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Journal articles on the topic 'Transtheoretical Model of Behavior Change'

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Published: 4 June 2021

Last updated: 1 February 2022

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1

Prochaska, James O., and Wayne F. Velicer. "The Transtheoretical Model of Health Behavior Change." American Journal of Health Promotion 12, no. 1 (September 1997): 38–48. http://dx.doi.org/10.4278/0890-1171-12.1.38.

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The transtheoretical model posits that health behavior change involves progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Ten processes of change have been identified for producing progress along with decisional balance, self-efficacy, and temptations. Basic research has generated a rule of thumb for at-risk populations: 40% in precontemplation, 40% in contemplation, and 20% in preparation. Across 12 health behaviors, consistent patterns have been found between the pros and cons of changing and the stages of change. Applied research has demonstrated dramatic improvements in recruitment, retention, and progress using stage-matched interventions and proactive recruitment procedures. The most promising outcomes to date have been found with computer-based individualized and interactive interventions. The most promising enhancement to the computer-based programs are personalized counselors. One of the most striking results to date for stage-matched programs is the similarity between participants reactively recruited who reached us for help and those proactively recruited who we reached out to help. If results with stage-matched interventions continue to be replicated, health promotion programs will be able to produce unprecedented impacts on entire at-risk populations.

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2

O’Connor, Michael J. "Exercise Promotion in Physical Education: Application of the Transtheoretical Model." Journal of Teaching in Physical Education 14, no. 1 (October 1994): 2–12. http://dx.doi.org/10.1123/jtpe.14.1.2.

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Student display of regular physical activity has been presented as a principal component of the definition of a physically educated student (National Association for Sport and Physical Education, 1991). What strategies can a physical educator employ to facilitate the adoption and maintenance of physical activity? The transtheoretical model offers an explanation of the structure of change that occurs when adults attempt to change behavior. Although the model was derived from the modification of addictive and problem behaviors, the transtheoretical model shows promise for providing a theoretical foundation for the acquisition of positive behaviors such as physical activity. This paper explains the basic constructs of the transtheoretical model and discusses application of strategies that a physical educator in postsecondary and community settings may employ to facilitate the adoption and maintenance of physical activity.

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3

Greenlee, Timothy, and Carol Surprenant. "The Transtheoretical Model of Behavior Change: An Empirical Investigation." Social Marketing Quarterly 5, no. 3 (September 1999): 76–81. http://dx.doi.org/10.1080/15245004.1999.9961067.

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4

Prochaska, James O. "Decision Making in the Transtheoretical Model of Behavior Change." Medical Decision Making 28, no. 6 (November 2008): 845–49. http://dx.doi.org/10.1177/0272989x08327068.

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5

Clement, Damien. "The Transtheoretical Model: An Exploratory Look at Its Applicability to Injury Rehabilitation." Journal of Sport Rehabilitation 17, no. 3 (August 2008): 269–82. http://dx.doi.org/10.1123/jsr.17.3.269.

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Context:The transtheoretical model has been widely used in the investigation of how people adapt to new behaviors; however, the literature appears to be lacking documentation of any assessment/s administered to injured athletes to determine their readiness for rehabilitation, which depending on the severity of the injury, could possibly represent a behavior change for that individual.Objective:To validate the application of the transtheoretical model to injury rehabilitation and assess the impact of stages of change on athletes’ adherence and compliance rates.Design:Descriptive correlational.Setting:Large Mid Atlantic Division I institution.Participants:Seventy injured athletes.Main Outcome Measures:Readiness was assessed using the Transtheoretical Model. Adherence was assessed using the percentage of rehabilitation attendance and compliance was assessed using the Sport Injury Rehabilitation Scale.Results:Participants who were advanced in their stages of change generally reported an increase in self efficacy, utilization of pros versus cons, and the use of behavioral processes instead of experiential processes of change. No significant relationships were found between stages of change and athletes’ adherence and compliance.Conclusion:Although no statistical significance was found between stages of change and adherence and compliance the results did validate the application of the transtheoretical model to injury rehabilitation.

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6

DiClemente, Carlo. "The Transtheoretical Model of Intentional Behaviour Change." Drugs and Alcohol Today 7, no. 1 (May 2007): 29–33. http://dx.doi.org/10.1108/17459265200700007.

