Identify the stage of change the person is

?Identify the stage of change the person is in for each scenario ( the stages and scenarios are on the file of application 5) ? Name some processes that can be put into place to advance them to the next stage for each scenarioI provide lecture 6 for more details about the assignment ( application 5 )
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Healthful Living
HEED 103
Dr. M. L. Holt
Application 5
Morgan State University
Trans-Theoretical Model and
Stages of Change
Construct
( Stages )
Description
Precontemplation
No intention to take action within the next 6
months
Contemplation
Intends to take action within the next 1 to 6
months
Preparation
Intends to take action within the next 30 days
and has taken some behavioral steps in this
decision
Action
Changed overt behavior for less than 6 months
Maintenance
Changed overt behavior for more than 6
months
Termination
No temptation to replace and 100% confidence
TTM Constructs
?
Identify the stage of change the person is
in for each scenario
?
Name some processes that can be put
into place to advance them to the next
stage for each scenario
Application Instructions
You have been smoking for 16 years and
now you are ready to stop due to health
concerns. You purchase nicotine patches
and join a 12 step program.
Scenario #1
You want to be a doctor that specializes in
foot odor. Looking at the course catalog
you need to register for a class in “Different
Smells” before graduation. First you have
enroll and take the required courses.
Scenario #2
Your high school reunion is coming up and
you want to drop those 10 pounds you
seemed to have gained. You join a gym 3
months ago and you have lost 7 pounds! 3
more to go.
Scenario #3
During a routine visit to the doctor you
would told your blood pressure is a bit
elevated, borderline hypertension. Your
intention is to try to reduce stress and get
plenty of sleep over the next 6 months and
check back.
Scenario #4
CHAPTER 4
The Transtheoretical Model
Historical Perspectives
• Late 1970s: James Prochaska from the University
of Rhode Island undertook a task to review
various theories behind psychotherapy
• 1980s: The University of Rhode Island Change
Assessment (URICA) scale was developed
• 1990s: Two scales were developed on TTM
– Readiness to Change Questionnaire (RCQ)
– Stages of Change Readiness and Treatment
Eagerness Scale (SOCRATES)
• At present enjoys the status of being the most
popular model
Stages of Behavior Change
•
•
•
•
•
•
•
Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination
General thumb rule: 40% precontemplation,
40% contemplation, 20% preparation
Construct
Description
Precontemplation
No intention to take action within the next 6 months
Contemplation
Intends to take action within the next 1 to 6 months
Preparation
Intends to take action within the next 30 days and
has taken some behavioral steps in this decision
Action
Changed overt behavior for less than 6 months
Maintenance
Changed overt behavior for more than 6 months
Termination
No temptation to replace and 100% confidence
TTM Constructs
Processes of Change
• The covert and overt activities people use to
progress through stages
• Provide important guides for intervention
programs, as process are like independent
variables that people need to apply to move
from stage to stage
Processes of Change cont.
1. Conscious raising
2. Dramatic relief
3. Self reevaluation
6. Social liberation
7. Counterconditioning
8. Stimulus control
4. Environmental reevaluation
5. Self Liberation
9. Contingency management
10. Helping relationships
Consciousness Raising
• Increased awareness of behavior
– Methods
• Feedback
• Confrontations
• Interpretations
• Important in contemplation, preparation,
and action stages
Dramatic Relief
• Transition to emotional awareness
– Psychodrama
– Role playing
– Personal testimony
– Grieving
• Important in contemplation and
preparation stages
Self-Reevaluation
• Cognitive and affective assessment of
one’s self-image
– Value clarification
– Healthy role modeling
– Mental imagery
• Important in preparation and action stages
Environmental Reevaluation
• Affective and cognitive assessment of how
one’s behavior affects the social
environment
– Empathy training
– Documentary reflection
• Important in contemplation, preparation,
and action stages
Self-Liberation
• Belief that one can change
• Commitment and recommitment
– “Skill power”
– Resolutions
– Public testimony
• Important in contemplation and
preparation stages
Helping Relationships
• Caring, trust, openness,
acceptance for behavior
change
– Rapport building
– Therapeutic alliance
– Professional calls
– Buddy systems
• Important in action and
maintenance stages
© Photos.com
Counterconditioning
• Learning of healthy coping
– Relaxation
– Assertion
– Desensitization
– Nicotine replacement
– Positive self statements
• Important in preparation, action, and
maintenance stages
Contingency Management
• Consequences for taking steps in a
particular direction
– Contingency contracts
– Overt and covert reinforcements
– Group recognition
• Important in action and maintenance
stages
Stimulus Control
• Removes cues for unhealthy habits
– Avoidance
– Environmental reengineering
– Self-help groups
• Important in action and maintenance
stages
Social Liberation
• Increase in social opportunities or
alternatives
– Smoke-free environment
– Access to healthy alternative
• Important in action and maintenance
stages

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