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Transtheoretical Model: Stages of Change

Fall 2007. Today's focus. Introduce the health behavior model:Stages of Change Theory (Transtheoretical Model). Fall 2007. Transtheoretical Model. Developed by Prochaska

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Transtheoretical Model: Stages of Change

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    1. Fall 2007 Transtheoretical Model: Stages of Change

    2. Fall 2007 Today’s focus Introduce the health behavior model: Stages of Change Theory (Transtheoretical Model)

    3. Fall 2007 Transtheoretical Model Developed by Prochaska & DiClemente Analyzed Psych & Behavior change theories People fall into various stages of change Identified (at least) 10 processes used at different times Model has been used with diverse health behaviors/conditions

    4. Fall 2007 Transtheoretical Model Stages of change has been used to explain or prompt lot’s of changes in behaviors…

    5. Fall 2007 Assumptions of Transtheoretical Model Behavior change is a cyclical, non-linear, process Behavior change occurs in incremental stages Individuals vary in ‘readiness’ or stage to change Our goal is to help move people from one stage to next

    6. Fall 2007 More Assumptions of Transtheoretical Model Specific change processes can be applied at specific stages No single theory can account for behavior change This is a Transtheoretical model

    7. Fall 2007 Stages of change components Five stages: Precontemplation Contemplation Preparation Action Maintenance Termination

    8. Fall 2007 Constructs Precontemplation ~ “Never” Contemplation ~ “Someday” Preparation ~ “Soon”

    9. Fall 2007 Constructs Action ~ “Now” Maintenance ~ “Forever” Termination ~ “And I mean it!!!”

    10. Fall 2007 Constructs Decisional Balance Individual’s weighing of the pros & cons of behavior change People who are at early stages will see more cons & barriers than benefits of changing their behavior than people at later stages

    11. Fall 2007 Constructs Self-efficacy Individual’s situation specific confidence that s/he can execute behavior to produce desired results

    12. Fall 2007 Assessing Stage of Readiness for Change Ask via a survey I do not use condoms, & I do not plan on starting I currently do not use condoms when I have sex, but I plan to start I occasionally use condoms when I have sex I began using condoms within the last 6 months, & I use them every time I have sex I have used condoms for more than 6 months

    13. Fall 2007 Change Processes Strategies that people use to progress through the stages Guides for developing intervention strategies Should be applied at specific stages of readiness

    14. Fall 2007 Change Processes Consciousness Raising Increasing awareness & reasoning for making a health behavior change

    15. Fall 2007 Change Processes Dramatic Relief Experiencing emotions about the impact of unhealthy & healthy behaviors

    16. Fall 2007 Change Processes Self-Reevaluation Developing identity as “a person who engages in healthy behaviors”

    17. Fall 2007 Change Processes Environmental Reevaluation Realizing how being healthy can impact one’s social environment

    18. Fall 2007 Change Processes Self-liberation Making a firm commit to behavior change New Years Resolutions

    19. Fall 2007 Change Processes Helping relationships Seeking & using social support for behavior change

    20. Fall 2007 Change Processes Counter-conditioning Substituting healthier alternative behaviors

    21. Fall 2007 Change Processes Reinforcement/contingency management Developing reinforcements or rewards for positive behavior

    22. Fall 2007 Change Processes Stimulus control Developing cues for healthy behavior, removing cues for unhealthy behavior

    23. Fall 2007 Change Processes Social liberation Realizing how social norms are changing in support of healthy behavior

    24. Fall 2007 Processes & Stages Experiential (Earlier stages) Consciousness Raising Dramatic Relief Self-reevaluation Environmental Reevaluation Social Liberation

    25. Fall 2007 Relationships between Change Processes & Stages Consciousness Raising Dramatic Relief Environmental Reevaluation

    26. Fall 2007 Change Processes Please remember: Nothing is set in stone!!! Change processes may be used in different stages – must know what is applicable & appropriate

    27. Fall 2007 Change Processes The decision to use a specific change process strategy should depend on: Behavior in question Whether person is ready to take in information being provided

    28. Fall 2007 Summary of Transtheoretical Model Not everyone is at a stage of readiness to change their behavior Emphasizes: Stages that people go through to change behaviors Processes (strategies) used at different stages of readiness Decisional balance of Pros & Cons of changing Self-efficacy to enact behavior for change Acknowledges that effective change depends on “Starting where the person is” “Doing the right thing at the right time”

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