Regular physical activity contributes positively to physiological and psychological health. This study aimed to identify exercise behavior changes, self efficacy and decisional balance in nursing and midwifery students. This was a cross-sectional study carried out in Iran.300undergraduate nursing and midwifery students participated in this study. Data were collected using a questionnaire including demographic information, exercise stages of change, exercise self efficacy and pros and cons exercise decisional balance. The analysis was performed using the SPSS.A p-value of less than 0.05 was considered as statistically significant.
Farmanbar R, Niknami s, Heydarnia A, Hajizadeh E, Lubans D.
Predicting exercise behavior among Iranian college students using
transtheoretical model and structural equation modeling. European
Journal of Scientific Research. 2009;31(3):355-6.
Irwin JD. Prevalence of university students' sufficient physical activity:
a systematic review. Perceptual and motor skills. 2004;98(3 Pt 1):927-
43. Epub 2004/06/24.
Kohlbry PW. Exercise self-efficacy ,stages of exercise changes, health
promotion behaviours , and physical activity in postmenopausal
Hispanic Women. University of San Diego2006; Available from:
Plotnikoff RC, Hotz SB, Birkett NJ, Courneya KS. Exercise and the
transtheoretical model: a longitudinal test of a population sample.
Preventive medicine. 2001;33(5):441-52. Epub 2001/10/26.
Prochaska JO, DiClemente CC. Stages and processes of self-change of
smoking: toward an integrative model of change. Journal of consulting
and clinical psychology. 1983;51(3):390-5. Epub 1983/06/01.
 Kim YH. Korean adolescents' exercise behavior and its relationship with
psychological variables based on stages of change model. The Journal of
adolescent health : official publication of the Society for Adolescent
Medicine. 2004;34(6):523-30. Epub 2004/05/18.
 De Bourdeaudhuij I, Philippaerts R, Crombez G, Matton L, Wijndaele
K, Balduck AL, et al. Stages of change for physical activity in a
community sample of adolescents. Health education research.
2005;20(3):357-66. Epub 2004/11/13.
 Riebe D, Garber CE, Rossi JS, Greaney ML, Nigg CR, Lees FD, et al.
Physical activity, physical function, and stages of change in older adults.
American journal of health behavior. 2005;29(1):70-80. Epub
 Lee YM. [Process of change, decisional balance and self efficacy
corresponding to stages of change in exercise behaviors in middle aged
women]. Taehan Kanho Hakhoe chi. 2004;34(2):362-71. Epub
 Lee YM, Park NH, Kim YH. Process of change, decisional balance, selfefficacy
and depression across the stages of change for exercise among
middle aged women in Korea. Taehan Kanho Hakhoe chi.
2006;36(4):587-95. Epub 2006/07/11.
 Fallon E, Hausenblas H, Nigg C. The transtheoretical model and
exercise adherence: examining construct associations in later stages of
change. Psychology of Sport and Exercise. 2005;6:629 - 41.
 Kim YH. Application of the transtheoretical model to identify
psychological constructs influencing exercise behavior: a questionnaire
survey. International journal of nursing studies. 2007;44(6):936-44.
 Kim Y, Cardinal BJ, Lee J. Understanding exercise behavior among
Korean adults: a test of the transtheoretical model. International journal
of behavioral medicine. 2006;13(4):295-303. Epub 2007/01/19.
 Lowther M, Mutrie N, Scott EM. Identifying key processes of exercise
behaviour change associated with movement through the stages of
exercise behaviour change. Journal of health psychology.
2007;12(2):261-72. Epub 2007/02/08.
 Yoshio N, Hiroto K, Koichiro O, Akemi O, Takanori M. Stages of
change of exercise affects health-related quality of life. International
Journal of sport and Health Science 2006;4:67-73.
 Nakamura Y, Kikuchi H, Oka K, Ota A, Miyauchi T. Stages of change
of exercise affects health-related quality of life. International Journal
of Sport and Health Science 2006;4:67-73.
 Tung WC, Gillett PA, Pattillo RE. Applying the Transtheoretical Model
to physical activity in family caregivers in Taiwan. Public Health Nurs.
2005;22(4):299-310. Epub 2005/09/10.
 Callaghan P, Khalil E, Morres I. A prospective evaluation of the
Transtheoretical Model of Change applied to exercise in young people.
International journal of nursing studies. 2010;47(1):3-12. Epub
 Prapavessis H, Maddison R, Brading F. Understanding exercise behavior
among New Zealand adolescents: a test of the transtheoretical. The
Journal of adolescent health : official publication of the Society for
Adolescent Medicine. 2004;35(4):346 e17-27. Epub 2005/04/16.
 Emdadi S, Nilsaze M, Hosseini B, Sohrabi F. Application of the Trans-
Theoretical Model (TTM) to Exercise Behavior among Female College
Students. Journal of Research in Health Sciences. 2007;7(2):25-30.
 Frank C. Pan and Chih-Hao Chen. Application of the Transtheoretical
Model of Exercise Behavior Change Plan in High School Students.
International Journal of Human and Social Sciences.2010; 5(10):680-
 Rye JA, Rye SL, Tessaro I, Coffindaffer J. Perceived barriers to physical
activity according to stage of change and body mass index in the west
virginia wisewoman population. Women's health issues : official
publication of the Jacobs Institute of Women's Health. 2009;19(2):126-
34. Epub 2009/03/11.
 Mann E, Kellar I, Sutton S. Impact of informed-choice invitations on
diabetes screening knowledge, attitude and intentions: an analogue
study. BMC Public Health. 2010; 10:768.
 Tess A Gregory, Carlene Wilson, Amy Duncan. Demographic, social
cognitive and social ecological predictors of intention and participation
in screening for colorectal cancer. BMC Public Health 2011, 11:38.
Prochaska JO, Velicer WF. The transtheoretical model of health
behavior change. American journal of health promotion : AJHP.
1997;12(1):38-48. Epub 1997/08/05.
Racette SB, Deusinger SS, Strube MJ, Highstein GR, Deusinger RH.
Weight changes, exercise, and dietary patterns during freshman and
sophomore years of college. Journal of American college health : J of
ACH. 2005;53(6):245-51. Epub 2005/05/20.
Ronda G, Van Assema P, Brug J. Stages of change, psychological
factors and awareness of physical activity levels in The Netherlands.
Health promotion international. 2001;16(4):305-14. Epub 2001/12/06.
Wakui S, Shimomitsu T, Odagiri Y, Inoue S, Takamiya T, Ohya Y.
Relation of the stages of change for exercise behaviors, self-efficacy,
decisional-balance, and diet-related psycho-behavioral factors in young
Japanese women. The Journal of sports medicine and physical fitness.
2002;42(2):224-32. Epub 2002/05/29.