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Fall 2007. Today's focus. Introduce the health behavior model:Stages of Change Theory (Transtheoretical Model). Fall 2007. Transtheoretical Model. Developed by Prochaska
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1. Fall 2007 Transtheoretical Model:Stages of Change
2. Fall 2007 Today’s focus Introduce the health behavior model:
Stages of Change Theory (Transtheoretical Model)
3. Fall 2007 Transtheoretical Model Developed by Prochaska & DiClemente
Analyzed Psych & Behavior change theories
People fall into various stages of change
Identified (at least) 10 processes used at different times
Model has been used with diverse health behaviors/conditions
4. Fall 2007 Transtheoretical Model Stages of change has been used to explain or prompt lot’s of changes in behaviors…
5. Fall 2007 Assumptions ofTranstheoretical Model Behavior change is a cyclical, non-linear, process
Behavior change occurs in incremental stages
Individuals vary in ‘readiness’ or stage to change
Our goal is to help move people from one stage to next
6. Fall 2007 More Assumptions ofTranstheoretical Model Specific change processes can be applied at specific stages
No single theory can account for behavior change
This is a Transtheoretical model
7. Fall 2007 Stages of change components Five stages:
Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination
8. Fall 2007 Constructs Precontemplation ~ “Never”
Contemplation ~ “Someday”
Preparation ~ “Soon”
9. Fall 2007 Constructs Action ~ “Now”
Maintenance ~ “Forever”
Termination ~ “And I mean it!!!”
10. Fall 2007 Constructs Decisional Balance
Individual’s weighing of the pros & cons of behavior change
People who are at early stages will see more cons & barriers than benefits of changing their behavior than people at later stages
11. Fall 2007 Constructs Self-efficacy
Individual’s situation specific confidence that s/he can execute behavior to produce desired results
12. Fall 2007 Assessing Stage of Readiness for Change Ask via a survey
I do not use condoms, & I do not plan on starting
I currently do not use condoms when I have sex, but I plan to start
I occasionally use condoms when I have sex
I began using condoms within the last 6 months, & I use them every time I have sex
I have used condoms for more than 6 months
13. Fall 2007 Change Processes Strategies that people use to progress through the stages
Guides for developing intervention strategies
Should be applied at specific stages of readiness
14. Fall 2007 Change Processes Consciousness Raising
Increasing awareness & reasoning for making a health behavior change
15. Fall 2007 Change Processes Dramatic Relief
Experiencing emotions about the impact of unhealthy & healthy behaviors
16. Fall 2007 Change Processes Self-Reevaluation
Developing identity as “a person who engages in healthy behaviors”
17. Fall 2007 Change Processes Environmental Reevaluation
Realizing how being healthy can impact one’s social environment
18. Fall 2007 Change Processes Self-liberation
Making a firm commit to behavior change
New Years Resolutions
19. Fall 2007 Change Processes Helping relationships
Seeking & using social support for behavior change
20. Fall 2007 Change Processes Counter-conditioning
Substituting healthier alternative behaviors
21. Fall 2007 Change Processes Reinforcement/contingency management
Developing reinforcements or rewards for positive behavior
22. Fall 2007 Change Processes Stimulus control
Developing cues for healthy behavior, removing cues for unhealthy behavior
23. Fall 2007 Change Processes Social liberation
Realizing how social norms are changing in support of healthy behavior
24. Fall 2007 Processes & Stages Experiential
(Earlier stages)
Consciousness Raising
Dramatic Relief
Self-reevaluation
Environmental Reevaluation
Social Liberation
25. Fall 2007 Relationships between Change Processes & Stages Consciousness Raising
Dramatic Relief
Environmental Reevaluation
26. Fall 2007 Change Processes Please remember:
Nothing is set in stone!!!
Change processes may be used in different stages – must know what is applicable & appropriate
27. Fall 2007 Change Processes The decision to use a specific change process strategy should depend on:
Behavior in question
Whether person is ready to take in information being provided
28. Fall 2007 Summary ofTranstheoretical Model Not everyone is at a stage of readiness to change their behavior
Emphasizes:
Stages that people go through to change behaviors
Processes (strategies) used at different stages of readiness
Decisional balance of Pros & Cons of changing
Self-efficacy to enact behavior for change
Acknowledges that effective change depends on
“Starting where the person is”
“Doing the right thing at the right time”