Original Research

Determinants of physical activity level of people living in rural areas according to the transtheoretical model: regression and path analysis


name here
Deniz Kocoglu-Tanyer1
PhD, Associate Professor *

Selda Arslan2 PhD, Assistant Professor

Sıddıka Gedik-Bakkal3 MSc, Registered Nurse


1 Department of Public Health Nursing, Faculty of Nursing, Selcuk University, Konya, Turkey

2 Department of Nursing, Faculty of Nursing, Necmettin Erbakan University, Konya, Turkey

3 Nev┼čehir State Hospital, Nev┼čehir, Turkey

ACCEPTED: 24 January 2021

early abstract:

Introduction: This study investigates the relationship between the physical activities of adults living in rural areas and each component of the Transtheoretical Model.
Methods: This descriptive and relational study was conducted with 315 individuals at a rural clinic in Turkey. Data were collected using tools for evaluating the Transtheoretical Model and the International Physical Activity Questionnaire. Logistic regression analysis, multiple regression analysis, and path analysis were used in statistical analyses.
Results: Of the individuals living in rural areas, 59.1% were inactive, and 42.4% of the individuals were in the precontemplation stage. The mean exercise self-efficacy score was low, and pros sub-dimension of decisional balance was at an insufficient level. According to path analysis, the perceived self-efficacy and stage of change for exercise were the variables that had a significant effect on physical activity (the metabolic equivalent of task score).
Conclusion: The Transtheoretical Model is a strategic approach to improving exercise behavior in rural areas, and the prerequisites of health promotion such as enhancing education, income, and opportunities will contribute to the popularization of exercise.