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The Transtheoretical Model of Change

The Transtheoretical Model of Change (TTM) was developed by Dr. James L. Prochaska and colleagues at the University of Rhode Island Cancer Prevention Research Center. It is a model for the stages that a person goes through in order to make a change in behavior, whether it is to quit smoking, lose weight or any other change that helps you to live a healthier life. The stages of change in this model shows you how your mind works, as you become more aware that you really must make a change. People can move backwards as well as forwards along the path to change. The steps that you take towards (or away from) change depend upon many variables: the decisions you make, the temptations you face, behaviors that are related to the problem behavior, psychology, environment, culture, economic situation, physiology, biochemistry and genetics. Staying committed to change can keep your overall movement forward.

Most importantly the model helps us understand that behavior change is not either easy or quick. We need to know where we are in our readiness to change and take appropriate actions to move to the next stage. Sometimes we slip back, and the model can help us to understand why and move forward again. Progress from one stage to the next IS success! We learn something at every stage that tells us what is going to make behavior change happen for our unique personalities and situations. There are both mental and behavioral factors involved in change. Here is a list of them with examples of how someone might experience the change process when quitting tobacco. The first five steps occur in Precontemplation and Contemplation; the last five in Preparation and Action - you have to get mentally ready before planning how to change the behavior. Click Here for example >>

Quote On Change
The real secret to being able to change is the willingness to do so. If you are to make progress at all in excavating yourself from the cycles that entrap you, you must first identify the patterns that keep you stuck.
Source: Dr. Cherie Carter-Scott, If Life is A Game, These Are The Rules, 1998, Broadway Books.

 

Adapted from "Transtheoretical Model," from the University of Rhode Island Cancer Prevention Research Center, http://www.uri.edu/research/cprc/transtheoretical.htm. Visit the website for more detailed information on TTM.
For Clinicians:
American Academy of Family Physicians, American Family Physician: A 'Stages of Change' Approach to Helping Patients Change Behavior, March 1, 2000.

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