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Stages of Change Model

Theory Summary

1. Psychologists developed the Stages of Change Theory in 1982 to compare smokers in therapy and self-changers along a behaviour change continuum. The rationale behind "staging" people, as such, was to tailor therapy to a person's needs at his/her particular point in the change process. As a result, the four original components of the Stages of Change Theory (precontemplation, contemplation, action, and maintenance) were identified and presented as a linear process of change. Since then, a fifth stage (preparation for action) has been incorporated into the theory, as well as ten processes that help predict and motivate individual movement across stages. In addition, the stages are no longer considered to be linear; rather, they are components of a cyclical process that varies for each individual. The stages and processes, as described by Prochaska, DiClemente and Norcross (1992), are listed below.

Precontemplation: Individual has the problem (whether he/she recognises it or not) and has no intention of changing.

  • Processes:

    Consciousness raising (information and knowledge)

    Dramatic relief (role playing)

    Environmental reevaluation (how problem affects physical environment)

Contemplation: Individual recognises the problem and is seriously thinking about changing.

  • Processes:

    Self-reevaluation (assessing one's feelings regarding behavior)

Preparation for Action: Individual recognises the problem and intends to change the behaviour within the next month. Some behaviour change efforts may be reported, such as inconsistent condom usage. However, the defined behaviour change criterion has not been reached (i.e., consistent condom usage).

  • Processes:

    Self-liberation (commitment or belief in ability to change)

Action: Individual has enacted consistent behaviour change (i.e., consistent condom usage) for less than six months.

  • Processes:

    Reinforcement management (overt and covert rewards)

    Helping relationships (social support, self-help groups)

    Counterconditioning (alternatives for behaviour)

    Stimulus control (avoid high-risk cues)

Maintenance: Individual maintains new behaviour for six months or more.




2.

CONCEPT
DEFINITION APPLICATION
PRE-CONTEMPLATION
Unaware of the problem, hasn't thought about change
Increase awareness of need for change, personalise information on risks and benefits
CONTEMPLATION
Thinking about change, in the near future
Motivate, encourage to make specific plans
DECISION/DETERMINATION
Making a plan to change plans, setting gradual goals
Assist in developing concrete action
ACTION
Implementation of specific action plans
Assist with feedback, problem solving, social support, reinforcement
MAINTENANCE
Continuation of desirable actions, or repeating periodic recommended step(s)
Assist in coping, reminders, finding alternatives, avoiding slips/relapses (as applies)

Placed on the Communication Initiative site July 29 2003
Last Updated July 29 2003



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Stages of Change model

very useful information. i have particularly liked the processes required for each stage to be chieved.

Excellent articles (above)

Excellent articles (above) is most helpful.

si me puede enviar toda la informacion que esta relacionada con el mismo tema, muchas gracias.

This page has made it easier for me to understand what my instructor and our book is saying. This theory is now put into simple terms. Thank You

no examples, does not explain anything about change

i am trying to plan a health promotion project, the theory really helps in the planning process

Thanks! This is helpful info. I'm presenting it to an AODA treatment group.

Very informative. Thank you very much.

we already saw this in class

Very helpful would like more visually pleasing model, of stages of change

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