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STAGES OF CHANGE THEORY
OTHERWISE KNOWN AS THE
TRANSTHEORETICAL MODEL

by
Kelli Nam
Overview
• The target audience of this module is undergraduate college
    students in a health promotion and disease prevention class
•   The importance of theory in health promotion
•   The purpose of the Stages of Change Theory
•   Stages of Change Theory constructs
•   Readiness for change with addictions
•   A readiness for change addiction example
•   A readiness for change health behavior example
•   Theory limitations
•   A theory limitation example
•   The relapse stage is now accounted for
Theory in Health Promotion
In the field of health education and health promotion,
theory allows for:

•   Best practices
•   Providing a framework for the development of health
    programs
•   Shaping the direction for program goals
•   Guiding the evaluation of health conditions and
    behaviors
•   Enhancing the predictability and applicability of health
    promotion practices and campaigns
Stages of Change Theory: Purpose
• The Stages-of-Change perspective recognizes that people
 are at different stages of readiness when it comes to giving
 up addictions or making other health behavior changes

• Individuals at different stages may be receptive to
 different types of health intervention messages

• A different health advocacy strategy is needed for
 someone who has no intention of changing his or her
 behavior compared to someone with a positive intention
 to change his or her behavior
Stages of Change Theory: Constructs
            Precontemplation


             Contemplation


              Preparation


                 Action


              Maintenance
Stages of Change Theory Constructs


      Stop Here to Take the:


      Constructs Quiz
Stages of Change Theory: Precontemplation

         Precontemplation



             No interest in
               changing



            No recognition
               of a risk


            Their intention
             to change is
                lacking
Stages of Change Theory: Contemplation

         Contemplation


             Formed an
            intention to
               change

           Immediate or
             long term
            plans to act

             Thoughts
              about
             changing
Stages of Change Theory: Preparation

       Preparation



        Detailed plans
         for change


        An intention
         to change


        Set a date to
          start the
           change
Stages of Change Theory: Action

      Action



      Adopts new
        habits


      Consistently
     performs new
       behaviors


     Acts on their
        plans
Stages of Change Theory: Maintenance



   Maintenance


                 Ongoing
                 practice of
                 new behavior
Stages of Change Theory: Maintenance



   Maintenance
Stages of Change Theory: Examples


• In health promotion and health risk prevention, this
 theory can be used to gauge one’s readiness for
 change, particularly with addictions

 • Smoking
 • Alcohol Abuse
 • Substance Abuse
 • Overeating
Readiness for Change: Smoking


Smoking Example


Reference:   http://www.youtube.com/watch?v=OAUmTw9YXYk
Readiness for Change: Addiction Example


       Stop Here to Take the:


 Addiction Example Quiz
Readiness for Change: Behavior Example


• In health promotion and health risk prevention, this
 theory can be used to assess one’s intention for
 behavior change

 • Eating healthier
 • Exercising
 • Getting a health screening
Stages of Change Theory: Limitations
• Individuals can move between any of the stages multiple
 times. (For example, an individual can move between
 contemplation and preparation multiple times before                          Precontemplat
                                                                                   ion




 moving on to taking action)                                 Maintenance                         Contemplation




                                                                     Action                 Preparation




• An individual does not have to progress through the stages
 in a linear order, as the original visual of the model
 suggests
                                                                           Precontemplation


                                                                            Contemplation


                                                                              Preparation


                                                                                Action


                                                                              Maintenance



• In the original model, relapse is not listed as a stage,
 though in real life, relapse is a possibility for individuals
Stages of Change Theory: Relapse Included

                      Precontemplation



          Relapse                        Contemplation




        Maintenance                       Preparation



                           Action
Stages of Change Theory: Limitations


     Stop Here to Take the:


Limitation Example Quiz
Thank You
References
• Centers for Disease Control and Prevention. (2007). Theoretical stage
 model. Retrieved from:
 http://www.cdc.gov/hiv/topics/prev_prog/acdp/intervention/change.htm.

• Cigarette. http://www.stashlighter.com/images/camuflash.jpg.


• Microsoft PowerPoint Clip Art.


• National Institutes of Health (n.d.). Social and behavioral theories.
 Retrieved from:
 http://www.esourceresearch.org/Portals/0/Uploads/Documents/Public/Gla
 nz_FullChapter.pdf.

