Physical Exercise Behavior among Pharmacy Students according to the Transtheoretical Model
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Abstract
Introduction: This research aimed to investigate exercise behavior of pharmacy students in Northeastern Thailand based on the Transtheoretical model (TTM). Methods: A cross-sectional study was conducted. The samples were pharmacy students at three institutes, including Ubon Ratchathani University, Mahasarakham University and Khon Kaen University during the 2016 academic year. Data was collected by online questionnaires according to the Transtheoretical model. Descriptive statistics and binary logistic regression were used for analysis Results: Four hundred ninety students voluntarily participated in this study. About three-fourths were female (75.31%) Most participants were Ubon Ratchathani university students (70.82%) About half had normal body mass index (54.69%) Most of the participants were lack of exercise. Based on TTM, they were classified as in preparation contemplation and precontemplation (43.1%, 21.4% and 10.0% respectively). Mean scores of self-efficacy and processes of change constructs were at medium level (2.54 + 0.53 and 0.60 + 0.47 respectively, range 1 to 4) Decisional balance score was high (3.08 + 0.39). Based on binary logistic regression, participants} exercise stages were divided into two groups as active stage (action and maintenance) and inactive stage (precontemplation, contemplation and preparation). There were statistically significant association between exercise stage and gender, self-efficacy and processes of change. Male were higher in exercise active stage as compared to female (Odds ratio = 2.26 (95% CI = 1.37 - 3.72). Self-efficacy and processes of change constructs had positive association with exercise active stage (Odds ratio = 2.50 (1.46 - 4.28) and Odds ratio = 3.92 (2.12 g 7.25) respectively). Conclusions: Finding shows that most pharmacy students were in the inactive stage for exercise. Universities should create campaigns on exercise behavior by implementing stagematched intervention and placing a focus on female students as well as self-efficacy development.
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