Research Progress of the Transtheoretical Model in Postoperative Health Behavior Management of Surgical Patients

Many effective social marketing campaigns seek to change health-related behavior by utilizing various health-protective behavioral theories. In this article, we review and integrate three such theories: protection motivation theory (PMT), the extended parallel process model (EPPM), and the transtheoretical model (TTM). We highlight how EPPM and TTM can be used to refine PMT by adding insight into the decision-making process involved when consumers consider whether or not to follow a particular recommended health behavior. Specifically, the development of an integrated PMT model can provide insight into the characteristics of people more or less likely to change, what happens when persuasion fails, and what can be done to increase persuasion. Developing an integrated PMT model opens new avenues of research that have the potential to increase our understanding of behavior and assist in creating more persuasive social marketing campaigns.

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A Systematic Review and Gap Analysis of Advance Care Planning Intervention Components and Outcomes Among Cancer Patients Using the Transtheoretical Model of Health Behavior Change

Journal of Pain and Symptom Management ◽

10.1016/j.jpainsymman.2018.10.502 ◽

2019 ◽

Vol 57 (1) ◽

pp. 118-139.e6 ◽

Cited By ~ 3

Author(s):

Kristin Levoy ◽

Deborah A. Salani ◽

Harleah Buck

Keyword(s):

Systematic Review ◽

Health Behavior ◽

Cancer Patients ◽

Advance Care Planning ◽

Transtheoretical Model ◽

Gap Analysis ◽

Health Behavior Change ◽

Care Planning ◽

Advance Care ◽

Planning Intervention

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Health Behavior Change, Transtheoretical Model of

The International Encyclopedia of Communication ◽

10.1002/9781405186407.wbiech005 ◽

2008 ◽

Author(s):

Wayne F. Velicer

Keyword(s):

Health Behavior ◽

Behavior Change ◽

Transtheoretical Model ◽

Health Behavior Change

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Multiple Health Behavior Change for Weight Loss: A Scoping Review

American Journal of Health Behavior ◽

10.5993/ajhb.44.5.2 ◽

2020 ◽

Vol 44 (5) ◽

pp. 559-571

Author(s):

Megan S. Maisano ◽

Eleanor T. Shonkoff ◽

Sara C. Folta

Keyword(s):

Weight Loss ◽

Health Behavior ◽

Behavior Change ◽

Scoping Review ◽

Transtheoretical Model ◽

Cognitive Theory ◽

Health Behavior Change ◽

Risk Level ◽

Multiple Health Behavior Change ◽

Multiple Health

Objectives: In this scoping review, we examine the current state of literature on weight-related Multiple Health Behavior Change (MHBC). Specifically, we investigate: (1) MHBC versus single health behavior change (SHBC) interventions and (2) simultaneous versus sequential MHBC approaches. Secondarily, we explore (3) attributes that predict success in MHBC, and (4) the utilization of theoretical frameworks. Methods: We retrieved studies from PubMed, Web of Science, and Google Scholar within the 2000 to 2018 range. Results: MHBC interventions proved superior for long-term weight loss when compared to SHBC approaches. However, the literature is limited. Studies investigating simultaneous and sequential MHBC approaches are also limited and have mixed results. Predictive characteristics of MHBC include behavior adherence, risk level, stage of change, self-efficacy, social support, environmental barriers, and treatment approaches. Whereas evidence evaluating theory in MHBC programs remains scant, there is promising research on constructs from the Transtheoretical Model and Social Cognitive Theory. Conclusions: MHBC approaches may better support weight loss efforts. However, further research is needed to understand the effects of behavior change order and timing, predictive features of participants and interventions, and theoretical framework utilization in these weight-loss programs.

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The Transtheoretical Model of Health Behavior Change

American Journal of Health Promotion ◽

10.4278/0890-1171-12.1.38 ◽

1997 ◽

Vol 12 (1) ◽

pp. 38-48 ◽

Cited By ~ 3404

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.

