Transtheoretical model

From WikiMD's Food, Medicine & Wellness Encyclopedia

Transtheoretical Model (TTM) is a psychological theory that describes the process of intentional behavior change. It was developed by James O. Prochaska and Carlo C. DiClemente in the late 1970s and has been widely applied in various fields, including health psychology, addiction, and behavioral medicine.

Overview[edit | edit source]

The Transtheoretical Model posits that behavior change is a process that occurs over time and involves progress through a series of six stages. These stages are: precontemplation, contemplation, preparation, action, maintenance, and termination.

  • Precontemplation is the stage where individuals are not yet considering a change in their behavior.
  • Contemplation is the stage where individuals are beginning to consider a change, but have not yet taken action.
  • Preparation is the stage where individuals are planning to take action in the near future.
  • Action is the stage where individuals have made specific changes in their behavior.
  • Maintenance is the stage where individuals are working to prevent relapse and consolidate the gains attained during action.
  • Termination is the stage where individuals have no temptation to relapse and the new behavior is ingrained.

The model also includes ten processes of change, which are cognitive, affective, and behavioral activities that facilitate progress through the stages of change.

Applications[edit | edit source]

The Transtheoretical Model has been applied to a wide range of behaviors including smoking cessation, weight control, exercise adoption, and alcohol abuse. It has also been used in interventions to promote health behavior change.

Criticisms[edit | edit source]

While the Transtheoretical Model has been widely used, it has also been subject to criticism. Some critics argue that the stages of change are not distinct and that individuals may move back and forth between stages. Others argue that the model does not adequately account for the social and environmental factors that influence behavior change.

See also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD