Does the Transtheoretical Model Predict Attrition in Domestic Violence Treatment Programs?

2008 ◽  
Vol 23 (4) ◽  
pp. 493-507 ◽  
Author(s):  
Normand Brodeur ◽  
Gilles Rondeau ◽  
Serge Brochu ◽  
Jocelyn Lindsay ◽  
Jason Phelps
Keyword(s):  
Domestic Violence ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Decisional Balance ◽  
Treatment Programs ◽  
Motivation To Change ◽  
Canadian French ◽  
Domestically Violent ◽  
French Speaking ◽  
Domestic Violence Treatment

Attrition in intervention programs for domestically violent men is considered to be a serious and enduring problem. Researchers have found a number of sociodemographic variables that partially explain this phenomenon; however, models based on these variables have a limited predictive power. Scott (2004) argues that a firm theoretical base is needed in future investigations of the problem and suggests the use of the transtheoretical model of behavior change (TTM), which was found to predict dropout with accuracy in other areas of behavioral change. This study investigated the relationship between four TTM constructs (Stages of Change, Decisional Balance, Self-Efficacy, and Processes of Change) and premature termination with a sample of Canadian French-speaking men (N = 302) in five domestic violence treatment programs. Contrary to the initial hypotheses, the TTM constructs did not predict dropout. Discussion investigates how social desirability bias affects results being obtained by current TTM measures and whether more motivation to change at intake necessarily relates to involvement in treatment for longer periods of time.

scholarly journals The impact on adolescents of a Transtheoretical Model-based programme on fruit and vegetable consumption

2019 ◽  
Vol 22 (13) ◽  
pp. 2500-2508 ◽  
Author(s):  
Kamer Gur ◽  
Saime Erol ◽  
Hasibe Kadioglu ◽  
Ayse Ergun ◽  
Rukiye Boluktas
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Vegetable Consumption ◽  
Daily Basis ◽  
Decisional Balance ◽  
Fruit And Vegetable ◽  
Model Based ◽  
Post Test ◽  
The Impact

AbstractObjective:The present study aimed to evaluate the impact of a Transtheoretical Model-based programme titled ‘Fruit & Vegetable-Friendly’ on the fruit and vegetable (F&V) consumption of adolescents.Design:A quasi-experimental study. The ‘Fruit & Vegetable-Friendly’, a multicomponent intervention based on the Transtheoretical Model, was completed in eight weeks. The data were collected one week before the intervention, one week after the completion of the intervention and six months after the post-test with an F&V intake questionnaire and the stages of change, processes of change (α = 0·91), situational self-efficacy (α = 0·91) and decisional balance (α = 0·90 for pros, α = 0·87 for cons) scales. Data were analysed with the Friedman, Wilcoxon and marginal homogeneity tests.Setting:A public secondary school in Istanbul, Turkey.Participants:Seven hundred and two adolescents.Results:The mean (sd) F&V intake of adolescents in the passive stages rose from the daily average at the time of the pre-test of 3·40 (1·79) portions to 5·45 (2·54) portions on the post-test and to 5·75 (2·70) portions on the follow-up test (P < 0·01). While the students in the passive stages represented 41·6 % of the participants prior to the programme, this rate fell to 23·7 % at the post-test and to 22·7 % at the follow-up. Students in the active stages first represented 58·5 % of the participants; this rate rose to 76·4 % at the post-test and to 77·2 % at the follow-up test.Conclusions:The programme was effective in increasing the amount of F&V the adolescents consumed on a daily basis.

Educational Intervention Enhances Consumers' Readiness To Adopt Food Thermometer Use When Cooking Small Cuts of Meat: An Application of the Transtheoretical Model

2005 ◽  
Vol 68 (9) ◽  
pp. 1874-1883 ◽  
Author(s):  
MASAMI T. TAKEUCHI ◽  
MIRIAM EDLEFSEN ◽  
SANDRA M. McCURDY ◽  
VIRGINIA N. HILLERS
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Intervention Program ◽  
Decisional Balance ◽  
Processes Of Change ◽  
Safety Risks ◽  
Raising Awareness ◽  
Readiness To Adopt ◽  
Educational Campaigns

