Transtheoretical Model: A Case Study

You will listen to my voice taking you through the changes you want to make… As you are completely relaxed… you will respond to my suggestion… From now, you will stop smoking… This is your wish and desire on which you will act on from now… No one is able to make the change except yourself… Think of the positives gained by yourself in total command… your response is yours only… You are the only benefactor… Think of the harm cigarettes cause...think of lungs being completely black… foul smell from your mouth…your clothes smelling … continue with your breathing in and out...think of your family… Think of spending money on buying cigarettes as money going down the drain…Don’t turn them into passive smokers… your health and that of your family matters…You will continue with further sessions which will help you achieve the change…

The initial phase of the self-directed intervention consisted of baseline measurement of smoking behaviour. Baseline data was collected for a period of 7 weeks and a functional assessment was completed during this time. Upon starting the intervention phase, the final target behaviour of smoking cessation was broken down into smaller, short-term objectives lasting 2 weeks each.

The smoking cessation was witnessed by the author throughout her placement. This was used on a daily basis in the community by district nurses, health visitors, but especially by the general practice nurses as being incorporated in each consultation in the form of advices, leaflets, smoking cessation programs including medication and follow-ups.

This study by Naughton et al. (2014) was conducted to identify the effectiveness of the iQuit program, a self-help program supported by text messaging, as an adjunct to smoking cessation education offered in the primary care setting. The authors report smoking cessation offered in the primary care setting varies widely but research showed the added option of a self-help program for patients produces a cessation rate of as much as twice the rate of those patients who were given only in- office education (Naughton et al.).

Discussing how it would affect your mind and physical health. Knowing there are many influence factors that has a big role in many people starting to smoke. The first would be family history/background. This is most common factor because most people start when they was a child/ teenager. This would be coming from homes where family members smoke around the children’s, and the children tend to follow the parents. Children sometimes love to imitate their parents and any older sibling they think is acceptable to do (Wiley, 2011). Another great factor would be peer pressure; it is so similar to family history as well. Young teen’s younger children see their friend doing it and they get so much help and encouragement to try and do it. Some feel as though they may lose their friendship or “cool points” with their friends, which is so much more important to them. Not knowing the more you hang with the friends that smoke, the more you’re going to smoke until your now become addicted on your own. Now you can no longer quit, it becomes hard and uncontrollably hard to quit. Once again smoking doesn’t just affect the smoker it also affect the co-workers at the workplace, but for the smoker you would start needing unscheduled smoke breaks. Why? Because

Of the roughly 42 million adults in the US that use tobacco, nearly 69% of smokers want to quit and more than 42% of those wishing to quit will make the attempt through various methods(1). These methods range from the "cold turkey" method, nicotine replacement therapy, behavioural therapy and even medicine. Each method has it's unique strengths and weaknesses as well as varying success rates. There are many reasons to quit and many ways in which to do so, either with methods that involve slowly weaning off of nicotine, like gums and patches from replacement therapy, to nicotine-free methods which require support from various sources.

In the study, 787 smokers in Massachusetts were tracked after they quit smoking for five years. During that time, they answered three surveys about their smoking use. With each survey, an

Exercise behavior is the study of theories which work to explain actions and phenomenon’s that occur when looking at peoples perspectives of exercise. One overall theory called The Transtheoretical model (TTM), includes elements from “across a variety of theories and models behavior, some of which are social-cognitive in nature and some of which are not” (79). The TTM describes five stages of behavior change: Precontemplation, contemplation, preparation, action and maintenance. By using TTM as the base of multiple theories, a greater picture of exercise behavior is created to understand how individuals become interested and continue to make a life style that involves normal exercise.

Cigarette smoking is widely accepted as one of the most readily available addictive substances a person can buy. A person may visit any corner store, any gas station, and there would be a strong chance cigarettes would be sold behind the register. A respiratory Therapists practice revolves around the lungs, not only do they treat patients suffering from pulmonary diseases, but they also help patients move away from unhealthy habits which may have a damaging impact on their lungs and respiratory system, namely smoking. The following points will further explore the Respiratory Therapist part in smoking cessation, such as their role in patient education and prevention, patient counseling as well as their role in forming a treatment

Smoking cessation: The status is uncontrolled and patient is willing to try to quit smoking.

Generally speaking, each theory or model uses a variety of techniques used to help the client battle addiction. From a sociological standpoint understanding the client’s cultural values is the best way to understand addiction (Lamberson, 2017, p. 171). Firstly, the counselor will attempt to teach social norms and preventive measures (Lamberson, 2017, p. 171). The counselor should remember to check their own personal values and value the adaptive qualities within the client (Lamberson, 2017, p. 171). Likewise, the transtheoretical model relies on the client’s values and beliefs to determine what stage of change (Gutierrez & Czerny, 2017, p. 208). The counselor and client attempt to create a plan based on the client ability to change (Gutierrez

It is irrefutable that the formulation of the Transtheoretical Model (TTM), has efficaciously contributed to current perspectives in health psychology, allowing for a greater understanding in facilitating healthy behaviour change (Adam & White, 2003). TTM is a comprehensive six-stage theory which logically describes behaviour change as a process rather than a single event, providing the pathway to a more enduring and successful outcome (Adam & White, 2003; Prochaska, 2008). These stages include: pre-contemplation, contemplation, preparation, action and maintenance, which occur cyclically in the event of relapses, until temptation is no longer present, resulting in termination (Marshall & Biddle, 2001; Prochaska, 2008).

The Transtheoretical Model does not only consist of the stages of change. Self-efficacy, or one’s self confidence in engaging in action, also plays a huge factor in this theory. A person is less likely to engage in a positive health behavior if there self-efficacy is low. Decision balance is the balancing of pros and cons towards the behavior change the person takes into account. In early stages, such as precontemplation and contemplation, cons outweigh the pros, and a behavior change is unlikely. In contrary, the pros outweigh the cons in the later stages. Throughout all stage of the Transtheoretical Model, there are situational temptations, which are external triggers that can cause a person to relapse. These include negative emotions associated with the behavior change such as anger or sadness, and social

It was one of the clinical days in cardiology department on Monday afternoon. One incident that is worth reflecting on was my encounter with a 52 years old female patient who smoke on average 20 cigarettes per day since more than 20 years. She is an overweight who has recently been diagnosed with chronic obstructive pulmonary disease (COPD), COPD is a a lung disease characterised by the narrowing of the airways. COPD also refers to chronic bronchitis and emphysema, the latter of which Sarah has been diagnosed with. It is emphysema that is Sarah's primary health problem at present.The health promotion strategy adopted in this case was a brief intervention including motivational interviewing, which took place within the clinical area as part of Jessie’s consultation.

Prochaska & DiClemente. (1983). Stages and Processes of Self-Change of Smoking. Journal of Consulting and Clinical Psychology. vol. 51, no. 3, pp. 390-395.