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The purpose of this study was to provide a secondary analysis of Derenowski's inductively generated conceptualization of wellness motivation, specifically the category identifying barriers. The sample consisted of 29 individuals who were attempting to initiate and sustain programs of cardiac risk factor modification. Descriptions of perceived barriers to initiating health behavior change were generated from the data using grounded theory methodology. Categories identified within perceived barriers to initiating health behavior change included: personal control, life stress, social relationships, physical capability, and resources. The descriptions of perceived barriers to health behavior change generated from the data provide an understanding and theoretical basis for nursing assessment and the development of interventions designed to assist individuals in continued growth and the emergence of positive health patterns.
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