Abstract
The Stage of Change (SOC) model is commonly used to guide physical activity (PA) promotion in clinical and professional practice and there is evidence that stage-matched programs are beneficial. While the SOC model outlines indicators of change, these may not capture all key differences across stages, particularly within symptomatic populations where clinical markers and health-related perceptions must be considered. In the present study we examined efficacy perceptions, attitudes, self-rated health and fitness, clinical health indicators and PA across SOC in a sample of individuals with diabetes. Participants completed measures of SOC, efficacies, attitudes, perceived health and fitness and PA. Waist girth, BMI, HbA1c, cholesterol and BP were also assessed. MANOVA showed those in earlier SOC reported lower task and self-regulatory efficacies compared to those in later stages (ps< .01). T-tests revealed that participants reported lower task efficacy compared to self-regulatory efficacy (ps<.01 ). MANOVAs also showed that those in earlier SOC perceived themselves to have lower fitness and be in worse health (ps<.01) despite no differences in clinical markers other than BMI (p < .01). Those in later SOC were more physically active (ps <.01). These findings highlight task-efficacy and health perceptions as potential areas to target among those with diabetes who are inactive but thinking about engaging in PA.Acknowledgments: Funded by the Lawson Foundation