Intervention Protocol Based on Transtheoretical Model of Behavior Change for Metabolic Syndrome / Protocolo de Intervenção Baseada no Modelo Transteórico de Mudança de Comportamento para Síndrome Metabólica

Abstract The present study is the translation and adaptation of an intervention based on the Transtheoretical Model of Change directed to patients at cardiovascular risk. The original 29-session manual was translated into Portuguese, extended to 36 sessions, and applied in a pilot study. The protocol was reduced to 12 sessions through the grouping based on the processes of change. The products of the present study were the processes in each behavior, the versatility of the protocol, the interdisciplinary work, the great cost-benefit, and the potential of effectiveness. Finally, the importance of consistent training in Motivational Interview, Transtheoretical Model and group management for proper use are highlighted, and the costs and benefits of protocols versus more flexible treatments are discussed.

Resumo Trata-se da tradução e adaptação de uma intervenção baseada no Modelo Transteórico de Mudança e direcionada para pacientes com risco cardiovascular. Inicialmente, o manual original com 29 sessões foi traduzido para a língua portuguesa, sendo ampliado para 36 sessões, e posteriormente aplicado em um estudo piloto. A partir de agrupamentos pelos processos de mudança, foi reduzido para 12 sessões. Evidencia-se como produtos deste trabalho o aprofundamento dos processos em cada comportamento, a versatilidade do protocolo, o trabalho interdisciplinar, o ótimo custo-benefício e o potencial de efetividade. Por fim, salienta-se a importância de um treinamento consistente em Entrevista Motivacional, Modelo Transteórico e manejo de grupos para sua utilização adequada, e discute-se os custos e os benefícios dos protocolos versus tratamentos mais flexíveis.

An intervention based on the stages of change, health profiles and physical activity levels of overweight and obese adults in Sarawak, Malaysia – a feasibility study

@#Introduction: Physical inactivity is the one of the leading causes of major non-communicable diseases in the world. The aim of this study is to assess the feasibility of an intervention program based on the stages of change, physical activity levels and health profiles of selected overweight and obese adults in Sarawak. Methods: This intervention study was carried out using selected overweight and obese adults in Sarawak. A total of 75 participants were placed in the intervention group, and 80 respondents were placed in the control group participated. Respondent-determined weekly aerobic exercise sessions were conducted for six months. The Malay version of the long-form International Physical Activity Questionnaire (IPAQ) and Transtheoretical model of change (TTM) questionnaire were used, together with anthropometric measurements and the collection of venous fasting blood profiles. Data was entered and analyzed using SPSS Version 20. Results: The intervention group had significant better stage transitions compared to the control group (p<0.01). They also had significantly lower total cholesterol, although both groups showed significant results (difference= 0.53, p<0.01; difference= 0.38, p=0.01). The respondent-determined intervention program was effective in improving stage transition; however, an intervention of longer duration could provide more conclusive health outcomes. Conclusion: Physical activity plays a role in assisting overweight and obese adults to be more active and healthier.

Avaliação da autoeficácia e tentação em dependentes de cocaína/crack após tratamento com o modelo transteórico de mudança (MTT) / Assessment self-efficacy and temptation in dependent cocaine/crack after treatment with transtheoretical model of change (TTM)

O modelo transteórico de mudança (MTT) auxilia na mudança de comportamento, como o uso de drogas, e do qual fazem parte a autoeficácia para abstinência, tentação para uso de drogas e os processos de mudança. Este artigo teve como objetivo comparar a autoeficácia e tentação após intervenção com o MTT em dependentes de cocaína/crack, e a relação dos conceitos com os processos de mudança. Utilizou-se uma análise de dados secundários, onde participaram 39 dependentes de cocaína e/ou crack, homens e mulheres com os instrumentos: protocolo de entrevista, WAIS-III, MEEM, DASE, TUD e EPM. Houve aumento da autoeficácia e diminuição de tentação após intervenção com o MTT, e encontrou-se que quanto mais autoeficácia e menos tentação mais eram utilizados os processos comportamentais autodeliberação, contracondicionamento e relações de ajuda. Portanto, a intervenção com MTT provocou efeitos esperados que proporcionam mudança no uso de cocaína/crack aliada à maior autoeficácia e menor tentação.(AU)

