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Transtheoritical Model of Change (TTM)

Transtheoritical Model of Change (TTM). INTRODUCTION. TTM was developed to help explain how people change their behavior

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Transtheoritical Model of Change (TTM)

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  1. Transtheoritical Model of Change(TTM) Health Behavior CHAPTER 10

  2. INTRODUCTION • TTM was developed to help explain how people change their behavior • Developed by : Prochaska, DiClemente, Velicer, & Rossi, 1993; Prochaska, Norcross, & DiClemente,1994; Prochaska, Redding, & Evers, 1997; Prochaska, Velicer, DiClemente, & Fava, 1988; Reed, 1999 • The health behavior change is happened as a PROCESS not at the MOMENT. • The transtheoritical model (TTM) uses : • a temporal dimension • the stages of change, to integrate processes and principles of change from different theories of intervention name transtheoritical. Health Behavior CHAPTER 10

  3. Core Constructs: • Stages of Change: temporal dimension • Processes of Change: covert and overt activities people use to progress through the stages • Decisional Balance: weighing pros and cons of changing • Self-Efficacy Health Behavior CHAPTER 10

  4. Stages of Change in Which Change Processes Are Most Emphasized Health Behavior CHAPTER 10

  5. TRANS THEORETICAL MODEL OF BEHAVIOUR CHANGE(summary) • Precontemplation • Not intending to make any changes • Contemplation • Considering a change • Preparation • Make small changes • Action • Actively engaging in a new behaviour • Maintenance • Sustaining the change overtime Health Behavior CHAPTER 10

  6. Precontemplation • No intention to act in the near future (six months), due to lack of information or demoralization from past attempts. • “I have no intention to stop smoking” Health Behavior CHAPTER 10

  7. Contemplation • Intention to change in the near future (next 6 months); • Aware of pros and cons of changing • More aware of pros of changing but are also acutely aware of cons. •  Balance between the cost and benefit  stuck in this stage for long periods of time. • “Stop smoking will make me healthier but also make me can’t face my stress” Health Behavior CHAPTER 10

  8. Preparation • Intention to take action in the immediate future (1 month) • Have a plan of action • Have a plan of action : joining a health education class, consulting a counselor, talking to their physician, buying a self-help book, or relying on a self-change approach. • “I want to stop smoking next month, and I want attend cessation clinic” Health Behavior CHAPTER 10

  9. Action • Overt action taken within the last 6 months • Total abstinence : stop smoking totally • Diet : less than 30% of calories should be consumed from fat  professional criteria • “ I have been stop smoking for 6 months” Health Behavior CHAPTER 10

  10. Maintenance • Work to prevent relapse; • Less temptation • More confidence • After 12 months of continuous abstinence, the percentage of individuals who return to regular smoking was 43%. • It was not until 5 years continuous abstinence that the risk for relapse dropped to 7%. Health Behavior CHAPTER 10

  11. Termination • No temptation • 100% self efficacy • No matter whether they are depressed, anxious, bored, lonely, angry, or stressed, they are sure they will not return their old unhealthy habit as a way of coping. Health Behavior CHAPTER 10

  12. EXERCISE • Please give the description of the people who in the each stage of drug cessation: • Precontemplation • Contemplation • Preparation • Action • Maintenance • Termination Health Behavior CHAPTER 10

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