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28 Results Found

  • Article
  • Open Access
5 Citations
4,387 Views
12 Pages

Characteristics in Stages of Change and Decisional Balance among Smokers: The Burden of Obstructive Lung Diseases (BOLD)-Australia Study

  • Marsha A. Ivey,
  • Graeme P. Maguire,
  • Brett G. Toelle,
  • Guy B. Marks,
  • Michael J. Abramson and
  • Richard Wood-Baker

Smoking cessation remains a health promotion target. Applying the Transtheoretical Model to Australian Burden of Obstructive Lung Diseases (BOLD) data, we examined differences in stages of change (SoC) and readiness to quit decisional behaviours. Fac...

  • Article
  • Open Access
15 Citations
4,523 Views
13 Pages

The purpose of this study was to define if Outcomes Expectations for Exercise (OEE) and Decisional Balance (DB) scales predict adherence to guided exercise programs and associate with the improvement in physical performance in the dialysis population...

  • Article
  • Open Access
7 Citations
3,209 Views
12 Pages

Brain Breaks® are structured physical activity (PA) web-based videos designed to promote an interest in learning and health promotion. The objective of this study was to examine its effects on decision balance (DB) which consists of the perceived ben...

  • Article
  • Open Access
1,410 Views
27 Pages

Smoking Abstinence Self-Efficacy, Decisional Balance, and Quitting Desire Among Adult Smokers in Saudi Arabia: Gender-Based Cross-Sectional Study

  • Samiha Hamdi Sayed,
  • Olfat Abdulgafoor Gushgari,
  • Fadiyah Abdullah Alshwail,
  • Hanan Abd Elwahab Elsayed,
  • Hanem Awad Mekhamier and
  • Ebtesam Abbas Elsayed

29 August 2025

Background: Smoking is a major public health concern in Saudi Arabia, with significant gender differences influencing smoking behavior and cessation. Aim: This study aimed to investigate smoking abstinence self-efficacy (ASE), decisional balance (DB)...

  • Article
  • Open Access
9 Citations
3,343 Views
14 Pages

Physical Activity and Subjective Vitality in Female University Students: The Mediating Role of Decisional Balance and Enjoyment of the Activity

  • Manuel Jesús de la Torre-Cruz,
  • Alba Rusillo-Magdaleno,
  • José Luis Solas-Martínez and
  • José Enrique Moral García

7 August 2024

Regular physical activity (PA) improves the psychological well-being of those who practice it. However, female university students are a risk group due to their low level of PA. Based on the transtheoretical model of behavioural change, the main aim...

  • Article
  • Open Access
7 Citations
4,196 Views
8 Pages

Psychometric Properties of the Decisional Balance Scale: A Confirmatory Study on Malaysian University Students

  • Kien Ting Liu,
  • Yee Cheng Kueh,
  • Wan Nor Arifin,
  • Mohd Ismail Ibrahim,
  • Mohd Nazri Shafei and
  • Garry Kuan

Decisional balance (DB) is the perceived positive aspects (advantages) and negative aspects (disadvantages) that are associated with behavioural change. Behavioural change is dependent on an individual’s thoughts after considering the advantage...

  • Article
  • Open Access
5 Citations
11,916 Views
13 Pages

This study investigated gender differences in the perceived “pros” and “cons” of smoking using the constructs of decisional balance (DB) and stage of change from the Transtheoretical Model. The population distribution for stage of change among a popu...

  • Article
  • Open Access
11 Citations
4,682 Views
22 Pages

Promoting Sustainable Transportation: A Transtheoretical Examination of Active Transport Modes

  • Tooba Batool,
  • Veerle Ross,
  • Jade Van Blerk,
  • An Neven,
  • Paul Dendale,
  • Davy Janssens,
  • Geert Wets and
  • Kris Brijs

5 January 2024

The use and promotion of active transportation has been scientifically proven to play a fundamental role in influencing global sustainable development goals. Despite increased recognition, there is a notable gap in understanding how to effectively tr...

  • Article
  • Open Access
1,885 Views
25 Pages

Understanding Reactions to Informative Process Model Interventions: Ambivalence as a Mechanism of Change

  • Nimrod Rosler,
  • Ori Wiener-Blotner,
  • Orel Heskiau Micheles and
  • Keren Sharvit

2 December 2024

Transforming the course of protracted and bloody conflicts requires changing the behaviors and minds of society members who take part in these conflicts. While studies examining the psychology of such societies point to the barriers that conflict-sup...

