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Health Education Research Advance Access originally published online on November 30, 2006
Health Education Research 2007 22(5):691-702; doi:10.1093/her/cyl148
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors

Chantal S. Levesque1,*, Geoffrey C. Williams2, Diane Elliot3, Michael A. Pickering4, Bradley Bodenhamer5 and Phillip J. Finley5

1 Department of Psychology, Missouri State University, 901 South National Avenue, Springfield, MO 65897, USA
2 Departments of Medicine and of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY 14627, USA
3 Department of Medicine, Division of Health Promotion and Sports Medicine, Oregon Health and Science University, Portland, Oregon, USA
4 University of Idaho, College of Education, Moscow, Idaho, USA
5 Department of Psychology, Missouri State University, 901 South National Avenue, Springfield, MO 65897, USA

* Correspondence to C. S. Levesque. E-mail: clevesque{at}missouristate.edu

Nearly 40% of mortality in the United States is linked to social and behavioral factors such as smoking, diet and sedentary lifestyle. Autonomous self-regulation of health-related behaviors is thus an important aspect of human behavior to assess. In 1997, the Behavior Change Consortium (BCC) was formed. Within the BCC, seven health behaviors, 18 theoretical models, five intervention settings and 26 mediating variables were studied across diverse populations. One of the measures included across settings and health behaviors was the Treatment Self-Regulation Questionnaire (TSRQ). The purpose of the present study was to examine the validity of the TSRQ across settings and health behaviors (tobacco, diet and exercise). The TSRQ is composed of subscales assessing different forms of motivation: amotivation, external, introjection, identification and integration. Data were obtained from four different sites and a total of 2731 participants completed the TSRQ. Invariance analyses support the validity of the TSRQ across all four sites and all three health behaviors. Overall, the internal consistency of each subscale was acceptable (most {alpha} values >0.73). The present study provides further evidence of the validity of the TSRQ and its usefulness as an assessment tool across various settings and for different health behaviors.

Received on February 23, 2006; accepted on September 18, 2006


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