Readiness to exercise: a comparison of 3 instruments and an interview.
Exercise stage of change (ESOC), or readiness to exercise, has been measured using at least 13 instruments and 4 interviews, yet no comparison studies are available to determine optimal measures for use by health care providers. This pilot study compares ESOC classification between 3 instruments (scale-ladder, scale-true/false, and scale-5 choice); explores the feasibility of using a face-to-face structured interview; compares classification between instruments and interview; and examines the influence of sex, age, and education level on stage classification. Thirty healthy adults completed ESOC instruments in random order and then the interview. Scale-ladder and scale-true/false instruments exhibited almost perfect agreement (weighted kappa, 0.897). All instruments exhibited substantial agreement with interview (weighted kappa, 0.620-0.790). Stage classification did not differ significantly by sex, age, or education level. The authors recommend word clarification revision of the scale-5 choice instrument and further testing of the interview.
Fish
Anne F
AF
College of Nursing, University of Missouri-St Louis, St Louis, MO 63121, USA. fisha@msx.umsl.edu
Frid
David J
DJ
Mitchell
G Lynn
GL
Fish
James L
JL
Christman
Sharon K
SK
Astroth
Kim S
KS
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000704:Analysis of Variance; D003430:Cross-Sectional Studies; D004522:Educational Status; D015444:Exercise / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D007407:Interviews as Topic / Q000592:standards*; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D008960:Models, Psychological; D009730:Nursing Assessment / Q000379:methods*; D015403:Nursing Evaluation Research; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010865:Pilot Projects; D012648:Self Care / Q000523:psychology; D012737:Sex Factors; D011795:Surveys and Questionnaires / Q000592:standards*