An intervention to promote use of food thermometers when cooking small cuts of meat was conducted using the Transtheoretical Model. Objectives were to (i) increase use of food thermometers by home food preparers, (ii) improve consumers' attitudes regarding use of a food thermometer, and (iii) examine relationships between stages of change and decisional balance, self-efficacy, and processes of change. A randomly selected group of residents of Washington and Idaho (n = 2,500) were invited to participate in the research; 295 persons completed all phases of the multistep intervention. Following the intervention program, there was a significant increase in food thermometer use when cooking small cuts of meat (P < 0.01); those persons classified in action and maintenance stages increased from 9 to 34%. Ownership of thermometers also significantly increased (P < 0.05). The three constructs related to the Transtheoretical Model that were used in the study (decisional balance, self-efficacy, and processes of change) were very useful for examining differences among people at different stages of change because the responses for each set of questions differed positively and significantly (P < 0.01) as stages of change classifications advanced from precontemplation (no interest in thermometer use) to action and maintenance (individuals who use food thermometers). Additional educational campaigns designed to increase use of food thermometers are needed. Because most consumers are currently in the precontemplation stage, food thermometer campaigns will be most effective when they are focused on raising awareness of the food safety risks and the benefits of using food thermometers when cooking small cuts of meat.

Acceptability of a Stage-Matched Expert System Intervention for Domestic Violence Offenders

2008 ◽  
Vol 23 (4) ◽  
pp. 432-445 ◽  
Author(s):  
Deborah A. Levesque ◽  
Mary-Margaret Driskell ◽  
Janice M. Prochaska ◽  
James O. Prochaska
Keyword(s):  
Domestic Violence ◽  
Expert System ◽  
Transtheoretical Model ◽  
Intervention Program ◽  
Readiness To Change ◽  
Decisional Balance ◽  
Agency Staff ◽  
System Intervention ◽  
Male Batterer ◽  
Court Mandated

Most interventions for men who batter are standardized and “one-size-fits-all,” neglecting individual differences in readiness to change. A multimedia expert system intervention based on the transtheoretical model (the “stage model”) was developed as an adjunct to traditional court-mandated programs. The expert system assesses stage of change, decisional balance, self-efficacy, and processes of change and provides immediate individualized stage-matched feedback designed to increase readiness to end the violence. Fifty-eight male batterer intervention program clients were invited by agency staff to complete an expert system session and an evaluation of the program; 33 men were recruited at program intake and the remainder from ongoing groups. Responses to the intervention were very positive. For example, 87% of participants reported that they found the program to be easy to use, and 98% said it could probably or definitely help them change their attitudes or behaviors. Findings provide encouraging evidence of the acceptability of this stage-matched approach to intervention for domestic violence offenders.

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.

scholarly journals Ethnic Differences in Decisional Balance and Stages of Mammography Adoption

2006 ◽  
Vol 34 (2) ◽  
pp. 278-296 ◽  
Author(s):  
Regina Otero-Sabogal ◽  
Susan Stewart ◽  
Sarah J. Shema ◽  
Rena J. Pasick
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
White Women ◽  
Private Insurance ◽  
The United States ◽  
Decisional Balance ◽  
Behavioral Theories ◽  
Phone Survey ◽  
Long Time ◽  
English Speaking

Behavioral theories developed through research with mainstream, English-speaking populations have been applied to ethnically diverse and underserved communities in the effort to eliminate disparities in early breast cancer detection. This study tests the validity of the transtheoretical model (TTM) decisional balance measure and the application of the TTM stages of change in a multiethnic, multilingual sample. A random sample of 1,463 Filipino, Latino, African American, Chinese, and White women aged 40 to 74 completed a phone survey of mammography beliefs and practices. Consistent with the TTM and independent of ethnicity, decisional balance was associated with mammography stage in all five ethnic groups when controlling for socioeconomic and other factors. In addition, having private insurance and a regular physician and being a long-time resident in the United States were positively associated with mammography maintenance. The application of the TTM for mammography is supported in a multiethnic and multilingual sample.

scholarly journals Mexican validation of the decisional balance scale for exercise (Validación mexicana de la escala de balance decisional para el ejercicio)

