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Transtheoretical Model of Behavior Change

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Encyclopedia of Behavioral Medicine

Synonyms

Stages-of-change model

Definition

The Transtheoretical Model (TTM) construes behavior change as an intentional process that unfolds over time and involves progress through a series of six stages of change (Prochaska, DiClemente, & Norcross, 1992a). TTM integrates processes and principles of change from across leading theories, hence the name Transtheoretical.

Description

Precontemplation is the initial stage in which individuals are not intending to take action in the foreseeable future, usually assessed as the next 6 months.

People can be in this stage due to a lack of awareness of the health consequences of a behavior.

Or, they can be demoralized about their abilities to change, like millions of people who have tried to lose weight multiple times in multiple ways. This stage is often misunderstood to mean that these people do not want to change.

The history of demoralized individuals indicates that they want to change, but they have given up on their abilities to change.

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References and Readings

  • Evers, K. E., Prochaska, J. O., Johnson, J. L., Mauriello, L. M., Padula, J. A., & Prochaska, J. M. (2006). A randomized clinical trial of a population and transtheoretical model-based stress-management intervention. Health Psychology, 25, 521–529.

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Correspondence to James O. Prochaska .

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Prochaska, J.O. (2013). Transtheoretical Model of Behavior Change. In: Gellman, M.D., Turner, J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1005-9_70

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  • DOI: https://doi.org/10.1007/978-1-4419-1005-9_70

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1004-2

  • Online ISBN: 978-1-4419-1005-9

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