健康増進活動に参加する中高年者の運動の行動変容に関連する心理・社会的要因

Psychosocial factors related to exercise modification in middle-aged and elderly persons in the participation of health promotion activities

要旨：本研究は1年間の健康増進活動に参加した中高年者を対象に，活動期間中と活動終了3ヵ月後の縦断的視点から行動変容ステージ変化と心理・社会的要因との関連を検討した．その結果，分析対象者18名のうち，活動期間中の行動変容「あり」群は10名，「なし」群は8名であった．行動変容ステージの前進や維持の関連要因として，多重比較の結果より活動前半の運動セルフ・エフィカシーの向上，群間比較より家族や友人からの肯定的なソーシャル・サポートの受領といった心理・社会的側面の影響が考えられた．これらより，社会的ネットワークやソーシャル・サポートの受領を豊かにすることが運動の行動変容の促進には必要性が高いことが示唆された．

　In this study, the association between the change of behavioral modification stage of exercise and the psychosocial factors of middle-aged and elderly persons who participated in the health promotion activities for one year were examined. Assessments were conducted through follow-up activities over a 1 year period and a 3 month period after the completion of the activities. Of the 18 people who participated in the study, 10 underwent behavioral modification in the active period, and the remaining eight were not observed. Through multiple- and inter-group comparisons, psychosocial benefits of receiving positive social support through family and friends exhibited more efficacy than exercise improvement. Thus, to enrich social networks and social support it is necessary for the promotion of behavioral modification of movement.