Transtheoretical Model - Health 3030 - Exam 2
Terms in this set (38)
Originators of the Transtheoretical Model (TTM)
Prochaska & DiClemente
How did TTM evolve?
Out of studies comparing smokers who quit on their own vs. smokers who got professional help
What is the TTM used for?
To eliminate health risk behaviors or adopt health protective behaviors
What is the basic premise of TTM?
The basic premise of TTM is that behavior change is a process, not a single event
How is the TTM Model shaped?
The TTM model is circular, not linear. People can drop out and come back in at any points.
What are the core constructs of TTM?
Stages of Change (when people change), Processes of Change (how people change), Self-efficacy & Decisional balance
Construct of TTM : Stages of Change
Pre-Contemplation, Contemplation, Preparation, Action, (Relapse), Maintenance. Can exit or enter at any stage.
No intention of taking action within the next six months. "I won't" or "I can't"
Strategy to change Pre-Contemplation
Increase awareness about need for change. Personalize information about risk and benefits.
Planning to take action within next six months. "I may"
Strategy to change Contemplation
Motivate - encourage specific plans
Planning to take action within the next 30 days and has taken some behavioral steps towards this. "I will"
Strategy to change Preparation
Help develop concrete plans & set goals
Has changed behavior for less than six months. "I am"
Strategy to change Action
Assists with feedback, social support, and reinforcement
Has changed behavior for more than six months. "I still am"
Strategy to keep Maintenance
Help cope with changes, give reminders, try to prevent relapse
Construct of TTM: Processes of Change
Cognitive Processes and Behavioral Processes
Consciousness raising, Dramatic relief, Self reevaluation, Environmental reevaluation, Social liberation
Stimulus control, Helping relationships, Counter conditioning, Reinforcement management, Self-liberation
Getting the facts
Being moved emotionally
Creating a new self image
Considering how your behavior effects others
Noticing social trends
Using cues (managing your environment)
Getting social support
Making a commitment
A persons confidence in their ability to successfully perform an action. Originated by Bandura.
What are the four constructs of Self-efficacy?
Mastery experience, vicarious experience, verbal persuasion, physical/emotional states
Represents a mental weighing of the importance of the pros and cons the person has associated with changing the behavior.
According to Decisional Balance, implications for behavior change are based on:
1. Enhancing the perceptions of the advantages of changing the behavior 2. Minimizing the perceptions of the barriers to changing behavior
Why is Decisional Balance so critical during the Contemplation stage?
Because this is the stage where an affirmative decision is made to change behavior
Limitations to TTM
Researchers have found that this approach does not work well with children and adolescence, especially with substance abuse.
What level of influence is the TTM?
How is TTM used as a theoretical framework to guide health promotion intervention?
1. To assess an individuals readiness to act (i.e. which stage is the person in?) 2. To facilitate change using evidence-based stage matched interventions or tailor strategies (guided by the processes of change)