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The Steps of a Behavior Change Christian Esola The Transtheoretical Model Aspiring Health Professionals

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Most Comm n Misconception Behavior change is easy, I can change whenever I want.

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5 Stages of Change Pre- Contemplation Contemplation Preparation Action Maintenance

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Pre-contemplation Characteristics Denial Ignorance of Problem Not ready to make a change Strategies Encourage self- analysis Explain risks if current behavior continues

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Contemplation Getting Ready Intend to change within 6 months Pros are equal with Cons How can we make the Pros outweigh the Cons?

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Preparation Ready! Prepare to make a change within 30 days Small, obtainable goals Continued research Strategies for change created

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Action A distinct change in behavior occurs Change is consistent Visual Receives most recognition

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Maintenance The behavior changes will dictate amount of time needed Small changes = less time Big changes = more time Six months after behavior change Self efficacy is at its highest

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Termination (Step 6) Behavior change permanently adopted Zero temptation to relapse

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Can you Identify the Stage? Steve is concerned about his weight. He plans on joining a gym within the next month and began researching healthier meal options. Which stage of change is he in? Preparation

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Carol began a new diet 4 months ago. Since the diet began, she is down to her target weight and continues her healthy lifestyle. What stage is Carol in? Maintenance

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Andy is consistently late to class. His professors have tried talking to him, but he continues to show up late every week. What stage of change is Andy in? Pre- contemplation

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Factors that Influence Behavior Change Predisposing Factors Enabling Factors Reinforcing Factors 3 Factors

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Predisposing Factors Knowledge, beliefs, attitudes Based on: Life experiences Gender Age Race

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Enabling Factors Skills and abilities Available resources May be positive or negative

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Reinforcing Factors Presence or absence of support Encouragement or discouragement from those around you

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Useful links Behavior Change - Getting Started Behavior Change - Getting Started Why It's Hard to Change Why It's Hard to Change Youtube - The Transtheoretical Model Youtube - The Transtheoretical Model

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References "TTM Detailed Overview." TTM Detailed Overview. Cancer Prevention Research Center, n.d. Web. 27 Sept. 2014. "Transtheoretical Model (or Stages of Change) - Health Behavior Change." Prochange.com. N.p., n.d. Web. 26 Sept. 2014. "Behavior Change and Maintenance." NIH Office of Behavioral and Social Sciences Research (OBSSR). N.p., n.d. Web. 27 Sept. 2014.

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THANK YOU!