The Transtheoretical Model of Change in Adolescents: Implications for Injury Prevention

Details

• Personal Author:
  Kidd P ; Rayens MK ; Reed D ; Weaver L ; Westneat S
• Description:
  Introduction: Many injury prevention interventions require changes in human behavior to reduce self-risk or risk to others. Promising injury prevention interventions may be discarded if they lack power to create a significant difference in outcomes when judging their ability to "move a person from nonaction or negative action to positive action (safety)." The transtheoretical model of change (TMC) allows greater sensitivity in detecting along the change process where an intervention may be effective. The stages of change consist of precontemplation, contemplation, preparation, action, maintenance, and termination. Change is not viewed as an "all or none phenomenon." Method: Use of the TMC was examined using a quasiexperimental, cross-over design involving high school agriculture students enrolled in 21 schools in Kentucky (n=9), Iowa (n=7), and Mississippi (n=5). A series of physical and narrative simulations (safety training exercises) were developed with a focus on preventing amputation, spinal cord injury, hypersensitivity pneumonitis, and noise-induced hearing loss. Contemplation and action, as part of the TMC, were measured using a 10-item, Likert-type, stages of change (SOC) instrument comprised of two subscales (reliability coefficients were.88 and.81, respectively). The final sample consisted of 790 students (373 treatment and 417 control). Results: There was a significant group effect for both contemplation, F(1,732)=197.4; p<.0001, and action, F(1,730)=106.1; p<.0001. A convenience sample of 29 of the participating students was selected for follow-up farm visits 1 year postparticipation. Of these students, 25 (86%) had made safety behavior changes in their farm work. Impact on industry: The use of the TMC model can provide researchers with greater precision in examining intervention effectiveness in promoting change. [Description provided by NIOSH]
• Subjects:
  Agriculture Education Family Farmers Hazardous Substances Health Care Facilities Workforce And Services Lung Lung Diseases Nervous System Noise Noise, Occupational Occupational Health Personal Protective Equipment Protective Clothing Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety Safety Management

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• Keywords:
  Adolescent Worker Agricultural-chemicals Agricultural-industry Agricultural-machinery Agricultural-processes Agricultural-products Agricultural-workers Agricultural Safety Author Keywords: Contemplation And Action Children Families Health-hazards Health-protection Health-services Health-standards Injuries Injury-prevention Lung-disease Lung-disorders Lung-fibrosis Lung-function Lung-irritants Noise-exposure Noise-frequencies Noise-levels Noise-measurement Noise-pollution Noise-protection Noise-shields Noise-sources Pneumoconiosis Risk-analysis Risk-factors Safety-climate Safety-clothing Safety-education Safety-equipment Safety-measures Safety-monitoring Safety-personnel Safety-practices Safety-programs Safety Practice Spinal-cord Spinal-cord-disorders Spinal-shock Theory Application

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• ISSN:
  0022-4375
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Kentucky ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  281-288
• Volume:
  34
• Issue:
  3
• NIOSHTIC Number:
  nn:20035125
• Citation:
  J Safety Res 2003 Aug; 34(3):281-288
• Contact Point Address:
  P. Kidd, College of Nursing, University of Kentucky, 553HSLC/CON, Lexington, KY 40536
• Email:
  dbreed01@pop.uky.edu
• Federal Fiscal Year:
  2003
• Performing Organization:
  University of Kentucky
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  Journal of Safety Research
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d4d87d9bb5a77b7943faa632252dbba7352566abacd06900567493f7f527480b480fe6d8329b7dd598960ecac2620069921f64d1c9026ad8543f72206b28c58a
• Download URL:
  https://stacks.cdc.gov/view/cdc/187083/cdc_187083_DS1.pdf
• File Type:
  [PDF - 218.00 KB ]