Application of Transtheoretical (Stages of Change) Model in Studying Attitudes and Behaviors of Adults with Hearing Loss: A Descriptive Review

AbstractHealth Behavior Change (HBC) refers to facilitating changes to habits and/or behaviors related to health. There are a number of models/theories of HBC, which provide a structured framework to better understand the HBCs of individuals. The Transtheoretical Model (TTM, aka “the Stages of Change” model) is an integrative model used to conceptualize the process of intentional behavior change and is applied to a variety of behaviors, populations, and settings. In the last few years, use of TTM by the profession of audiology has been increasing.This descriptive literature review was aimed at identifying and presenting a summary of research studies, which use TTM to study the attitudes and behaviors of adults with hearing loss.A literature review was conducted.This review included 13 empirical studies.A literature review was conducted using the EBSCOhost and included the databases Cumulative Index to Nursing and Allied Health, MEDLINE, and PsycINFO.The review suggests TTM is useful in studying the attitudes and behaviors of adults with hearing loss. There are positive associations between stages of change and help-seeking, intervention uptake, and hearing rehabilitation outcome (i.e., benefit and satisfaction). However, associations with intervention decisions and intervention use were not evident. It appears help-seeking, intervention uptake, and successful outcomes are usually displayed in people in the later stages of change as those with greater hearing loss are often in the later stages of change.Understanding the readiness toward help-seeking and uptake of intervention in people with hearing loss based on TTM may help clinicians develop more focused management strategies. However, additional longitudinal and interventional studies are needed to further test the predictive validity of the stages of change model.

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

Journal of Forestry ◽

10.1093/jofore/fvab045 ◽

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.

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Metaphors for Addiction

Journal of Drug Issues ◽

10.1177/002204268701700102 ◽

1987 ◽

Vol 17 (1) ◽

pp. 9-28 ◽

Cited By ~ 14

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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Acknowledgement of and Adjustment to Hearing Loss: Applications of the Transtheoretical Stages-of-Change Model

Perspectives on Gerontology ◽

10.1044/gero8.1.13 ◽

2003 ◽

Vol 8 (1) ◽

pp. 13-15

Author(s):

Sharon A. Lesner ◽

Patricia B. Kricos

Keyword(s):

Hearing Loss ◽

Stages Of Change ◽

Change Model ◽

Stages Of Change Model

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Stages of change in parents' discussions with their children about HIV/Aids prevention

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692008000600013 ◽

2008 ◽

Vol 16 (6) ◽

pp. 1019-1024 ◽

Cited By ~ 1

Author(s):

Stella Maia Barbosa ◽

Patrícia Neyva Pinheiro da Costa ◽

Neiva Francenely Cunha Vieira

Keyword(s):

Public School ◽

Health Services ◽

Behavior Change ◽

Stages Of Change ◽

Aids Prevention ◽

Sexual Life ◽

Change Model ◽

Stages Of Change Model ◽

Unwanted Pregnancies ◽

Hiv Aids

This study aimed to know the stages of behavior change of parents in relation to communication held with their adolescent children on sex, sexuality and HIV/Aids prevention. Prochask and Diclement' stages of change model was used. Interviews were carried out with 26 parents of adolescents from a public school in Fortaleza, CE, Brazil. Parents were classified according to the stages of change. The majority of them reported talking to their children about the issue or intending to do it, though some of them faced difficulties in doing so. The promotion of further information about HIV/Aids prevention and unwanted pregnancies is needed. Strategies should be developed jointly with families, schools and health services in order to promote better communication in the context of adolescents' family, towards a healthier sexual life for the adolescents.

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The Impact of Universal Suicide-Prevention Programs on the Help-Seeking Attitudes and Behaviors of Youths

Crisis ◽

10.1027/0227-5910/a000178 ◽

2013 ◽

Vol 34 (2) ◽

pp. 82-97 ◽

Cited By ~ 57

Author(s):

Bonnie Klimes-Dougan ◽

David A. Klingbeil ◽

Sarah J. Meller

Keyword(s):

Suicide Prevention ◽

Help Seeking ◽

Prevention Programs ◽

Universal Prevention ◽

Help Seeking Attitudes ◽

Attitudes And Behaviors ◽

Seeking Behavior ◽

And Behaviors ◽

Suicide Prevention Programs ◽

The Impact

Background: While the ultimate goal of adolescent suicide-prevention efforts is to decrease the incidence of death by suicide, a critical intermediary goal is directing youths toward effective sources of assistance. Aim: To comprehensively review the universal prevention literature and examine the effects of universal prevention programs on student’s attitudes and behaviors related to help-seeking. Method: We systematically reviewed studies that assessed help-seeking outcomes including prevention efforts utilizing (1) psychoeducational curricula, (2) gatekeeper training, and (3) public service messaging directed at youths. Of the studies reviewed, 17 studies evaluated the help-seeking outcomes. These studies were identified through a range of sources (e.g., searching online databases, examining references of published articles on suicide prevention). Results: The results of this review suggest that suicide-prevention programming has a limited impact on help-seeking behavior. Although there was some evidence that suicide-prevention programs had a positive impact on students’ help-seeking attitudes and behaviors, there was also evidence of no effects or iatrogenic effects. Sex and risk status were moderators of program effects on students help-seeking. Conclusions: Caution is warranted when considering which suicidal prevention interventions best optimize the intended goals. The impact on adolescents’ help-seeking behavior is a key concern for educators and mental-health professionals.

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