Abstract
This chapter aims to present the Transtheoretical Model of Behavioral Change (TTM) and its main constructs. The intention is to expose the applicability in the treatment of substance dependence and it explains how the model is structured. TTM has two central constructs: the Stages of Change and the Mechanisms of Change. The Stages of Change are called the temporal part of the model, with a definition of stages in relation to the motivation of a person. The Stages of Change are Precontemplation, Contemplation, Preparation, Action, and Maintenance. In addition to the stages, an explanation about the Mechanisms of Change will be carried out in the text. The mechanisms are the “gears” that make people change motivational stages. Mechanisms of change are the self-efficacy, the temptation to return to drug use, the decision-making balance (pros and cons), the processes of change, and the external factors. Many research works were cited in order to illustrate the applicability of the model in different contexts. And finally, the main instruments of evaluation of TTM in Brazil have been described. In light of the above, it is clear promising results the model has to offer in the treatment of substance abuse.
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Del Rio Szupszynski, K.P., de Ávila, A.C. (2021). The Transtheoretical Model of Behavior Change: Prochaska and DiClemente’s Model. In: Andrade, A.L.M., De Micheli, D., Silva, E.A.d., Lopes, F.M., Pinheiro, B.d.O., Reichert, R.A. (eds) Psychology of Substance Abuse. Springer, Cham. https://doi.org/10.1007/978-3-030-62106-3_14
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