Retos ◽  
2016 ◽  
pp. 101-105
Author(s):  
Jorge Zamarripa Rivera ◽  
Claudia Hernández-Soto ◽  
Germán Hernández-Cruz
Keyword(s):  
Internal Consistency ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Decisional Balance ◽  
Nuevo Leon ◽  
Balance Scale ◽  
Nuevo León ◽  
Age Range ◽  
Benefits And Costs ◽  
Nomological Validity

Decisional balance is a process that allows people to compare perceived benefits and costs of a certain behavior such as exercising. The aims of the present study were: to translate a Decisional Balance Scale for physical exercise (EBD-E); to adapt it to the Mexican context; to examine its factorial structure; and to assess its internal consistency and nomological validity. The sample was composed by 530 individuals from the urban area of Monterrey, Nuevo Leon, Mexico (48.2% males and 51.8% females; average age = 33.22 ± 15.27; age range = 11-76). Results from both exploratory and confirmatory factorial analyses confirmed the structural validity of the Mexican version of EBD-E, as satisfactory values were obtained for the coefficients of internal consistency. The variance of benefits, costs, and decisional balance through the stages of change was in line with the transtheoretical model, thus supporting the nomological validity of the Mexican version of EBD-E.Resumen. El balance decisional es el proceso mediante el cual las personas comparan los beneficios frente a los costos percibidos de realizar un comportamiento, por ejemplo, realizar ejercicio. Los objetivos del presente estudio fueron traducir y adaptar al español hablado en México la escala de balance decisional para el ejercicio físico (EBD-E), examinar su estructura factorial y analizar su consistencia interna y validez nomológica. La muestra estuvo compuesta por 530 personas (48.2% varones y 51.8% mujeres; Medad= 33.22 años; DT=15.27; Rango= 11-76), que viven en el área metropolitana de la ciudad de Monterrey, Nuevo León (México). Los resultados del análisis factorial exploratorio como los del confirmatorio brindan apoyo a la validez factorial de la versión mexicana de la EBD-E. Los resultados mostraron coeficientes de consistencia interna satisfactorios. La variación de los pros, contras y el balance decisional a través de las etapas de cambio se presentó conforme a los postulados establecidos en el modelo transteórico brindando apoyo a la validez nomológica de la versión mexicana de la escala de balance decisional para el ejercicio (EBD-E).

Self-efficacy, decisional balance and the stages of change for smoking cessation in a German sample

1999 ◽  
Vol 58 (2) ◽  
pp. 101-110 ◽  
Author(s):  
Stefan Keller ◽  
Claudio R. Nigg ◽  
Christian Jäkle ◽  
Erika Baum ◽  
Heinz-Dieter Basler
Keyword(s):  
Smoking Cessation ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Smoking Behavior ◽  
Linear Increase ◽  
Decisional Balance ◽  
German Sample ◽  
Effective Interventions ◽  
Relationship Of

The Transtheoretical Model (TTM) has been shown to be a powerful basis for describing and explaining behavior change and designing effective interventions. Previous research has documented its usefulness in the context of smoking cessation as well as other areas but predominantly in US samples. The goal of this study was to provide further data on the applicability of the TTM and the relationship of some of its core constructs (stage of change, self-efficacy, decisional balance) in a German sample of smokers and ex-smokers. Participants (N = 401) were ever-smokers (age M = 47 years, range 35-65, 62% male) who participated in a health check-up for cardiovascular risk factors at their general practitioner's office. For current smokers, significant differences in the number of quit attempts across the stages of change supported the criterion validity of the staging algorithm; differences in number of cigarettes per day were non-significant. Self-efficacy for non-smoking behavior showed an almost linear increase across the stages of change, with significant differences between pre-action and action stages. The pros for smoking cessation also increased significantly across the stages, mainly due to a significantly lower perception of pros by participants in the Precontemplation stage. As expected, the cons for smoking cessation decreased significantly, being lower in Action and Maintenance than in earlier stages. Although the generalizability of the results for the stage distribution is limited by the selectivity of the sample, the results underline the applicability and replicability of these TTM core constructs for smoking cessation with newly developed instruments in a German sample.

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