Stages of Change: Effective Strategies for Behavior Change

2003 ◽  
Vol 8 (6) ◽  
pp. 27-29
Author(s):  
Debra M. Vinci
Keyword(s):  
Behavior Change ◽  
Stages Of Change ◽  
Effective Strategies

scholarly journals UK Postal Delivery Workers’ Occupational Sun Safety: Using Behavior Change Theories to Identify Intervention Pathways

2019 ◽  
Vol 16 (19) ◽  
pp. 3712
Author(s):  
Jonathan Houdmont ◽  
Raymond Randall ◽  
Alistair Cheyne ◽  
Shaun Davis ◽  
Hannah Evans ◽  
...  
Keyword(s):  
Behavior Change ◽  
Stages Of Change ◽  
Sun Exposure ◽  
Control Beliefs ◽  
Structured Interviews ◽  
Protection Factor ◽  
Sun Safety ◽  
Safety Practices ◽  
Exposed Skin ◽  
Behavior Change Interventions

Postal delivery workers have substantial sun exposure. In the United Kingdom (UK) a high proportion of workers possesses a sun sensitive skin type. This population is at elevated risk for skin cancer, yet uptake of sun safety practices is low. Studies are needed to identify the underlying factors that contribute to the uptake of occupational sun safety practices that may be targeted during behavior change interventions. This study integrated the Theory of Planned Behavior (TPB) and the Transtheoretical Model’s stages of change (SoC) as guiding frameworks to identify underlying beliefs that influence UK postal delivery workers’ uptake of occupational sun safety practices. Thirty-four workers participated in semi-structured interviews that used the SoC to establish current receptiveness to and adoption of two sun safety practices (using sunscreen of at least sun protection factor (SPF) 30 on exposed skin and wearing a wide-brimmed hat when working outdoors in the summer). Beliefs underlying current practices were elicited in accordance with the TPB and stratified by the SoC. For sunscreen use and wearing a wide-brimmed hat, 64% and 3% of participants were in the action or maintenance SoC, respectively. Behavioral and control beliefs differed by SoC, with those in the earlier stages more likely than those in the latter stages to report negative attitudes to, and difficulty enacting, sun safety practices. Normative beliefs concerning the views of colleagues and employers towards sunscreen were relatively consistent across the SoC. This study highlights the need for tailored and targeted behavior change interventions. The SoC-stratified accounts of the influence of TPB components on behavior provide a basis for bespoke interventions that reflect inter-individual and inter-practice differences in their working mechanisms.

scholarly journals Stages of change and factors associated with misperceived eating behavior in obese individuals

2016 ◽  
Vol 29 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Lydiane Bragunci BEDESCHI ◽  
Aline Cristine Souza LOPES ◽  
Luana Caroline dos SANTOS
Keyword(s):  
Food Intake ◽  
Behavior Change ◽  
Eating Behavior ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Vegetable Intake ◽  
Saturated Fatty Acids ◽  
Cross Sectional ◽  
Factors Associated ◽  
Maintenance Stage

ABSTRACT Objective: To evaluate the stages of behavior change related to fat and fruit/vegetable intakes and the factors associated with misperceived eating behavior (pseudo-maintenance). Methods: This cross-sectional study collected sociodemographic, socioeconomic, health, and food intake data from obese individuals (n=103) aged ≥20 years. Stages of behavior change according to the Transtheoretical Model were measured for fat and fruit/vegetable intakes. The pseudo-maintenance stage was reclassified in subjects in the action/maintenance stage who had inappropriate food habits. Multiple logistic regression models were proposed to assess the factors associated with misperceptions. Results: The prevalences of pseudo-maintenance for fat and fruit/vegetable intakes were 23.3 and 19.4%, respectively. The factors associated with misperceived fat intake were overconsumption of saturated fatty acids (OR=3.84; 1.18-12.56) and age (OR=1.06; 1.02-1.11), and with fruit and vegetable intake, income (OR=0.99; 0.98-0.99). Conclusion: The results reveal that perceived eating behavior and actual food intake diverge from anthropometric and health data, signaling the need of different intervention strategies to raise awareness in this group for the need of modifications.

The Transtheoretical Model of Health Behavior Change

1997 ◽  
Vol 12 (1) ◽  
pp. 38-48 ◽  
Author(s):  
James O. Prochaska ◽  
Wayne F. Velicer
Keyword(s):  
At Risk ◽  
Health Behavior ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Basic Research ◽  
Health Behavior Change ◽  
Decisional Balance ◽  
Computer Based ◽  
At Risk Populations

The transtheoretical model posits that health behavior change involves progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Ten processes of change have been identified for producing progress along with decisional balance, self-efficacy, and temptations. Basic research has generated a rule of thumb for at-risk populations: 40% in precontemplation, 40% in contemplation, and 20% in preparation. Across 12 health behaviors, consistent patterns have been found between the pros and cons of changing and the stages of change. Applied research has demonstrated dramatic improvements in recruitment, retention, and progress using stage-matched interventions and proactive recruitment procedures. The most promising outcomes to date have been found with computer-based individualized and interactive interventions. The most promising enhancement to the computer-based programs are personalized counselors. One of the most striking results to date for stage-matched programs is the similarity between participants reactively recruited who reached us for help and those proactively recruited who we reached out to help. If results with stage-matched interventions continue to be replicated, health promotion programs will be able to produce unprecedented impacts on entire at-risk populations.

