Cognitive appraisals explaining stages of change for cervical cancer screening behavior using motivational and behavioural enaction models

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  • 子宮頸がん検診受診の行動変容ステージを説明する認知変数――行動実行モデルを用いた検討――
  • シキュウケイガン ケンシン ジュシン ノ コウドウ ヘンヨウ ステージ オ セツメイ スル ニンチ ヘンスウ : コウドウ ジッコウ モデル オ モチイタ ケントウ

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<p>This study aimed to identify cognitive appraisals from motivational models and behavioural enaction models that explain variations in the differences between two consecutive stages of change for cervical cancer screening. In the study, 123 female students completed a questionnaire assessing their stage of change and related variables from the theory of planned behavior, prototype willingness model, and health action process approach. Path analysis predicting the difference between the pre-contemplation and contemplation stages showed that the difference was mainly explained by intention to undergo cervical cancer screening, which was explained by injunctive norm, self-efficacy, and prototype similarity. On the other hand, path analysis predicting the difference between the contemplation and action/maintenance stages showed that the difference was mainly explained by action planning, which was explained by intention, and the intention was explained by injunctive norm and prototype similarity. These findings suggest that motivational and behavioural enaction models can explain the differences between two consecutive stages. Additionally, the results suggest the need to consider differences across stages when developing interventions to move people to a higher stage.</p>

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