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Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome
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Original Research

Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome

Korean Journal of Adult Nursing 2018;30(1):60-69.
Published online: February 18, 2018

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Corresponding author: Park, Moonkyoung https://orcid.org/0000-0001-6693-0540 Department of Nursing, Woosong College, 171 Dongdeajeon-ro, Dong-gu, Daejeon 34518, Korea. Tel: +82-42-629-6745, Fax: +82-42-629-6749, E-mail: mkpark@wsi.ac.kr,
- This research was supported by basic science research program through the National Research Foundation of Korea (2013R-1A-1A-2065536).
• Received: October 14, 2017   • Accepted: February 18, 2018

© 2018 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The study aims were to examine motivation factors for behavioral modification among individuals with metabolic syndrome at each stage of behavioral change.
  • Methods
    The correlational research design was used to explore motivation factors of self-efficacy, perceived benefits, perceived barriers, and emotional salience to explain health behaviors. Total of 239 patients with metabolic syndrome completed the structured questionnaire and the data were analyzed by SPSS/WIN 22.0 for ANOVA and multiple regression analysis.
  • Results
    The average age of participants were 59 years old, and 52.3% perceived their health relatively worse than others. The motivation and health behaviors except for smoking cessation were significantly different at each stage of planning, preparation, and action-maintenance. The motivation factors explained 25% of variance in health behavior at planning stage, 38% at preparation stage, and 31% at action-maintenance stage. Self-efficacy and perceived barriers were significant pre-dictors at the planning and action-maintenance stages, while self-efficacy was a significant predictor at preparation stage.
  • Conclusion
    The performance of health behaviors was significantly different at the stages of change along with a different set of motivation factors. Nursing strategies should focus on cognitive and emotional motivation factors to lead initiation and maintenance of behavioral modification in individuals with metabolic syndrome.
Figure 1.
Conceptual framework.
kjan-30-60f1.jpg
Table 1.
General Characteristics of Participants according to the Stages of Behavioral Change (N=239)
Variables Categories Planning (n=84) Preparation (n=74) Action (n=81) Total (N=239) x2 or F (p)
n (%) or M± SD n (%) or M± SD n (%) or M± SD n (%) or M± SD
Age (year)   59.83±12.75 57.76±11.87 59.44±10.77 59.06±11.82 0.67 (.513)
Years of formal education received 11.42±4.20 12.54±3.72 12.00±3.32 11.96±3.78 1.75 (.176)
Gender Male 38 (45.2) 31 (41.9) 46 (56.8) 115 (48.4) 2.86 (.145)
Female 46 (54.8) 43 (58.1) 35 (43.2) 124 (51.9)  
Perceived economic status High 3 (4.1) 3 (4.5) 4 (4.9) 10 (4.2) 3.75 (.440)
Middle 59 (70.2) 58 (78.4) 65 (80.2) 182 (76.2)  
Low 22 (26.2) 13 (17.6) 12 (14.8) 47 (19.7)  
Marital status Married 61 (72.6) 52 (70.3) 68 (84.0) 181 (75.7) 7.86 (.248)
Single/others 23 (27.4) 22 (29.8) 13 (16.0) 58 (24.3)  
Chronic illness Arthritis 19 (22.6) 17 (23.0) 17 (21.0) 53 (22.2) 1.97 (.741)
Neuralgia 12 (14.3) 2 (2.7) 4 (4.9) 18 (7.5) 8.76 (.013)
Respiratory disease 5 (6.0) 6 (8.1) 4 (4.9) 15 (6.3) 0.68 (.710)
Vascular disease 22 (26.2) 20 (27.0) 29 (35.8) 71 (29.7) 2.19 (.334)
Others 8 (9.5) 1 (1.4) 10 (12.3) 19 (7.9) 6.82 (.033)
Family history Diabetes 24 (28.6) 18 (24.3) 30 (37.0) 72 (30.1) 3.11 (.210)
Hypertension 29 (34.5) 32 (43.2) 31 (38.3) 92 (38.5) 1.26 (.531)
Cardiovascular disease 8 (9.5) 4 (5.4) 10 (12.3) 22 (9.2) 2.24 (.326)
Others 7 (8.3) 5 (6.8) 4 (4.9) 16 (6.7) 0.76 (.683)
Risk factors of metabolic syndrome Central obesity 69 (82.1) 65 (87.8) 67 (82.7) 201 (84.1) 1.13 (.568)
High triglycerides 52 (61.9) 51 (68.9) 46 (56.8) 149 (62.3) 2.43 (.296)
Low HDL cholesterol 47 (56.6) 40 (54.1) 40 (49.4) 128 (53.6) 0.56 (.755)
Insulin resistance 47 (56.6) 38 (51.4) 48 (60.0) 134 (56.1) 0.72 (.696)
High blood pressure 69 (82.1) 57 (78.1) 66 (81.5) 193 (80.8) 0.15 (.924)
Health perception compared to peers Much worse 19 (22.6) 6 (8.1) 8 (9.9) 33 (13.8) 13.14 (.107)
Worse 34 (40.5) 29 (39.2) 29 (35.8) 92 (38.5)  
Similar 24 (28.6) 27 (36.5) 31 (38.3) 82 (34.3)  
Better/much better 7 (8.3) 11 (16.3) 13 (16.1) 32 (13.4)  
Smoking status Never 47 (56.0) 46 (62.2) 44 (54.3) 137 (57.3) 4.35 (.361)
Quit 16 (19.2) 17 (23.0) 23 (28.4) 56 (23.4)  
Current smoker 21 (24.9) 11 (14.9) 14 (16.3) 46 (19.2)  
Exercise habits None or rarely 57 (71.2) 21 (25.3) 6 (7.9) 84 (35.1) 151.99 (<.001)
Irregularly 21 (26.3) 45 (54.2) 8 (10.5) 74 (31.0)  
Regularly >2 times a week 2 (2.5) 17 (20.5) 62 (81.6) 81 (33.9)  