  • Article
  • Open Access
674 Views
10 Pages

Young Smokers’ Therapy Preferences: App-Based vs. Face-to-Face Treatment in the Context of Co-Addictions

  • Francisca López-Torrecillas,
  • María del Mar Arcos-Rueda,
  • Beatriz Cobo-Rodríguez and
  • Lucas Muñoz-López

17 September 2025

Background: Tobacco use remains a major public health concern among young adults and is often complicated by co-occurring addictive behaviors. Objective: This study analyzed motivation for change, assessed with the decisional balance framework, in re...

  • Article
  • Open Access
136 Views
16 Pages

Assessment of Patient Expectations and Preferences Following OPHL: Results from an Evaluation Study

  • Erika Crosetti,
  • Francesca Piccinini,
  • Anastasia Dyrda,
  • Daniela Nassisi,
  • Marco Fantini and
  • Giovanni Succo

Open partial horizontal laryngectomy (OPHL) is a key conservative option for laryngeal cancer, with established oncological outcomes but limited data on functional results and patient perspectives. Voice preservation is mainly associated with type I...

  • Systematic Review
  • Open Access
58 Citations
6,317 Views
22 Pages

Potentially Modifiable Factors Associated with Adherence to Adjuvant Endocrine Therapy among Breast Cancer Survivors: A Systematic Review

  • Kirsti I. Toivonen,
  • Tamara M. Williamson,
  • Linda E. Carlson,
  • Lauren M. Walker and
  • Tavis S. Campbell

31 December 2020

Adjuvant endocrine therapy (AET) reduces risk of breast cancer recurrence. However, suboptimal adherence and persistence to AET remain important clinical issues. Understanding factors associated with adherence may help inform efforts to improve use o...

  • Article
  • Open Access
1,000 Views
18 Pages

11 November 2025

Background/Objectives: Sustainable nutrition is essential for human and planetary health. The Transtheoretical Model-based Sustainable Nutrition Behavior Scale (TTM-SNBS) was developed to assess sustainable nutrition behaviors and the dynamic process...

  • Review
  • Open Access
17 Citations
6,701 Views
15 Pages

9 September 2022

The landscape of invasive candidiasis and invasive aspergillosis has changed dramatically in intensive care units over the past two decades. Today, we are faced with new risk factors such as the emergence of resistance, but are also equipped with new...

  • Feature Paper
  • Article
  • Open Access
1 Citations
1,761 Views
24 Pages

16 October 2024

Humanitarian logistics face significant challenges during natural disasters due to operational uncertainties. Humanitarian logistics networks such as food banks must manage both regular operations and disaster-induced supply and demand. The study aim...

  • Article
  • Open Access
2 Citations
4,456 Views
17 Pages

23 November 2024

Background: Smoking is a detrimental health behavior that can be addressed by designing stage-matched interventions with evidence-based behavioral change models such as the transtheoretical model (TTM). This study applied the TTM to predict smoking c...

  • Article
  • Open Access
11 Citations
5,689 Views
14 Pages

24 May 2021

The topic of sustainable affordable housing in developing countries is gaining increasing importance within international debates. The challenge is to find a balance between the concepts of sustainability and affordability in building construction wi...

  • Article
  • Open Access
5 Citations
4,029 Views
34 Pages

A Comparative Study of Factors Influencing ADAS Acceptance in Belgium and Vietnam

  • Kris Brijs,
  • Anh Tuan Vu,
  • Tu Anh Trinh,
  • Dinh Vinh Man Nguyen,
  • Nguyen Hoai Pham,
  • Muhammad Wisal Khattak,
  • Thi M. D. Tran and
  • Tom Brijs

8 November 2024

This paper focuses on the acceptance of ADASs in the traffic safety and human factor domain. More specifically, it examines the predictive validity of the Unified Model of Driver Acceptance (UMDA) for an ADAS bundle that includes forward collision wa...

  • Article
  • Open Access
409 Views
28 Pages

27 November 2025

Frequent data sharing in Vehicular Ad Hoc Networks (VANETs) necessitates a robust foundation of secure access control to ensure data security. Existing ciphertext-policy attribute-based encryption schemes are constrained by the performance bottleneck...

  • Article
  • Open Access
16 Citations
4,581 Views
19 Pages

1 August 2020

This paper presents a methodology for quantifying the impact of Total Quality Management TQM elements on organisational strategic sustainable development, integrating within it the well-known strategic management tool of Balanced Scorecard to represe...