The transtheoretical model of change (TTM) assists in changing behavior, such as drug use, and which are part of the self-efficacy for abstinence, temptation to use drugs and change processes. This study aimed to compare the self-efficacy and temptation after intervention with TTM in cocaine / crack, and the relationship of the concepts with the processes of change. We used a secondary data analysis, attended by 39 dependents of cocaine and / or crack, men and women with the tools: interview protocol, WAIS-III, MMSE, DASE, TUD and EPM. There was an increase in self-efficacy and decrease the temptation after intervention with the TTM, and found that the more self-efficacy and less temptation plus autodeliberação behavioral processes were used, counter-conditioning and aid relationships. Therefore, intervention with TTM brought expected effects that provide change in the use of cocaine / crack combined with higher self-efficacy and less temptation.(AU)

Modelo Transteórico de Mudança: Contribuições para o coaching de executivos / The Transtheoretical Model of Change: Contributions to executive coaching / Modelo Transteórico de Cambio: Contribuciones al coaching de ejecutivos

O coaching de executivos tem sido cada vez mais empregado pelas organizações. Embora haja um número expressivo de praticantes nesse mercado, há uma grande carência de modelos teóricos e de pesquisas. Em decorrência disso, tem sido apontada a necessidade de se lastrear o coaching em evidências empiricamente mais consistentes, ainda que incorporando contribuições de conhecimentos já existentes nas ciências comportamentais e sociais. Além disso, a mudança comportamental tem sido tema recorrente, nas diferentes abordagens empregadas, mesmo que de orientações distintas. Neste contexto, alguns autores têm sugerido que o Modelo Transteórico de Mudança seja adaptado para o processo de coaching; tanto por ser um modelo direcionado à mudança comportamental, como pelo fato de ter forte sustentação empírica. Esse modelo caracteriza os seis estágios que ocorrem em todo processo de mudança comportamental: pré-contemplação, contemplação, preparação, ação, manutenção e término. Este artigo teórico examina possíveis contribuições e limitações do modelo, se aplicado ao processo de coaching de executivos.

Executive coaching has been widely employed in organizations. Although there is a growing number of practitioners in this market, there is still a substantial lack of theoretical models and research in it. Because of this, some authors have argued for a need of supporting the coaching process on more consistent and empirically tested evidences, even through the embodiment of already existing knowledge, from the behavioral and social sciences. Besides that, behavioral change has been a recurrent theme in many coaching processes, even when based on distinct approaches. In this context, some authors have suggested that the Transtheoretical Model of Change be adapted for the coaching process, both for its focusing on behavioral changes and for being supported by substantial empirical research. This model includes the six stages that take place in every process of behavioral change: precontemplation, contemplation, preparation, action, maintenance, and termination. This theoretical article analyzes possible contributions and limitations of the model, when applied to executive coaching.

El coaching de ejecutivos ha sido cada vez más empleado por las organizaciones. Aunque hay un número significativo de practicantes, en este mercado, hay una gran carencia de modelos teóricos y de investigación. Como consecuencia, se ha señalado la necesidad de basar el coaching en evidencias empíricamente más consistentes, aun incorporando contribuciones de conocimientos existentes en las ciencias comportamentales y sociales. Además, el cambio comportamental ha sido tema recurrente en los diferentes abordajes empleados, aunque de orientaciones distintas. En este contexto algunos autores han sugerido que el Modelo Transteórico de Cambio se adapte al proceso de coaching; tanto por ser un modelo dirigido al cambio comportamental como por el hecho de tener fuerte sustentación empírica. Este modelo caracteriza las seis etapas que ocurren en todo proceso de cambio comportamental: precontemplación, contemplación, preparación, acción, mantenimiento y término. Este artículo teórico examina posibles contribuciones y limitaciones del modelo, si se aplica al proceso de coaching de ejecutivos.

Stage of Change for Exercise and Health-Related Quality of Life in Korean Adults / 성인간호학회지

PURPOSE: Many studies have shown that regular exercise produces positive effects on health. The purpose of this study was to examine the differences of health-related quality of life by stage of exercise and the interaction effect of age, sex and stage of exercise. METHOD: A total of 1266 participants were interviewed with structured questionnaire. Stage of exercise was assessed with a single item and respondents were classified with respect to exercise intention and behavior. Health-related quality of life was measured with SF-36 Health Survey Questionnaire. RESULT: Health-related QOL were found to be different by stage of exercise. The subjects who were reached maintenance stage showed significantly higher scores on physical functioning, bodily pain, general health perception, mental health, role limitation due to emotional problems, social functioning, and vitality than those in preparation, contemplation, and precontemplation stage. In addition a significant interaction effect between stage of exercise and age was found on physical functioning, bodily pain, general health perception, mental health, and vitality. CONCLUSION: Perceived health-related QOL varies with stage of exercise. This finding suggests that health is related to both intention and behavior of exercise. Therefore it is important to consider cognitive-motivational and behavioral stage of change for developing exercise programs.