The Transtheoretical Model: The Stages Of Change Model

The transtheoretical model of change (TTM) consists of several stages associated with change (Calderwood, 2011). The first stage is described as the precontemplation stage; this stage is characterized with the client expressing shock or denial to the change

Explain how each of the “stages of behavior change” from the transtheoretical model of change can be applied to the health behavior.

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).

Healthy People implemented an extensive list of physical activity objectives targeting youth of all ages. The objectives are all aimed at promoting the health benefits of maintaining a physically active life-style. The following objective targets a major area of concern for the medical community and the increase of inactivity among today's youth; “PA-8.2.2; Increase the proportion of children and adolescents aged 6 to 14 years who view television, videos, or play video games for no more than 2 hours a

The Transtheoretical Model of Change has become popular over the past few decades in explaining health behaviors like substance and alcohol abuse, dieting, and smoking cessation. It has four parts to it, the first being the stages of change. The Stages of Change Model gives explanations for different points on the path to intentional behavioral change (Vilela, Jungerman, Laranjeira, & Callaghan, 2009). Intentional behavioral changes are changes in the habitual patterns of behavior that are related to issues such as substance or alcohol abuse. There are six steps in the Stages of Change Model: precontemplation, contemplation, preparation, action, maintenance, and

There are several interventions that correlate with increased physical activity, goal-setting, self-monitoring, and feedback. Several studies have examined the

Physical activity is a very important aspect of an individual’s life. There are many health benefits to being physically active. Living an active life helps to prevent and lower the risk of chronic diseases such as diabetes, obesity, depression, and heart disease (Tuso, 2015). Healthy People 2020 (2018) states that about 80% of adults and adolescents do not meet the physical activity guidelines. Staying active may be difficult if there are no community resources to help. The intention of this paper is to implement interventions within Paulding County that will help increase physical activity among community members.

The third stage in the change model is called preparation stage. In this stage people are ready to take action or have already taken action to a healthier lifestyle, if they have not already underway with this stage yet they are ready to begin within the next thirty days. Some things in this stage that people can do are enroll themselves in a educational class, have an appointment set with an physician or counselor, or purchased a self-help book to contribute their start to their healthier lifestyle. The people begin to take tiny steps towards their upgraded lifestyle or behavior transformation, they start altering their behaviors to indicate a healthier

According to the Centers for Disease Control and Prevention (CDC) (2014), only 21% of Americans are sufficiently physically active according to the guidelines set forth in 2008. Thus, living a sedentary lifestyle has become an epidemic, and one that is not without consequence. The CDC (2014) further states that one’s risk for heart disease, type 2 diabetes mellitus, stroke, depression, some cancers, and early death is noticeably higher for those living a sedentary lifestyle. Certainly, then, promoting physical activity is a simple intervention providers should practice to prommote overall health and prevent or delay the onset of disease. A motivational interview was conducted with Cherish Brown, a 22-year-old

Change does not just happen at once, but progresses through steps. To explain one model of behavior cited in the online Harvard Health Publication, they research to look for the different ways to change and which is most efficient. The article states that the most accepted and way of change is the TTM or “transtheoretical model”, which “shows that change is not a single event; it is a process which takes many steps.” The model of TMM shows that change does not happen at once but through different steps which supports the idea of change progressing through steps. In an article published online by Harvard Medical School, studies have shown the five stages of TTM is precontemplation, contemplation, preparation, action, and maintenance.

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 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.

The transtheoretical model is the concept that behavior change is a process that occurs in stages, while the precaution adoption process is the concept of the deliberate action you take that can prevent poor behavior. The transtheoretical model can change people by therapeutic or by self-change, which is similar to the precaution model in which the goal is achieved by thinking or talking through actions to prevent any mistakes. It has five stages which include precontemplation, contemplation, preparation, action and maintenance. The PAPM has seven stages which is unawareness, unengaged, deciding not to act or deciding to act, action planning, acting and maintenance. Both theories that will be discussed have contrasts: the transtheoretical model has precontemplation which is when they may not know or be misinformed, while the precaution model has a concept of unawareness, which is when people do know the risks they are associated with the behavior.

Thank you for taking the time to read my post. Actually, I am familiar with the stages of change as I have personally applied it, about four years ago, to break some bad health habits caused by difficult life circumstances. Although the term transtheoretical model is new to me, perhaps at that moment, I was more focused on how to take “action”, a behavior that can be identified to belong to the preparation stage. After several unused gym memberships, and the feeling of being eternally stuck in the preparation stage, but with a lot of determination, I was able to progress to my current stage of change, which is the maintenance change.

health. Using the Transtheoretical Model for Stages of Change1 as a guide, I will identify a