Nursing Faculty Publications

Title

Readiness to Exercise: A Comparison of 3 Instruments and an Interview

Document Type

Article

Publication Date

9-2007

Journal Title

Progress in Cardiovascular Nursing

Volume

22

Issue

4

First Page

201

Last Page

206

DOI

10.1111/j.0889-7204.2007.06494.x

Abstract

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 κ, 0.897). All instruments exhibited substantial agreement with interview (weighted κ, 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.

Keywords

Exercise stage of change, ESOC