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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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COMMENTS POSTED


I hope you'll update your change theory entry for Stages of Change by adding an explanation of the Transtheoretical Model, which was developed out of Stages of Change and is more comprehensive and useful.

great

Printer version did not print as well as original-

Printer version did not print as well as original-

this is useless

working on my Doctoral Thesis Proposal... think i`l be using this website a lot.. Good job guys!

Very Succinct and relevant - would have been much more of value if correctly referenced so that it could be cited

The theory is awful, but this page is a very good summary. It should specify the psychologist who invented the stages of change model.

I liked the chart it made it really clear.

I found it helpfull

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