• Stages of Change. (2012). How to quit smoking. Retrieved from:
 http://www.youtube.com/watch?v=OAUmTw9YXYk.

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Nam Final Project Module

  • 1. STAGES OF CHANGE THEORY OTHERWISE KNOWN AS THE TRANSTHEORETICAL MODEL by Kelli Nam
  • 2. Overview • The target audience of this module is undergraduate college students in a health promotion and disease prevention class • The importance of theory in health promotion • The purpose of the Stages of Change Theory • Stages of Change Theory constructs • Readiness for change with addictions • A readiness for change addiction example • A readiness for change health behavior example • Theory limitations • A theory limitation example • The relapse stage is now accounted for
  • 3. Theory in Health Promotion In the field of health education and health promotion, theory allows for: • Best practices • Providing a framework for the development of health programs • Shaping the direction for program goals • Guiding the evaluation of health conditions and behaviors • Enhancing the predictability and applicability of health promotion practices and campaigns
  • 4. Stages of Change Theory: Purpose • The Stages-of-Change perspective recognizes that people are at different stages of readiness when it comes to giving up addictions or making other health behavior changes • Individuals at different stages may be receptive to different types of health intervention messages • A different health advocacy strategy is needed for someone who has no intention of changing his or her behavior compared to someone with a positive intention to change his or her behavior
  • 5. Stages of Change Theory: Constructs Precontemplation Contemplation Preparation Action Maintenance
  • 6. Stages of Change Theory Constructs Stop Here to Take the: Constructs Quiz
  • 7. Stages of Change Theory: Precontemplation Precontemplation No interest in changing No recognition of a risk Their intention to change is lacking
  • 8. Stages of Change Theory: Contemplation Contemplation Formed an intention to change Immediate or long term plans to act Thoughts about changing
  • 9. Stages of Change Theory: Preparation Preparation Detailed plans for change An intention to change Set a date to start the change
  • 10. Stages of Change Theory: Action Action Adopts new habits Consistently performs new behaviors Acts on their plans
  • 11. Stages of Change Theory: Maintenance Maintenance Ongoing practice of new behavior
  • 12. Stages of Change Theory: Maintenance Maintenance
  • 13. Stages of Change Theory: Examples • In health promotion and health risk prevention, this theory can be used to gauge one’s readiness for change, particularly with addictions • Smoking • Alcohol Abuse • Substance Abuse • Overeating
  • 14. Readiness for Change: Smoking Smoking Example Reference: http://www.youtube.com/watch?v=OAUmTw9YXYk
  • 15. Readiness for Change: Addiction Example Stop Here to Take the: Addiction Example Quiz
  • 16. Readiness for Change: Behavior Example • In health promotion and health risk prevention, this theory can be used to assess one’s intention for behavior change • Eating healthier • Exercising • Getting a health screening
  • 17. Stages of Change Theory: Limitations • Individuals can move between any of the stages multiple times. (For example, an individual can move between contemplation and preparation multiple times before Precontemplat ion moving on to taking action) Maintenance Contemplation Action Preparation • An individual does not have to progress through the stages in a linear order, as the original visual of the model suggests Precontemplation Contemplation Preparation Action Maintenance • In the original model, relapse is not listed as a stage, though in real life, relapse is a possibility for individuals
  • 18. Stages of Change Theory: Relapse Included Precontemplation Relapse Contemplation Maintenance Preparation Action
  • 19. Stages of Change Theory: Limitations Stop Here to Take the: Limitation Example Quiz
  • 21. References • Centers for Disease Control and Prevention. (2007). Theoretical stage model. Retrieved from: http://www.cdc.gov/hiv/topics/prev_prog/acdp/intervention/change.htm. • Cigarette. http://www.stashlighter.com/images/camuflash.jpg. • Microsoft PowerPoint Clip Art. • National Institutes of Health (n.d.). Social and behavioral theories. Retrieved from: http://www.esourceresearch.org/Portals/0/Uploads/Documents/Public/Gla nz_FullChapter.pdf. • Stages of Change. (2012). How to quit smoking. Retrieved from: http://www.youtube.com/watch?v=OAUmTw9YXYk.