Multi-morbidity.

Table 2.
Performance of Health Behaviors according to the Stages of Behavioral Change (N=239)
Variables (range) Planning a (n=84) Preparation b (n=74) Action c (n=81) F p Scheffé
M± SD M± SD M± SD
Health Behavior (4~100) 62.06±11.00 67.31±10.48 76.76±9.58 42.27 <.001 a<b<c
Health responsibility (6~~24) 15.57±3.54 16.45±3.49 18.77±3.46 18.20 <.001 a, b<c
Exercise (4~16) 7.48±2.19 9.15±2.89 11.76±2.78 55.36 <.001 a<b<c
Diet (7~28) 17.57±4.52 19.02±4.50 22.32±4.08 25.42 <.001 a, b<c
Stress management (5~20) 12.27±3.22 12.72±2.34 14.00±2.72 8.29 <.001 a, b<c
Smoking cessation (3~12) 9.16±3.15 9.94±2.50 9.90±2.64 1.99 .138  
Table 3.
Motivation Factors according to the Stages of Behavioral Change (N=239)
Variables (range) Planning a (n=84) Preparation b (n=74) Action c (n=81) F p Scheffé
M± SD M± SD M± SD
Self-efficacy (10~70) 38.14±7.67 45.75±8.21 51.63±7.63 61.55 <.001 a<b<c
Perceived benefit (7~49) 38.74±4.73 39.62±4.99 42.30±4.47 12.52 <.001 a, b<c
Perceived barrier (10~70) 39.06±7.69 43.78±8.32 49.34±8.58 32.50 <.001 a>b>c
a<b<c
Emotional salience (12~84) 46.77±7.78 50.68±6.97 57.81±7.13 47.96 <.001 a<b<c
Table 4.
Motivation Factors to Predict Health Behaviors according to the Stages of Behavioral Change (N=239)
Model B SE β t (p) VIF Adj. R2 F (p)
Planning stage (n=84)           0.25 7.81 (<.001)
  (Constant) 39.47 11.39   3.46 (.001)      
  Self-efficacy 0.67 0.15 0.47 4.48 (<.001) 1.19    
  Perceived benefit 0.44 0.24 0.19 1.89 (.064) 1.13    
  Perceived barrier -0.31 0.14 -0.21 -2.22 (.029) 1.02    
  Emotional salience -0.16 0.15 -0.11 -1.05 (.295) 1.30    
Preparation stage (n=74)           0.38 12.24 (<.001)
  (Constant) 12.53 11.47   1.09 (.278)      
  Self-efficacy 0.59 0.14 0.46 4.28 (<.001) 1.38    
  Perceived benefit 0.38 0.22 0.18 1.74 (.086) 1.26    
  Perceived barrier 0.01 0.13 0.01 0.11 (.913) 1.23    
  Emotional salience 0.24 0.17 0.16 1.44 (.156) 1.46    
Action stage (n=81)           0.31 10.05 (<.001)
  (Constant) 55.53 13.59   4.16 (<.001)      
  Self-efficacy 0.40 0.16 0.32 2.49 (.015) 1.94    
  Perceived benefit 0.02 0.25 0.01 0.07 (.942) 1.54    
  Perceived barrier -0.29 0.13 -0.26 -2.16 (.034) 1.65    
  Emotional salience 0.13 0.19 0.10 0.70 (.488) 2.26    
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    Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome
    Korean J Adult Nurs. 2018;30(1):60-69.   Published online February 28, 2018
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    Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome
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    Figure 1. Conceptual framework.
    Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome

