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The Transtheoretical Model Targeting Dietary Fat, Exercise, and Smoking in a University Health Clinic
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by J. Kemp Ellington and Denise M. Martz - North Carolina State University (Ellington); Appalachian State University (Martz)
A physician-based health promotion intervention based on the transtheoretical stages of change model using a 2-group, pretest-posttest experimental design targeted patients' (N = 165) dietary fat, exercise, and smoking behaviors in a university health clinic. The control group received usual care, whereas the experimental group received behavior-change worksheets, and their physician endorsed the strategies in the worksheets during their office visit. Although participants failed to show any forward movement in the stages of change on these health behaviors, post hoc analyses found that completion of the worksheets and receiving the physician's endorsement made a difference in participants' self-reported impact of the intervention.