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Naturopathic Management of Females with Cervical Atypia: A Delphi Process to Explore Current Practice

Integrative Medicine Insights ◽

10.4137/imi.s11088 ◽

2013 ◽

Vol 8 ◽

pp. IMI.S11088 ◽

Cited By ~ 2

Author(s):

Cynthia Ann Leaver ◽

Claiborne Miller-Davis ◽

Gwenyth R. Wallen

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Health Behavior ◽

Cervical Cancer Screening ◽

Green Tea ◽

Delphi Study ◽

Behavior Management ◽

Integrative Approach ◽

Screening Guidelines ◽

Systemic Treatments

Background Human papillomavirus is the most significant factor contributing to cervical cancer. Naturopathic doctors (NDs) implement an integrative approach to treat cervical atypia. This study explored practice consensus and variance among NDs. Methods A purposefully selected panel of six NDs participated in a modified Delphi study to validate practice. Three electronic web-based surveys were completed over nine months. Results Local and systemic treatments were included in all ND protocols. Six protocols included cervical cancer screening guidelines, green tea suppositories, and oral folic acid. Five protocols included oral green tea, diindoylemethane (DIM), and cartenoids. Four protocols incorporated Vitamin C. Two NDs considered escharotics when managing cervical atypia. All NDs included health behavior management in their protocols. Conclusion Naturopathic management of cervical atypia varies across practitioners. However, in general, elements of management include (1) cervical cancer screening guidelines, (2) local and systemic treatments, (3) health behavior/lifestyle recommendations, and (4) immune system support.

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Predicting Oral Contraceptive Continuation Using The Transtheoretical Model of Health Behavior Change

Perspectives on Sexual and Reproductive Health ◽

10.1363/4302311 ◽

2010 ◽

Vol 43 (1) ◽

pp. 23-29 ◽

Cited By ~ 10

Author(s):

Angela R. Dempsey ◽

Sara S. Johnson ◽

Carolyn L. Westhoff

Keyword(s):

Oral Contraceptive ◽

Health Behavior ◽

Behavior Change ◽

Transtheoretical Model ◽

Health Behavior Change

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Determinants of incentive preferences for health behavior change in Japan

Health Promotion International ◽

10.1093/heapro/day031 ◽

2018 ◽

Vol 34 (4) ◽

pp. 760-769

Author(s):

Toshihiko Takada ◽

Shingo Fukuma ◽

Yosuke Yamamoto ◽

Sayaka Shimizu ◽

Kakuya Nihata ◽

...

Keyword(s):

Health Behavior ◽

Behavior Change ◽

Transtheoretical Model ◽

Health Behavior Change ◽

Accurate Information ◽

Individual Preferences ◽

Incentive Program ◽

Maintenance Stage ◽

Outcome Type ◽

Action Stage

Abstract Interest in the use of incentives to promote health behavior change has been growing worldwide. However, to develop an effective incentive program, accurate information regarding individual preferences is essential. Therefore, the aim of this study was to clarify determinants of incentive preferences for health behavior change. A self-completed questionnaire survey regarding incentives for health behavior change was conducted in a Japanese village in 2015. The outcome measures were individual preferences for features of incentives, including item, frequency, type and value. The types of incentives were defined as follows: assured-type (given for participation); effort-type (given if participants make some kind of effort); and outcome-type (given if participants make achievements decided a priori). The associations with respondents’ sex, age, presence of lifestyle-related disease and stage in the transtheoretical model of health behavior change were investigated using multivariate analysis. A total of 1469 residents responded to the survey. Significant associations with preference for different incentive features were found as follows: for monetary items, female and elderly; for high frequency, female and maintenance stage; for effort-type, male, action stage and contemplation stage; and for outcome-type, maintenance stage and action stage. Our results appeared to identify determinants of incentive preferences for health behavior change. These findings are expected to promote the development of an incentive program more in tune with individual preferences.

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Measurement of Theoretical Constructs for Health Behavior

Californian Journal of Health Promotion ◽

10.32398/cjhp.v4i1.736 ◽

2006 ◽

Vol 4 (1) ◽

pp. 83-101 ◽

Cited By ~ 34

Author(s):

Colleen A. Redding ◽

Jay E. Maddock ◽

Joseph S. Rossi

Keyword(s):

Health Behavior ◽

Transtheoretical Model ◽

Measurement Theory ◽

Reliability And Validity ◽

Theory And Practice ◽

Measurement Development ◽

Sequential Process ◽

Alcohol Expectancy ◽

Future Directions ◽

Basic Measurement

Measurement theory and practice defines how well we can measure the most important constructs in the health behavior field. This article reviews the sequential process of measurement development that builds upon both theory and evidence, as well as building toward the future of measurement development. Some basic measurement theory and concepts are reviewed, including types of reliability and validity. The process of scale development and selection is described in some detail with clear advise for choosing measures and criteria for selecting items and scales. Finally two different examples of theory-based measurement development are described in detail: one of an alcohol expectancy scale grounded in Social Learning Theory, and the other of scales assessing confidence in remaining quit and temptation to smoke, grounded in the Transtheoretical model conceptualization of self efficacy. These examples illustrate two different ways that measurement development efforts can produce good scales, with different strengths. Finally, some future directions for the field are discussed within the context of health behavior measurement.

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