The Uses of Stages of Change and Language within a Forestry Context

2021 ◽  
Author(s):  
Irene G Sarmiento ◽  
Lyn M Van Swol ◽  
Bret R Shaw ◽  
Jennifer H Chung ◽  
Alanna Koshollek
Keyword(s):  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Negative Emotion ◽  
Ordinary Least Squares ◽  
Perceived Barriers ◽  
Change Model ◽  
Stages Of Change Model ◽  
Emotion Words ◽  
Professional Foresters

Abstract Advising landowners can be difficult for foresters. Landowners’ motivations towards behavior change should be considered prior to giving advice. The Stages of Change Model, also known as the Transtheoretical Model, assesses whether individuals are ready to perform new behaviors. This model was used to understand how landowner’s motivations towards behavior change affect future reforestation efforts, which could help foresters better advise landowners. Landowners from Wisconsin were recruited, reported current behaviors, and separated into either predecisional or postdecisional stages, based on self-reported stage of behavior. They received advice, reported future reforestation intentions, and provided comments. Using Ordinary Least Squares (OLS) regression and language analyses, predecisional stage perceived more barriers towards reforestation efforts and used more negative emotion words, whereas postdecisional stage reported more past habits of reforestation efforts and used more positive emotion words. Foresters should provide advice that reduces barriers for the predecisional stage and build on positive aspects of reforestation for the postdecisional stage. Study Implications: Reforestation is crucial for land management and ecosystem maintenance. Private landowners are encouraged by professional foresters to plant more trees for reforestation. However, landowners vary in reforestation efforts, and foresters must understand individual differences when advising. Results show that it is important to separate landowners into groups, using the Stages of Change Model, to determine previous behaviors affecting future reforestation and understand how language-use provides insights into what stage they are in and perceived barriers. Foresters should provide advice that reduces barriers for those with less reforestation experience and build on positive aspects of reforestation for those with more experience. These recommendations can empower more effective outreach.

Strategies for Behavior Change in Patients With Heart Failure

2004 ◽  
Vol 13 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Sara Paul ◽  
Nancee V. Sneed
Keyword(s):  
Heart Failure ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Signs And Symptoms ◽  
Lifestyle Changes ◽  
Readiness For Change ◽  
Dietary Sodium ◽  
Actual Behavior ◽  
Patients With Heart Failure

Appropriate management of chronic heart failure and its signs and symptoms requires a considerable amount of participation by patients. Behavioral changes that prevent or minimize signs and symptoms and disease progression are just as important as the medications prescribed to treat the heart failure. The most difficult lifestyle changes include smoking cessation, weight loss, and restriction of dietary sodium. The Transtheoretical Model is a framework for assessing and addressing the concept of readiness for behavior change, which occurs in a 6-step process. The model consists of 3 dimensions: the stages of change, the processes of change on which interventions are based, and the action criteria for actual behavior. The stages of change are discussed, and interventions are presented to assist patients with heart failure in progressing through those stages toward maintenance of changed lifestyle behaviors. Methods for measuring the level of readiness for change of patients with heart failure are also presented, because correct staging is required before appropriate interventions matched to a patient’s stage can be delivered.

scholarly journals Effective strategies for encouraging behavior change in people with diabetes

2015 ◽  
Vol 5 (6) ◽  
pp. 499-510 ◽  
Author(s):  
Korey K Hood ◽  
Marisa Hilliard ◽  
Gretchen Piatt ◽  
Carolyn E Ievers-Landis
Keyword(s):  
Behavior Change ◽  
Effective Strategies

scholarly journals Testing Stage-Specific Effects of a Stage-Matched Intervention: A Randomized Controlled Trial Targeting Physical Exercise and Its Predictors

2010 ◽  
Vol 37 (4) ◽  
pp. 533-546 ◽  
Author(s):  
Sonia Lippke ◽  
Ralf Schwarzer ◽  
Jochen P. Ziegelmann ◽  
Urte Scholz ◽  
Benjamin Schüz
Keyword(s):  
Behavior Change ◽  
Stages Of Change ◽  
Controlled Trial ◽  
Behavior Interventions ◽  
Specific Effects ◽  
Testing Stage ◽  
Health Behavior Interventions ◽  
Subsequent Behavior ◽  
Education Interventions ◽  
Health Education Interventions

Health education interventions can be tailored toward stages of change. This strategy is based on theories that predict at which stage which variables are indicative of subsequent behavior change processes. For example, planning is regarded as being effective in intenders. However, rather few studies have tested whether matched interventions are more successful for stage transitions than mismatched ones. Also very few previous studies have identified specific variables as targets of stage-matched interventions. A 2 (condition) × 2 (stages) experimental study tested the effects of stage-matched interventions for 226 participants. The stage-matched intervention moved significantly more individuals forward to action than did the control condition. Stage-specific effects were found to corroborate 78% of the assumptions. Multiple mediator analyses revealed stage-specific mechanisms, indicating that intention and planning facilitated behavior change in intenders. Thus, health behavior interventions should take stages of change into account.

Metaphors for Addiction

1987 ◽  
Vol 17 (1) ◽  
pp. 9-28 ◽  
Author(s):  
G. Alan Marlatt ◽  
Kim Fromme
Keyword(s):  
Behavior Change ◽  
Stages Of Change ◽  
Clinical Applications ◽  
Change Model ◽  
Addictive Behaviors ◽  
Stages Of Change Model ◽  
Flying Fish ◽  
Prevention And Treatment ◽  
Classical Myths ◽  
And Behavior

The purpose of this paper is to provide an overview of the use of metaphor to describe the addiction process. A number of classical myths and stories are described which have particular relevance for understanding addiction, including the Greek myths of Midas, Bacchus, Pandora, and Icarus. Recent theoretical accounts of the use of metaphors in psychotherapy and behavior change are reviewed, particularly those with implications for addictive behaviors. Clinical applications of metaphorical material are discussed in terms of a stages-of-change model. The paper concludes with a summary of a new allegorical tale, “Freddy the Flying Fish,” to illustrate the construction of metaphors in the prevention and treatment of addiction.

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