Stages of The Trans-Theoretical Model

Question 1

The Stages of the Trans-Theoretical Model are..

Answer 1

1. Pre-Contemplation
2. Contemplation
3. Preparation and Planning
4. Action
5. Maintenance
6. Termination OR Relapse

Question 2

What is the Pre-Contemplation Stage?

Answer 2

• The person has NO INTENTION of change
• UNMOTIVATED
• Due to LIFESYLE choice or LACK OF INFO
• Due to low SELF-ESTEEM or CONFIDENCE
• RESIST and avoids all conversation to do with changing
• NOT READY for traditional health promotion interventions

Question 3

What is the Contemplation Stage?

Answer 3

• EXPRESSING some intention to change (6months)
• Person is aware of the BENIFITS and COST of making a change
• DECISIONAL BALANCE, allows person to look at the pros and cons, the person is usually in this phase for a long time, which is also labelled CHRONIC CONTEMPLATION and BEHAVIOURAL PROSCRASTINATION
• Not ready for an intervention that takes place IMMEDIATLY

Question 4

What is the Preparation Stage?

Answer 4

• INTENDS to take action in the immediate future (30days)
• PLAN OF ACTION (contacting groups etc)
• Preparatory action and obtaining information
• READY for the intervention

Question 5

What is the Action Stage?

Answer 5

• The person has made specified changes to their lifestyle in the past 6 months
• Action phase involves ACTION STRATAGIES
• DEVEOLP NEW ACTION PLAN

Question 6

What is the Maintenance Stage?

Answer 6

-The person works hard to PREVENT RELAPSE
-CONFIDENCE INCREASES
-Duration of the maintenance stage varies
smoking = 5 years
alcohol = life

Question 7

What is the Termination Stage?

Answer 7

The maintenance stage will lead to a phase where the person will no longer be TEMPTED by unhealthy choice

• NO REVERSAL TO FORMER BEHAVUOUR
• Change is COMPLETE
• There may be classic “addiction transfer”

Question 8

What is Relapse?

Answer 8

• Leave maintenance stage

- Reversal back to unhealthy choice

Question 9

What are the main constructs of the Trans-Theoretical Model?

Answer 9

1. SEQUENTIAL Stages of Stage
2. Process which people use to FACILIATE CHANGE
3. DECISIONAL BALANCE which predicts if the change will occur
4. SELF-EFFICACY, the persons confidence that they can make a change

Question 10

Who created the TTM of Behaviour Change? And what year?

Answer 10

Prochaska JO and DiClemente CC 1982