AUTHOR=Gao Min , Chen Ping , Sun Xinying , Feng XingLin , Fisher Edwin B. 

TITLE=Integrating the Extended Theory of Planned Behavior With the Stages of Change to Predict Exercise Among Chinese People With Type 2 Diabetes

JOURNAL=Frontiers in Public Health

VOLUME=9

YEAR=2021

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.772564

DOI=10.3389/fpubh.2021.772564

ISSN=2296-2565

ABSTRACT=<p><bold>Background:</bold> There have been very limited prospective studies examining social-cognitive models within stages of behavior change in the exercise domain.</p><p><bold>Purpose:</bold> We examined the utility of the theory of planned behavior (TPB), incorporating self-identity and descriptive norm constructs, to predict exercise behavior across the stages of change, in individuals with type 2 diabetes.</p><p><bold>Methods:</bold> Data were obtained from a longitudinal study. Multi-group structural equation modeling was used to estimate the association between extended TPB constructs and exercise within different stages groups.</p><p><bold>Results:</bold> 647 individuals completed a self-report questionnaire at baseline and at 3 months follow-up. The extended TPB model explained 8–15% variance of exercise behavior and 42–81% variance of exercise intention within three stages groups in the cross-sectional design. The extended TPB model explained 4%-13% variance of exercise behavior and 42–66% variance of exercise intention in the longitudinal design. Intention was significantly related to exercise behavior in the pre-action and action stages. Self-identity, perceived behavioral control and descriptive norms were stronger predictors of intention in different stages.</p><p><bold>Conclusion:</bold> Discontinuity patterns in the extended theory of planned behavior for the different stages groups were found. Intention was a significant predictor of exercise in the pre-action and action stages at 3 months.</p>