillery troops and air defenses force troops were selected and divided into control group that received normal healthy education and treatment group that received the healthy behavior intervene based on transtheoretical model and the changes of the behavior at each stage of intervention were observed and contrasted between two groups. Results There was no statistically significant difference in the number of each stage between two groups at 1 and 3 months after intervention (χ2=1.514, 6.554, P> 0.05). The number of former intention stage, intention stage, preparation stage, action stage, maintain stage at 6 months after intervention in treatment group were respectively 0, 0, 0, 15, 39 cases, and 2, 3, 6, 20, 23 cases in control group respectively, the difference was statistically significant (χ2=15.843, P 0.05). The number of daily training of the levator ani less than 5, 6-15, 16-25, 26-35, >35 times at 3, 6 months after intervention respectively was 5, 6, 6, 17 cases and 20, 0, 0, 0, 14, 40 cases in treatment group respectively, 9, 13, 14, 10, 8 cases, and 3, 4, 6, 22, 19 cases in control group,the differences were statistically significant (χ2=13.459, 22.252, P < 0.01). The incidence of bloody at 6 months after intervention was 3.70% (2/54) in treatment group and 16.67% (9/54) in control group, the difference was statistically significant (χ2 = 4.960, P < 0.05). Conclusions The intervene based on transtheoretical model can effectively promote the healthy behavior to prevent hemorrhoids and reduce the recurrence rate of hemorrhoids. Key words: Hemorrhoids; Trans theoretical model; Healthy behavior intervene; Soldiers on plateau area

Effects of transtheoretical model combined with information support on the self-management efficacy, coping style and cancer-related fatigue of breast cancer patients with chemotherapy

Objective To explore the effects of transtheoretical model combined with information support on the self-management efficacy, coping style and cancer-related fatigue of breast cancer patients with chemotherapy. Methods Totally 85 breast cancer patients admitted in department of oncology in the Affiliated Tumor Hospital of Harbin Medical University were selected as the research object. According to random number table method, patients were divided into the control group (n=41) and the study group (n=44) . Patients in the control group accepted routine nursing, while patients in the study group were given transtheoretical model combined with information support based on the routine nursing. The self-management efficacy, coping style and cancer-related fatigue of patients before and after intervention and one year after intervention were compared between two groups. Results After intervention and one year after intervention, the scores of self-management efficacy and the confronce of the medical coping modes questionaire in the study group were significantly higher than the control group (t=12.929, 10.996, 2.233, 3.409; P<0.05) . The scores of behavioral dimension, emotional dimension and perceptual dimensions, cognitive dimension and fatigue in the study group were lower than the control group (t=8.325、6.560、7.804、7.002、11.895、6.841、3.002、9.648、10.053、13.094, P<0.05) . In addition, the fatigue degree of patients in the study group after intervention was better than that of patients in the control group (Z=2.563、3.965, P<0.05). Conclusions Transtheoretical model combined with information support has great significance of improving the self-management efficacy, improving patients′ coping styles and reducing patients′ cancer-related fatigue degree in patients with breast cancer. Key words: Breast neoplasms; Transtheoretical model; Information support; Cancer-related fatigue

The effect of Transtheoretical Model on the healthy eating behavior in schools students of Shirvan city

The effect of Transtheoretical Model on the healthy eating behavior in schools students of Shirvan city

Effect of transtheoretical model on self-efficacy, health belief and health behavior of patients with coronary heart disease

Objective To investigate the effect of health education based on transtheoretical model (TTM) on self-efficacy, health belief and health behavior of patients with coronary heart disease (CHD). Methods A total of 122 patients with CHD were randomly divided into the observation group and the control group according to the random number table method. 61 cases in the control group were given conventional one-to-one health education, while 61 cases in the observation group were given health education based on TTM. The scores of GSES, the self-designed health belief scale for coronary heart disease and HPLP-Ⅱ were compared between the two groups before and after the invention. Results The self-efficacy and health belief of two groups were improved by the invention. The score of GSES in the observation group was (30.5±5.9), which was significantly higher than (27.2±5.6) in the control group after invention (t=3.168, P<0.01). The scores of four dimensions and total score of health belief scale were (2.68±0.63), (2.71±0.64), (2.53±0.59), (2.80±0.51), (2.61±0.58), which were significantly higher than (2.40±0.58), (2.47±0.47), (2.25±0.62), (2.61±0.50), (2.41±0.52) in the control group after invention (t=2.554, 2.361, 2.556, 2.078, 2.005; P<0.05). Conclusions The health education based on TTM can improve self-efficacy of health behavior change for patients with CHD, enhance health belief and is conductive to the establishment of health behavior. Key words: Coronary heart disease; Transtheoretical model; Self-efficacy; Health belief; Health behavior

Application of transtheoretical model of behavior change in the intervention of childhood obesity

Objective To investigate the effectiveness of transtheoretical model of behavior change in the intervention of childhood obesity. Methods Randomized sampling method was used to select experiment schools and control schools for physical examination from October 2012 to June 2014. The overweight and obesity students of the experiment schools were intervened with the transtheoretical model of behavior change. The authors evaluated the obesity students′ knowledge about the intervention of obesity, healthy behavior methods compliance, and weight control qualified rate. Results Before the intervention, the obesity rate, BMI of overweight students, skinfold thickness, blood glucose and blood lipid had no significant differences between the two groups (P>0.05). After the intervention, the BMI and skinfold thickness in the experiment group were (27.7±3.6) kg/m2 and (21.7±4.3)mm, which were significantly better than those in the control group (t=3.674, 4.029, respectively; P<0.05). The blood glucose, total cholesterol, triglyceride, high and low density lipoprotein in the experiment group were(5.17±0.8), (3.47±0.6), (0.73±0.3), (1.14±0.1) and (1.53±0.2) respectively, which were significantly better than those in the control group (t=3.437, 4.257, 3.478, 2.206, 3.759, respectively; P<0.05). The knowledge of obesity, healthy behavior adherence and weight control rate in the experiment group were significantly better than those in the control group (P<0.05). Conclusions The application of tanstheoretical model of behavior change for nursing intervention and prevention has a prosperous future for getting the overweight and obesity student to have more knowledge about obesity, enhance the healthy behavior methods compliance, and increase the rate of weight qualified. Key words: Childhood; Obesity; Transtheoretical model of behavior change