The Model And Stages Of Change Model

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The Transtheoretical Model/Stages of Change
Leticia R. Leaks
Nebraska Methodist College

This is a review of the Transtheoretical Model/Stages of Change Model developed by J. O. Prochaska and C.C. DiClemente to assess an individual’s readiness to change a behavior. In this paper, we will discuss the history of the theory and its constructs. We will also examine a diabetes study and the impact of TTM in conjunction with Social Cognitive and the Theory of Reasoned Action as applied urban African Americans with Type 2 Diabetes. In the application of TTM, what does success look like and how is failure measured?
Keywords: Transtheoretical Model
The Transtheoretical Model/Stages of Change
The Transtheoretical Model (TTM) is an
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“But they’re not particularly conscious of that, so it’s not a focused, rational decision-making process (Sholl, 2011).” If the individual has heard from their support system that they need to lose weight, quit smoking or drinking, and instead of taking the advice, they ignore them, shut down or change the subject, then they are in the stage of precontemplation. Unlike the precontemplation stage, an individual in the contemplation stage actually thinks about taking action within six months. They understand the pros and the cons of changing the behavior and are open to receiving information and advice. Contemplators are often characterized as behavioral procrastinators who can get stuck here for long periods of time. The individual in the preparation stage is ready to make a change within the next 30 days. This individual has developed a plan and is ready for an action-oriented program such as smoking cessation or weight loss. Action is the next stage in the TTM model. This is the stage where the individual has actually made modifications; gotten off the couch and exercising. The action is observable and measurable. “This stage is where all those small steps, small choices, and mini sacrifices make a huge difference,” notes Larsen (Larsen, 2007). Individuals in this stage benefit from emotional and physical support, and from having people around them recognize their progress and help keep them accountable. When an individual reaches the
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