    General Characteristics of Participants according to the Stages of Behavioral Change (N=239)

    Variables Categories Planning (n=84) Preparation (n=74) Action (n=81) Total (N=239) x2 or F (p)
    n (%) or M± SD n (%) or M± SD n (%) or M± SD n (%) or M± SD
    Age (year)   59.83±12.75 57.76±11.87 59.44±10.77 59.06±11.82 0.67 (.513)
    Years of formal education received 11.42±4.20 12.54±3.72 12.00±3.32 11.96±3.78 1.75 (.176)
    Gender Male 38 (45.2) 31 (41.9) 46 (56.8) 115 (48.4) 2.86 (.145)
    Female 46 (54.8) 43 (58.1) 35 (43.2) 124 (51.9)  
    Perceived economic status High 3 (4.1) 3 (4.5) 4 (4.9) 10 (4.2) 3.75 (.440)
    Middle 59 (70.2) 58 (78.4) 65 (80.2) 182 (76.2)  
    Low 22 (26.2) 13 (17.6) 12 (14.8) 47 (19.7)  
    Marital status Married 61 (72.6) 52 (70.3) 68 (84.0) 181 (75.7) 7.86 (.248)
    Single/others 23 (27.4) 22 (29.8) 13 (16.0) 58 (24.3)  
    Chronic illness Arthritis 19 (22.6) 17 (23.0) 17 (21.0) 53 (22.2) 1.97 (.741)
    Neuralgia 12 (14.3) 2 (2.7) 4 (4.9) 18 (7.5) 8.76 (.013)
    Respiratory disease 5 (6.0) 6 (8.1) 4 (4.9) 15 (6.3) 0.68 (.710)
    Vascular disease 22 (26.2) 20 (27.0) 29 (35.8) 71 (29.7) 2.19 (.334)
    Others 8 (9.5) 1 (1.4) 10 (12.3) 19 (7.9) 6.82 (.033)
    Family history Diabetes 24 (28.6) 18 (24.3) 30 (37.0) 72 (30.1) 3.11 (.210)
    Hypertension 29 (34.5) 32 (43.2) 31 (38.3) 92 (38.5) 1.26 (.531)
    Cardiovascular disease 8 (9.5) 4 (5.4) 10 (12.3) 22 (9.2) 2.24 (.326)
    Others 7 (8.3) 5 (6.8) 4 (4.9) 16 (6.7) 0.76 (.683)
    Risk factors of metabolic syndrome Central obesity 69 (82.1) 65 (87.8) 67 (82.7) 201 (84.1) 1.13 (.568)
    High triglycerides 52 (61.9) 51 (68.9) 46 (56.8) 149 (62.3) 2.43 (.296)
    Low HDL cholesterol 47 (56.6) 40 (54.1) 40 (49.4) 128 (53.6) 0.56 (.755)
    Insulin resistance 47 (56.6) 38 (51.4) 48 (60.0) 134 (56.1) 0.72 (.696)
    High blood pressure 69 (82.1) 57 (78.1) 66 (81.5) 193 (80.8) 0.15 (.924)
    Health perception compared to peers Much worse 19 (22.6) 6 (8.1) 8 (9.9) 33 (13.8) 13.14 (.107)
    Worse 34 (40.5) 29 (39.2) 29 (35.8) 92 (38.5)  
    Similar 24 (28.6) 27 (36.5) 31 (38.3) 82 (34.3)  
    Better/much better 7 (8.3) 11 (16.3) 13 (16.1) 32 (13.4)  
    Smoking status Never 47 (56.0) 46 (62.2) 44 (54.3) 137 (57.3) 4.35 (.361)
    Quit 16 (19.2) 17 (23.0) 23 (28.4) 56 (23.4)  
    Current smoker 21 (24.9) 11 (14.9) 14 (16.3) 46 (19.2)  
    Exercise habits None or rarely 57 (71.2) 21 (25.3) 6 (7.9) 84 (35.1) 151.99 (<.001)
    Irregularly 21 (26.3) 45 (54.2) 8 (10.5) 74 (31.0)  
    Regularly >2 times a week 2 (2.5) 17 (20.5) 62 (81.6) 81 (33.9)  

    Multi-morbidity.

