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STAGES OF CHANGE

STAGES OF CHANGE. Transtheoretical Model of Behavior Change. Prochaska , DiClemente & Norcross. STAGES OF CHANGE.

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STAGES OF CHANGE

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  1. STAGES OF CHANGE Transtheoretical Model of Behavior Change Prochaska , DiClemente & Norcross

  2. STAGES OF CHANGE A PROGRAM’S WILLINGNESS AND ABILITY TO TAILOR COUNSELING INTERVENTIONS AND SERVICES TO INDIVIDUAL NEEDS WILL HELP TO ACCOUNT FOR MORE POSITIVE OUTCOMES

  3. STAGES OF CHANGE THE STAGES OF CHANGE MODEL DEFINES “MOTIVATION” AS THE “PROBABILITY” THAT A PERSON WILL ENTER INTO, CONTINUE, AND ADHERE TO A SPECIFIC CHANGE STRATEGY.

  4. THE STAGES OF CHANGE POINT OUT THAT: • RECYCLING THROUGH STAGES IS COMMON • RELAPSE IS A NATURAL, ACCEPTABLE PART OF RECOVERY • VIEWED AS A STAGE OF GROWTH • ADDICTED PERSONS TYPICALLY RELAPSE MANY TIMES IN TREATMENT • SPIRAL UPWARD EACH TIME THEY RECYCLE THROUGH STAGES LEARNING FROM MISTAKES

  5. Treatment Facilitated • Self Mediated TRANSTHEORETICAL MODEL OF BEHAVIOR CHANGE PEOPLE CAN MODIFY PROBLEM BEHAVIORS WITH OR WITHOUT FORMAL PSYCHOTHERAPY

  6. SMOKING • QUITTING COCAINE • WEIGHT CONTROL • HIGH FAT DIETS • ADOLESCENT BEHAVIORS • SAFER SEX • CONDOM USE • SUN EXPOSURE • RADON EXPOSURE • SEDENTARY LIFESTYLES • MAMMOGRAPHY EXAMS • PHYSICIAN’S PREVENTIVE PRACTICE w/SMOKING R E S E A R C HTHE MODEL WAS USED ACROSS 12 AREAS OF BEHAVIOR CHANGE CESSATION OF NEGATIVE BEHAVIOR ACQUISITION OF POSITIVE BEHAVIORS

  7. TRANSTHEORETICAL MODEL OF BEHAVIOR CHANGE(Research con’t) FEWER THAN 20% OF A PROBLEM POPULATION IS PREPARED FOR ACTION AT ANY GIVEN TIME 90% OF BEHAVIOR CHANGE PROGRAMS ARE DESIGNED WITH THIS 20% IN MIND SUCCESS !

  8. KEY CONCEPTS IN TTM SELF - EFFICACY • perception that one can successfully perform a desired behavior DECISIONAL BALANCE • evaluation of Pros & Cons of a behavior change

  9. KEY CONCEPTS OF TTM (con’t) • PERSONALIZATION • vulnerability • susceptibility • ANTICIPATED BENEFITS • SOCIAL NORMS • SKILLS • capacity building

  10. LEARNING DOMAINS FOR CHANGE COGNITIVE what a person thinks about the change AFFECTIVE what a person feels about the change BEHAVIORAL what action is being asked of the person

  11. MAINTENANCE ACTION PREPARATION CONTEMPLATION PRECONTEMPLATION Relapse THE FIVE STAGES OF CHANGE

  12. PRECONTEMPLATION THERE IS NO INTENTION TO CHANGE BEHAVIOR IN THE FORESEEABLE FUTURE • others are aware of problem • coerced by others to change • change due to outside pressure • no plans to change (6 mos.) • unaware or underaware

  13. CONTEMPLATION AWARE THAT A PROBLEM EXISTS AND BEGINS TO THINK ABOUT OVERCOMING IT • no commitment • can get “stuck” & remain so • decisional - balancing • struggles with energy / effort • struggles with loss

  14. PREPARATION COMBINES INTENTION & BEHAVIORAL CRITERIA. • intending to take action within 30 days • may/may not have taken unsuccessful action in past year • buying running shoes, but not running yet • taking steps / making plans

  15. ACTION MODIFICATION OF BEHAVIOR, EXPERIENCES, OR ENVIRONMENT IN ORDER TO OVERCOME PROBLEM BEHAVIOR. • taking an action is not being in action • requires considerable commitment • runs from one day to 6 months

  16. MAINTENANCE WORK DONE TO PREVENT RELAPSE AND CONSOLIDATE THE GAINS ATTAINED DURING ACTION STAGE. • more than six months • stabilizing change • avoiding relapse Relapse • can last a lifetime

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