State of Change of a Low income Population

A Case Study on the State of Change of a Low income Population Order Instructions: Details: Read the “Applying Exercise State of Change to a Low-income Underserved Population” article:

Complete the “Case Study” document attached.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

HLT515.v10R.Case Study_student.docxCase Study

Directions: For this assignment, answer the following questions based on the case study, “Applying Exercise State of Change to a Low-Income Underserved Population”. Use complete sentences when answering each question. Answers to each question should be more than one sentence in length.

1) What was the behavior change theory that was used for this study? Why was this theory selected? Do you think it was the best choice for this study design? How was this model measured? (4 points)

2) Who was the target population for this study? Why was this population group selected? (4 points)

3) Propose how social disparities may have been a factor in the study results. (4 pts)

4) How can this study be used for future research on behavioral change within this population group? (4 points)

5) What are some limitations to this study? Will these limitations affect the applicability of the transtheoretical model to other low-income populations? (4 points)

Assignment Grading Criteria (Each question is worth 4 points)

Question Grading Criteria Points Possible
Subject knowledge 2
Mechanics of writing (includes spelling, punctuation, grammar, language use) 1
Included an example, supporting evidence, and/or rationale 1
Total 4

Score calculation: Total earned / 20 x 10 =

State of Change of a Low income Population Sample Answer

A Case Study on the State of Change of a Low-income Population.


The study aims at validating the Transtheoretical theory for exercise behavior, validate the designs of decisional balance and self-efficiency for exercise in a low income, poorly educated primary care sample. This study did integrate many theories in developing its conclusions touching on the sample behavior. The Transtheoretical model put together the decision balance and self-efficiency models to come up with the results of the study (Maruf et al., 2014). The determination of the cognitive process basing on the change of state from one to another was done using the decision balance theory. Besides, self-efficiency touched on establishing whether a patient was in a position to do certain behavior or not. This model got chosen as it was comprehensive as in it described the sample cognitive competencies. It is thus agreed to note that the theory best suited for the construct got blended in the study. The model employed questionnaires to develop applicable measures like self-efficiency, exercise change, and decision balance.


Patients who attended primary care clinics and were above eighteen years old were the target population for this study. People who have a low income are expected to make different decisions concerning their health, education, and their social life as compared to the middle and high-income earners. This group was selected because it was in line with the objective of the study which was to find elements of decision balance and self-efficacy among the poorly educated and low-income earners. Low-income earners of any population would always have challenges in getting good health care and would look for cheaper treatment methods. Anyone obviously would expect primary health care clinics to be the most preferred by the poor population since they are inexpensive and affordable.


It is clear from the study that economic differences are big in society. The study showed that two percent of the entire specimen size was over the low-income range. Furthermore, the questionnaire got designed to determine the level of change with respect to steady exercise which the correspondents preferred. Social differences were clear in the demographics relevant to this study. An example was education, which in some way determines if one has health insurance coverage or not.


Two models which can be employed to realize the conduct choices in a target group were involved in this study. In light of this, this study can be used in future to develop a hypothesis (Posavac, 2015. Considering that the study predated to 1996, it is usable in future for generating deductive statistics like variance which might have happened due to an alteration of variables such as education. It may, therefore, get used for comparing two different periods.Image result for State of Change of a Low income Population


The study encountered an array of limitations. The study got extended for just one year which clearly is not sufficient to come up with inferences and generate trends (Yin, 2013). The study also assumed that people who earn low income prefer going to communal primary care hospitals. The questionnaire should have also blended the incomes of the population targeted. The limitations mentioned above are very significant to a level that can greatly affect the ability of application of this model to other low-income populations.

State of Change of a Low income Population References

Maruf, F. A., Ibikunle, P. O., & Raji, N. O. (2014). Relationships between transtheoretical model stages of change, decisional balance, self-efficacy, and physical activity level among Nigerian market vendors. American Journal of Health Promotion28(5), e118-e126.

Posavac, E. (2015). Program evaluation: Methods and case studies. Routledge.

Yin, R. K. (2013). Case study research: Design and methods. Sage publications.


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