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Health Behavior Change: Transtheoretical Model
Limitations
Vivian Ogbonnaya
HE 750-Behavioral and Social Foundations
Confidence- that one can engage in health behavior across different challenging situations
Temptation- to engage in unhealthy behavior across different challenging situations
Benefits of changing
Pros
Cons
Costs of changing
An integration of multiple processes and principles of major theories of intervention using stages of change
Developed by Prochaska et al (1977)
Theoretical Framework
Precontemplation- no intention to take action within the next 6 months
Contemplation- intend to take action within the next 6 months
Preparation- intends to take action within the next 30 days and has begun
Action- changed overt behavior for <6 months
Maintenance- changed overt behavior for more than 6 months
Termination- no temptation to relapse and 100% confidence
Stages of Change
Processes of Change
helping relationships
self-reevaluation
self-liberation
Stimulus control
environmental reevaluation
Table 1 Processes of change that mediate progression between the stages of change
Pre-contemplation Contemplation Preparation Action Maintenance
Process of Consciousness raising
Change Dramatic Relief
Environmental reevaluation
Self-reevaluation
Self-liberation
Counterconditioning
Helping relationships
Reinforcement management
Stimulus Control
Note: Social liberation was omitted due to its unclear relationship to the stages