2.50
Hdl Handle:
http://hdl.handle.net/10755/158564
Type:
Presentation
Title:
The Transtheoretical Model and Health Care Proxy Completion
Abstract:
The Transtheoretical Model and Health Care Proxy Completion
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Jezewski, Mary Ann, PhD, MS, BSN
P.I. Institution Name:University at Buffalo/SUNY
Title:Associate Dean
Contact Address:School of Nursing, 925 Kimball Tower, Buffalo, NY, 14214-3079, USA
Contact Telephone:716 829-3276
Co-Authors:Deborah Finnell, DNS, MS, BS; Mary Ann Meeker, DNS, MS, BS; Yow-Wu Bill Wu, PhD; and Loralee Sessanna, MS, BS
PURPOSE: The purpose of this study was to operationalize the four measures of the Transtheoretical Model (TTM) (stages of change, decisional balance, processes of change, self-efficacy) for health care proxy (HCP) completion, and to develop models based on the relationships between the stages of change measure and the other three measures. The aims of the study are: 1) To operationalize the four measures of the TTM for HCP completion and evaluate the psychometric properties of the measures; 2) To test the expected relationships between the TTM measures, in order to be able to design stage-matched interventions. THEORETICAL FRAMEWORK: Historically HCP completion interventions have assumed an action paradigm ignoring an individual's readiness to change behavior. The TTM provides a framework to assess an individual's readiness to change behavior and provide interventions that are matched to the stage of readiness related to HCP completion. SUBJECTS: A random sample of 500 individuals who are insured by two health insurance companies were recruited for data collection via telephone survey. DESIGN: For aim 1, items for each of the four TTM measures were constructed and content validity established using an expert panel. Internal consistency and construct validity were established using Cronbach's alpha, and confirmatory factor analysis. Aim 2 was accomplished by establishing the relationships between the stages of change and the other three measures and the behavior of interest using ANOVA or MANOVA. RESULTS AND CONCLUSIONS: Data analysis establishing the psychometrics of the four TTM measures will take place between November, 2005 and March 2006.The outcome of this initial study will provide the investigators with reliable and valid measures to both assess the individual's stage of readiness to complete a HCP, and design stage-matched interventions focused on completing a HCP. Funded by DHHS/NIH NINR- R21 NR008594 [Poster Presentation]
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Transtheoretical Model and Health Care Proxy Completionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158564-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Transtheoretical Model and Health Care Proxy Completion</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jezewski, Mary Ann, PhD, MS, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University at Buffalo/SUNY</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 925 Kimball Tower, Buffalo, NY, 14214-3079, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">716 829-3276</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jezewski@buffalo.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Deborah Finnell, DNS, MS, BS; Mary Ann Meeker, DNS, MS, BS; Yow-Wu Bill Wu, PhD; and Loralee Sessanna, MS, BS</td></tr><tr><td colspan="2" class="item-abstract">PURPOSE: The purpose of this study was to operationalize the four measures of the Transtheoretical Model (TTM) (stages of change, decisional balance, processes of change, self-efficacy) for health care proxy (HCP) completion, and to develop models based on the relationships between the stages of change measure and the other three measures. The aims of the study are: 1) To operationalize the four measures of the TTM for HCP completion and evaluate the psychometric properties of the measures; 2) To test the expected relationships between the TTM measures, in order to be able to design stage-matched interventions. THEORETICAL FRAMEWORK: Historically HCP completion interventions have assumed an action paradigm ignoring an individual's readiness to change behavior. The TTM provides a framework to assess an individual's readiness to change behavior and provide interventions that are matched to the stage of readiness related to HCP completion. SUBJECTS: A random sample of 500 individuals who are insured by two health insurance companies were recruited for data collection via telephone survey. DESIGN: For aim 1, items for each of the four TTM measures were constructed and content validity established using an expert panel. Internal consistency and construct validity were established using Cronbach's alpha, and confirmatory factor analysis. Aim 2 was accomplished by establishing the relationships between the stages of change and the other three measures and the behavior of interest using ANOVA or MANOVA. RESULTS AND CONCLUSIONS: Data analysis establishing the psychometrics of the four TTM measures will take place between November, 2005 and March 2006.The outcome of this initial study will provide the investigators with reliable and valid measures to both assess the individual's stage of readiness to complete a HCP, and design stage-matched interventions focused on completing a HCP. Funded by DHHS/NIH NINR- R21 NR008594 [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T21:10:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:10:50Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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