TRANSTHEORETICAL MODEL OF CHANGE
HOW CAN YOU HELP TO MOVE CLIENT FROM CONTEMPLATION TO PREPARATION STAGE
-DECISIONAL BALANCE -DEVELOPING DISCREPANCIES -INSTILL HOPE (FOCUS ON PAST THEIR ACCOMPLISHMENTS, VALUES) -EXPLORE AND EMPHASIZE REASONS THEY WANT TO CHANGE -HELP THEM TO FIGURE OUT HOW THEY CAN REDUCE OBSTACLES (SUSTAIN TALK) -
HOW CAN YOU HELP SOMEONE MOVE FROM PREPARATION TO ACTION STAGE
-ENCOURAGE COMMITMENT TO CHANGE -SUPPORT SELF-EFFICACY -WORK WITH THEM ON DESIGNING AND DISCOVERING, EXPERIMENTING ACTIONS (GOALS) -SCHEDULING AND ACCOUNTABILITY
HOW CAN YOU MOVE CLIENT FROM PRE-CONTEMPLATION TO CONTEMPLATION
-SHOW GENUINE EMPATHY AND UNCONDITIONAL ACCEPTANCE. -FOCUS ON UNDERSTANDING WHY, WITHOUT JUDGMENT. -VALIDATE THEIR REASONS FOR THE UNHEALTHY BEHAVIORS. -LOOK FOR AREAS CLIENT STRONGLY CONNECT TO SUCH AS VALUES. -BOLSTER APPRECIATION OF PROS, AND BOLSTER HOPE
WHAT ARE THE THREE REASONS PEOPLE REMAIN IN PRE-CONTEMPLATION (3 Ds)
1. DON'T KNOW HOW TO CHANGE 2. DEMORALIZED - FAILED NUMEROUS TIME IN PAST 3. DEFENSIVE (RATIONALIZE, INTELLECTUALIZE, PROJECT, WITHDRAW, DISPLACEMENT)
WHAT ARE THE FIVE (5) PHASES IN THE TRANSTHEORETICAL MODEL OF CHANGE?
1. PRE-CONTEMPLATION (NOT READY TO CHANGE) "I WON'T/I CAN'T" 2. CONTEMPLATION (THINKING ABOUT CHANGING) "I MAY" 3. PREPARATION (PREPPING FOR ACTION) "I WILL" 4. ACTION (TAKING ACTION) "I AM" 5. MAINTENANCE (MAINTAINING POSITIVE BEHAVIOR) "I STILL AM"
HOW LONG DOES A PERSON NEED TO BE IN ACTION STAGE BEFORE MOVING TO NEXT STAGE
6 MONTHS - STUDIES SHOW THEY ARE LESS APT TO QUIT, AND AFTER THE 6 MONTH MARK IT IS LESS DEMANDING FOR THEM TO PRACTICE
ON THE CONFIDENCE RULER - WHAT IS THE MINIMUM MEASURE CLIENT SHOULD HAVE IN PREPARATION STAGE TO MOVE ON TO ACTION
7 OR AN 8 OUT OF 10 - OTHERWISE MORE WORK SHOULD BE DONE TO INCREASE CONFIDENCE AND DEAL WITH POTENTIAL OBSTACLES
HOW CAN YOU TELL A PERSON IS IN THE ACTION STAGE OF CHANGE
CLIENT IS IN "I AM" STAGE, WHERE THEY HAVE MADE A CHANGE. THIS IS THE STAGE WHERE THEY ARE PRACTICING NEW BEHAVIORS, ESTABLISHING NEW HABITS. THIS IS PHASE IS THE MOST DEMANDING
HOW CAN YOU RECOGNIZE SOMEONE IS IN PREPARATION PHASE
CLIENT USE LANGUAGE "I WILL" LANGUAGE HAVE MOSTLY OVERCOME AMBIVALENCE. THEY ARE PLANNING TO TAKE SOME CHANGE WITHIN THE NEXT MONTH.
HOW CAN YOU RECOGNIZE THAT A PERSON IS IN THE PRE-CONTEMPLATION PHASE
CLIENT USES "I WON'T" OR "I CAN'T" LANGUAGE AND ISN'T THINKING ABOUT ADOPTING A CHANGE. THEY MAY NOT BELIEVE THEY HAVE A PROBLEM, OR DON'T BELIEVE IT'S POSSIBLE TO CHANGE
TECHNIQUES TO MAINTAIN ACTION STAGE
SUPPORT SELF-EFFICACY -SUPPORT BELIEF THEY CAN SUSTAIN CHANGE
HOW CAN YOU TELL IF SOMEONE HAS MOVED TO THE CONTEMPLATION STAGE
THEY ARE USING CHANGE TALK- SUCH AS "I MAY" BUT ARE AMBIVALENT. THEY ARE EXCITED TO CHANGE BUT ARE TALKING A LOT ABOUT THE CONS OF CHANGING (SUSTAIN TALK)
WHAT ARE THE 2 D'S KEEPING A PERSON IN CONTEMPLATION
THEY HAVE A LOT OF 1) DOUBTS (A LOT OF SUSTAIN TALK) AND ARE 2) DELAYING MAKING THE CHANGE (ARE STUCK TALKING ABOUT PLANNING WITHOUT TAKING ACTION). PEOPLE MAY STAY IN CONTEMPLATION PHASE A LONG TIME.
HOW DO YOU RECOGNIZE THE MAINTENANCE STAGE OF CHANGE
THIS IS THE "I STILL AM" PHASE AND IT'S USUALLY 6 MONTHS AFTER THEY'VE BEGUN PRACTICING THE CHANGE AND IT BECOMES A HABIT SO IT BECOMES EASIER TO PRACTICE, AND CLIENT HAS A LOT MORE CONFIDENCE.
