Transtheoretical Model

Transtheoretical ModelAka Stages of Change

BackgroundTTM was born from a study comparing the experience of smokers who quit on their own, against smokers receiving professional treatment. Prochaska and DiClemente found that change was a process, one that occurs in stages, rather than a one-time event.

Stages

Key Features Intentional change

Process not an event

Cycles through stages

PrecontemplationNo intention to change behavior or denial of the need to change behavior.

ContemplationIntention to change within the next 6 months.

PreparationSerious intention to change behavior in the next 30 days.

ActionInitiation of overt behavioral change.

MaintenanceSustaining behavioral change for 6 months or more.

TerminationProcess of behavior change has been completed.

Constructs of TTMDecisional Balance

Self-efficacy

Self-reevaluation

Self-liberation

Important to NoteImportant for addictive behavioral problems

Begin at your own specific stage

Many applicable uses for this model.

Dr. Prochaska Video Discussion

http://www.youtube.com/watch?v=8XUaq2iqzA0ReferencesEdberg, M. (2007) Essentials of Health Behavior: Social and Behavioral Theory in Public Helath. Sadbury, MA: Jones and BartlettFertman, C. L., & Allensworth, D. D., (2010). Health Promotion Programs: From Theory to Practice. San Francisco, CA: Jossey-BassVelicer, W. F, Prochaska, J. O., Fava, J. L., Norman, G. J., & Redding, C. A. (1998)Smoking cessation and stress management: Applications of the Transtheoretical Modelof behavior change. Homeostasis, 38, 216-233.