    Performance of Health Behaviors according to the Stages of Behavioral Change (N=239)

    Variables (range) Planning a (n=84) Preparation b (n=74) Action c (n=81) F p Scheffé
    M± SD M± SD M± SD
    Health Behavior (4~100) 62.06±11.00 67.31±10.48 76.76±9.58 42.27 <.001 a<b<c
    Health responsibility (6~~24) 15.57±3.54 16.45±3.49 18.77±3.46 18.20 <.001 a, b<c
    Exercise (4~16) 7.48±2.19 9.15±2.89 11.76±2.78 55.36 <.001 a<b<c
    Diet (7~28) 17.57±4.52 19.02±4.50 22.32±4.08 25.42 <.001 a, b<c
    Stress management (5~20) 12.27±3.22 12.72±2.34 14.00±2.72 8.29 <.001 a, b<c
    Smoking cessation (3~12) 9.16±3.15 9.94±2.50 9.90±2.64 1.99 .138  

    Motivation Factors according to the Stages of Behavioral Change (N=239)

    Variables (range) Planning a (n=84) Preparation b (n=74) Action c (n=81) F p Scheffé
    M± SD M± SD M± SD
    Self-efficacy (10~70) 38.14±7.67 45.75±8.21 51.63±7.63 61.55 <.001 a<b<c
    Perceived benefit (7~49) 38.74±4.73 39.62±4.99 42.30±4.47 12.52 <.001 a, b<c
    Perceived barrier (10~70) 39.06±7.69 43.78±8.32 49.34±8.58 32.50 <.001 a>b>c
    a<b<c
    Emotional salience (12~84) 46.77±7.78 50.68±6.97 57.81±7.13 47.96 <.001 a<b<c

    Motivation Factors to Predict Health Behaviors according to the Stages of Behavioral Change (N=239)

    Model B SE β t (p) VIF Adj. R2 F (p)
    Planning stage (n=84)           0.25 7.81 (<.001)
      (Constant) 39.47 11.39   3.46 (.001)      
      Self-efficacy 0.67 0.15 0.47 4.48 (<.001) 1.19    
      Perceived benefit 0.44 0.24 0.19 1.89 (.064) 1.13    
      Perceived barrier -0.31 0.14 -0.21 -2.22 (.029) 1.02    
      Emotional salience -0.16 0.15 -0.11 -1.05 (.295) 1.30    
    Preparation stage (n=74)           0.38 12.24 (<.001)
      (Constant) 12.53 11.47   1.09 (.278)      
      Self-efficacy 0.59 0.14 0.46 4.28 (<.001) 1.38    
      Perceived benefit 0.38 0.22 0.18 1.74 (.086) 1.26    
      Perceived barrier 0.01 0.13 0.01 0.11 (.913) 1.23    
      Emotional salience 0.24 0.17 0.16 1.44 (.156) 1.46    
    Action stage (n=81)           0.31 10.05 (<.001)
      (Constant) 55.53 13.59   4.16 (<.001)      
      Self-efficacy 0.40 0.16 0.32 2.49 (.015) 1.94    
      Perceived benefit 0.02 0.25 0.01 0.07 (.942) 1.54    
      Perceived barrier -0.29 0.13 -0.26 -2.16 (.034) 1.65    
      Emotional salience 0.13 0.19 0.10 0.70 (.488) 2.26    
    Table 1. General Characteristics of Participants according to the Stages of Behavioral Change (N=239)

    Multi-morbidity.

    Table 2. Performance of Health Behaviors according to the Stages of Behavioral Change (N=239)

    Table 3. Motivation Factors according to the Stages of Behavioral Change (N=239)

    Table 4. Motivation Factors to Predict Health Behaviors according to the Stages of Behavioral Change (N=239)

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