The Steps of a Behavior Change Christian Esola The
Transtheoretical Model Aspiring Health Professionals
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Most Comm n Misconception Behavior change is easy, I can change
whenever I want.
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5 Stages of Change Pre- Contemplation Contemplation Preparation
Action Maintenance
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Pre-contemplation Characteristics Denial Ignorance of Problem
Not ready to make a change Strategies Encourage self- analysis
Explain risks if current behavior continues
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Contemplation Getting Ready Intend to change within 6 months
Pros are equal with Cons How can we make the Pros outweigh the
Cons?
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Preparation Ready! Prepare to make a change within 30 days
Small, obtainable goals Continued research Strategies for change
created
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Action A distinct change in behavior occurs Change is
consistent Visual Receives most recognition
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Maintenance The behavior changes will dictate amount of time
needed Small changes = less time Big changes = more time Six months
after behavior change Self efficacy is at its highest
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Termination (Step 6) Behavior change permanently adopted Zero
temptation to relapse
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Can you Identify the Stage? Steve is concerned about his
weight. He plans on joining a gym within the next month and began
researching healthier meal options. Which stage of change is he in?
Preparation
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Carol began a new diet 4 months ago. Since the diet began, she
is down to her target weight and continues her healthy lifestyle.
What stage is Carol in? Maintenance
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Andy is consistently late to class. His professors have tried
talking to him, but he continues to show up late every week. What
stage of change is Andy in? Pre- contemplation
Predisposing Factors Knowledge, beliefs, attitudes Based on:
Life experiences Gender Age Race
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Enabling Factors Skills and abilities Available resources May
be positive or negative
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Reinforcing Factors Presence or absence of support
Encouragement or discouragement from those around you
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Useful links Behavior Change - Getting Started Behavior Change
- Getting Started Why It's Hard to Change Why It's Hard to Change
Youtube - The Transtheoretical Model Youtube - The Transtheoretical
Model
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References "TTM Detailed Overview." TTM Detailed Overview.
Cancer Prevention Research Center, n.d. Web. 27 Sept. 2014.
"Transtheoretical Model (or Stages of Change) - Health Behavior
Change." Prochange.com. N.p., n.d. Web. 26 Sept. 2014. "Behavior
Change and Maintenance." NIH Office of Behavioral and Social
Sciences Research (OBSSR). N.p., n.d. Web. 27 Sept. 2014.