  • Article
  • Open Access
35 Citations
6,308 Views
32 Pages

Proof of Concept in Artificial-Intelligence-Based Wearable Gait Monitoring for Parkinson’s Disease Management Optimization

  • Robert Radu Ileșan,
  • Claudia-Georgiana Cordoș,
  • Laura-Ioana Mihăilă,
  • Radu Fleșar,
  • Ana-Sorina Popescu,
  • Lăcrămioara Perju-Dumbravă and
  • Paul Faragó

23 March 2022

Parkinson’s disease (PD) is the second most common progressive neurodegenerative disorder, affecting 6.2 million patients and causing disability and decreased quality of life. The research is oriented nowadays toward artificial intelligence (AI...

  • Review
  • Open Access
46 Citations
25,985 Views
14 Pages

Transtheoretical Model for Physical Activity in Older Adults: Systematic Review

  • Fabio Jiménez-Zazo,
  • Cristina Romero-Blanco,
  • Nuria Castro-Lemus,
  • Alberto Dorado-Suárez and
  • Susana Aznar

Healthy aging makes the practice of physical activity (PA) a necessity. However, PA guidelines achievement in older adults is scarce. The use of behavioral theories such as Transtheoretical Model (TTM), helps in older adults PA promotion. The aim of...

  • Article
  • Open Access
55 Citations
18,834 Views
16 Pages

We Don’t Have a Lot of Healthy Options: Food Environment Perceptions of First-Year, Minority College Students Attending a Food Desert Campus

  • Jaapna Dhillon,
  • L. Karina Diaz Rios,
  • Kaitlyn J. Aldaz,
  • Natalie De La Cruz,
  • Emily Vu,
  • Syed Asad Asghar,
  • Quintin Kuse and
  • Rudy M. Ortiz

11 April 2019

First-year college students are at particular risk of dietary maladaptation during their transition to adulthood. A college environment that facilitates consistent access to nutritious food is critical to ensuring dietary adequacy among students. The...

  • Article
  • Open Access
7 Citations
2,155 Views
18 Pages

1 January 2022

(1) Background: Precision oncology has the potential to improve patient health and wellbeing through targeted prevention and treatment. Owing to uncertain clinical and economic outcomes, reimbursement has been limited. The objective of this pan-Canad...

  • Article
  • Open Access
1 Citations
2,766 Views
11 Pages

Nurses are frontline care providers whose health is vital to providing good quality of care to patients. The purpose of this study was to develop an exercise program for high-risk metabolic syndrome nurses based on the transtheoretical model. The tra...

  • Article
  • Open Access
8 Citations
2,563 Views
21 Pages

ETE-SRSP: An Enhanced Optimization of Tramp Ship Routing and Scheduling

  • Xiaohu Huang,
  • Yuhan Liu,
  • Mei Sha,
  • Bing Han,
  • Dezhi Han and
  • Han Liu

In the contemporary tramp shipping industry, route optimization and scheduling are directly linked to enhancements in operations, economics, and the environment, making them key factors for the effective management of maritime transportation. To enha...

  • Article
  • Open Access
20 Citations
7,642 Views
13 Pages

The Effect of Brain Breaks on Physical Activity Behaviour among Primary School Children: A Transtheoretical Perspective

  • Hussein Rizal,
  • Mawar Siti Hajar,
  • Ayu Suzailiana Muhamad,
  • Yee Cheng Kueh and
  • Garry Kuan

Brain Breaks Physical Activity Solutions (BBPAS) is a web-based structured physical activity (PA) video that is specifically designed for school settings and can stimulate a student’s health and learning. The purpose of this study is to measure...

  • Article
  • Open Access
422 Views
15 Pages

Physical Activity Determinants Under the Double Burden of Malnutrition: Contrasting Pathways for Underweight and Overweight Chinese Adolescents

  • Liying Yao,
  • Shuaishuai Jia,
  • Xiaochang Lv,
  • Yongguan Dai,
  • Yee Cheng Kueh,
  • Jinfu Xu,
  • Jianqiu Cong and
  • Garry Kuan

5 January 2026

Background: Chinese adolescents face a dual burden of malnutrition, yet the weight-status-specific mechanisms underlying physical activity (PA) participation remain underexplored. Methods: We conducted a cross-sectional study among 1573 adolescents (...