Stage Models in Health Promotion Essay

Prochaska & DiClemente’s (1984) research suggests the Prochaska & DiClemente’s model of change is effective and has an impact in health promotion. The Prochaska & DiClemente’s model of change is becoming a more popular and widely used resource for health promotion; this is because it can be applied with a number of addictive behaviours such as smoking, drug use and alcohol abuse (Whitelaw, et al, 2000). The Prochaska & DiClemente’s model of change has six stages these include, Pre contemplation this is when the patient is not seriously considering change, Contemplation This is when the patient is thinking about change, Preparation when the

Prochaska and DiClemente(1984)  deals with intentional behavioural change and views change as a process rather than an event.The change process is characterised by six stages of change.These include the precontemplation,contemplation,preparation,action,maintenance and relapse which can occur at any stage in any part of the cycle.

The Transtheoretical Model of Behavior Change (TTM) was created by Prochaska and DiClemente. It is based on “(1) the stages of change, (2) the decisional balance scale, (3) the strong and weak principle, (4) self-efficacy, and (5) the processes of change” (Kelly, 2008, p. 149). A person’s progression through the stages depends on their perception of the advantages of adopting a healthy lifestyle (Kelly, 2008).

Human behavior is affected both by genetic inheritance and by experience. The ways in which people develop are shaped by social experience and circumstances within the context of their inherited genetic potential. Each person is born into a social and

The aim of this case based study, is to Promote Health and behaviour changes within the work place,

The contributing factor which makes it so successful is that it provides an explanation into the ‘how’ of behaviour change as opposed to the ‘why’, effectively demonstrating problematic areas which need to be addressed (Adam & White, 2003). This alludes to the source of the problematic behaviour and stimulates thought into how this behaviour can be changed. A main component of the model which makes it so effective is its integral focus on decision-making, important in promoting real change in the individual (Adam & White, 2003). Decision-making is imperative to this model’s success as it allows for intervention strategies that are individually tailored as well as applicable to a wider, diverse population (Nigg et al, 2011). Not all individuals begin at the same stage and hence TTM provides the appropriate mechanisms to support those who aren’t ready for change, those who are committed, and those who experience relapse (Nigg et al, 2011). For example, two individuals may utilise this model to engage in more effective behaviours regarding physical activity. Although they both share a common goal, they may be in different stages of the model – one individual may be in the preparation stage contemplating an exercise regime, while the other may be in the maintenance stage considering methods to maintain change (Nigg et al,

The transtheoretical model helps explain the patient’s behavior change related to the health aspects. As per this change agent, the patient’s purposeful behavior change consists of the cognitive and the performance-based elements. The five stages of the model are precontemplation, contemplation, preparation, action and the maintenance stage (Virginia Tech Continuing & Professional Education, n.d.).

The Transtheoretical Model is a theory of health behavior that suggests that behavior change is a process, not an event. There are five stages of change someone can go through while attempting to engage in positive behavior: precontemplation, no intention to act within six months; contemplation, intention to act within six months; preparation, intention to act within the next thirty days along with some behavioral steps; action, changed behavior for less than six months, maintenance, changed behavior for more than six months; termination, end of the behavior. These stages are not linear, so an individual can move up and down the stages of change indiscriminately.

“Health is defined as a state of physical, mental and social well being and not merely the absence of disease or infirmity” (WHO). Like wise health promotion is the process of increasing the functional capacity of all people hence promote the sense of well-being. In order to accomplish this goal all health care professionals have to work hard by submitting themselves to their patients and community as a whole. Thus globalize health promotion should be the ultimate mission for all health care team, especially for nurses. Nurses are the first level health care team therefore nurses should play as a role model to all human beings. They should hold various positions in order to achieve optimum results. In this evolving health industry

The theory has 5 stages of behavior change: pre-contemplations, contemplation, preparation, action, and maintenance. The stages of change explain when and why people change.

4. Bowman AM. Promoting safe exercise and foot care for clients with type 2 diabetes. Can Nurse. 2008; 104

· Guidelines for good nutrition and exercise: eat a variety of foods every day to include, fresh fruits, vegetables, and whole grains. Decrease the amount of fatty, sugary foods and drinks consumed. Drink more water. Get 30-60 minutes of exercise daily.

Over the years, psychologists have been concerned with determining the relative amount contributed by genetics or environmental factors to different behavior. They also often ask the

* Stage 0, awareness - at this stage, individuals have little knowledge about or interested in the change

Traditionally the United States health care system has been sickness-oriented. However, in the last two decades, a new paradigm has emerged. This new paradigm emphasizes wellness rather than sickness. As a result in this change in focus, health promotion is now an integral part of the nursing profession. This research paper will review current literature from three professional sources relative to the nursing profession and health promotion. This paper will analyze: 1. How is health promotion defined? 2. What is the purpose of health promotion? 3. How has the role of a nurse changed as the result of