Stages of Change/The Transtheoretical Model

What is the Dietary Staging Algorithms?

-3 factors used for staging 1)self-rated diet 2)previous attempts to change diet 3)intention to change diet -if algorithms are valid, predictable differences in dietary behavior should exist between stages

What is the process of change?

-covert and overt activities used to progress through the stages -activity that helps to modify thinking, feeling, or behavior -nine processes that have the most empirical support

What are the applications of maintenance?

-develop strategies for "roadblocks" -revisit above strategies for relapse -encourage more difficult changes is still motivated

Stages of change emerged from what? Where did it originate? What did it identify?

-emerged from comparative analysis of leading psychotherapy and behavior change -originated from research among people who had/had not quit smoking -identified processes of change used at different times

What are the applications of contemplation?

-provide personalized information -explore emotions about change

What are the applications of action?

-provide self-help material

What are the applications of pre-contemplation?

-resolve barriers -encourage support networks -give positive feedback -clarify ambivalence about change

What are the stages of dietary change?

-self-rated perceptions of diet -substantial discrepancy frequently exists between perceived and actual dietary intake -best to avoid nutrient intake criteria for staging

What are the applications of preparation?

-set goals -reinforce small changes already made

What is the transtheoretical model of stages and change? When was it developed and by whom?

-uses stages of change to integrate processes and principles of change from across major theories of intervention -developed by Prochaska and colleagues in late 1970's

What are the nine processes of change? What are the two additional constructs?

1) consciousness raising 2) social liberation 3) emotional arousal/dramatic relief 4) self-reevaluation 5) commitment/self-liberation 6) countering/counter-conditioning 7) environmental control 8) rewards/contingency management 9) helping relationships additional constructs: decisional balance, self-efficacy

What are the stages of change?

1) pre-contemplation 2) contemplation 3) preparation 4) action 5) maintenance 6) relapse/recycle or termination

How many stages does the TTM have? How are they ordered?

6, temporally