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Unit 1

Study Guide -- Behavior Change

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One of the most powerful forces in human behavior is self-fulfilling prophecy. If a person believes something strongly enough and that something is in the realm of possibilities, they will do everything in their power to make sure it comes true.

- M. Samuelson

Transtheoretical Model of Behavior Changes (Stages of Change Model) has four dimensions. The first dimension is the 'Stage' of a current behavior.

Termination
Maintenance Lapse
Action Resumption
Preparation Resumption Relapse
Contemplation Resumption
Precontemplation Resumption Collapse
Cardinal, Brad (2001, November). The Transtheoretical Model of Behavior Change. Presentation handouts presented in a Health Behaviors class at Oregon State University, Corvallis, OR.

Stages of Change

  • Precontemplation: “Never”
  • Contemplation: “Someday”
  • Preparation “Soon”
  • Action: “Now”
  • Maintenance: “Forever”

Precontemplation

  • Failure to recognize or acknowledge a problem behavior
  • No intention to change habit
  • Strategies:
    • Learn more about benefits of giving up a problem behavior
    • Give information with compassion

Contemplation

  • Acknowledgement of a problem
  • Attempts to understand the problem behavior and what caused it
  • Strategies
    • Encourage individual to set a date for behavior change
    • Visualize how things might be different with this behavior change

Preparation

  • Planning behavior change within the next month
  • Creating a plan of action to change
  • Determining strategies for change
  • Strategies
    • Write up a specific plan of action
    • Discuss with supportive others
    • Group classes
    • Self-help materials

Action

  • Changes are being made
  • Establish routine
  • Adjust goals to assure they are realistic
  • Strategies
    • Stick to plan
    • Continue to seek supportive others
    • Determine appropriate rewards for progress

Maintenance

  • Keep up changes that have been made
  • Recognize and plan for triggers to relapse
  • Lifelong process
  • Strategies
    • Continue to recognize behavior as part of identity and lifestyle
    • Know that any slips are part of normal behavior change and an opportunity to learn

Behavior Change

  • Continuum of stages, with likelihood of recycling through the stages
  • Linear progression is possible, but a rare phenomenon
  • Strong support from friends, family, coworkers can be helpful at each stage

 

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