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7

Si, Qi, Kehong Yu, Paul D. Loprinzi, Bradley J. Cardinal, Hyo Lee, Zi Yan, Fuzhong Li, and Haiqun Liu. "Promoting Exercise Behavior among Chinese Youth with Hearing Loss: A Randomized Controlled Trial Based on the Transtheoretical Model." Psychological Reports 109, no. 3 (December 2011): 896–906. http://dx.doi.org/10.2466/06.11.13.15.pr0.109.6.896-906.

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The transtheoretical model proposes that behavior change is experienced as a series of stages. Interventions tailored to these stages are most likely to be effective in progressing people through the model's hypothesized behavior change continuum. In this study, a stage-tailored, 12-week, exercise behavior intervention based on the transtheoretical model was conducted among a sample of 150 Chinese youth with hearing loss. Participants were randomized into an intervention or control group with all the core transtheoretical model constructs assessed pre-and post-intervention. Participants in the intervention group showed greater advances in their stage of exercise behavior change, decisional balance, and processes of change use compared to those in the control group. The intervention, however, was insufficient for increasing participants' self-efficacy for exercise behavior. The findings partially support the utility of the theory-based intervention for improving the exercise behavior of Chinese youth with hearing loss, while simultaneously helping to identify areas in need of improvement for future applications.

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Coombs, David W., Larry Fish, Diane Grimley, Emma Chess, William Ryan, James Leeper, Howard Miller, and Sandra Willis. "The Transtheoretical Model of Change Applied to Developing Suicidal Behavior." OMEGA - Journal of Death and Dying 44, no. 4 (June 2002): 345–59. http://dx.doi.org/10.2190/hg14-v1mx-3lw7-qgf3.

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The Transtheoretical Model of Change (TMC) is investigated as a tool for explaining and diagnosing suicidal behavior. Investigators found in a sample of 42 hospitalized suicide ideators and attempters, that most patients had progressed through the stages of change as predicted by the TMC, and that ten change processes (psychological states or experiences) defined by the TMC, were used systematically in association with specific stages of change. Women were more likely to report using the change processes than men. Investigators conclude that the TMC holds promise as a tool for understanding suicidal behavior and for designing appropriate interventions.

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9

Kowalski, Kristina, Anna Jeznach, and Holly Anna Tuokko. "Stages of driving behavior change within the Transtheoretical Model (TM)." Journal of Safety Research 50 (September 2014): 17–25. http://dx.doi.org/10.1016/j.jsr.2014.01.002.

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10

van Leer, Eva, Edie R. Hapner, and Nadine P. Connor. "Transtheoretical Model of Health Behavior Change Applied to Voice Therapy." Journal of Voice 22, no. 6 (November 2008): 688–98. http://dx.doi.org/10.1016/j.jvoice.2007.01.011.

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11

Vilela, Fabiana Andrioni De Biaze, Flávia Serebrenic Jungerman, Ronaldo Laranjeira, and Russel Callaghan. "The transtheoretical model and substance dependence: theoretical and practical aspects." Revista Brasileira de Psiquiatria 31, no. 4 (November 13, 2009): 362–68. http://dx.doi.org/10.1590/s1516-44462009005000010.

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OBJECTIVE: This paper aims to present and discuss the Transtheoretical Model and its importance for the treatment of substance abuse disorders. METHOD: A literature review was made based on articles from the last 10 years in substance use with human subjects found in PubMed (Medline) and the Scientific Electronic Library Online, as well as on the main books written by the creators of the model. From the initial collection of articles related to the Transtheoretical Model, the University of Rhode Island Assessment and substance abuse, those related to other health conditions were excluded. Although articles related to hospitalization were also excluded, as were those related to the Minnesota Model, treatment proposals were included. RESULTS: Although the TTM has been studied for over 20 years, new concerns regarding the initial idea continue to arise. Such concerns include the cross-sectional design of studies employing the model, as well as the prescriptive versus descriptive point of view. DISCUSSION: The review of the Transtheoretical Model brought intentional behavior change to light, which could broaden the understanding of addictive behaviors. Together with its concepts of processes and stages of change, the Transtheoretical Model provides professionals with the idea that the effectiveness of therapy is dependent upon the capability of the therapist to match the technique to the current motivational stage of the patient in the process of change. This demonstrates the importance of identifying the stage of change of the patient when they present for treatment. Here, we describe the principal elements of the Transtheoretical Model, as well as the instruments currently used to identify the stage of change. Finally, criticisms and limitations of the model are discussed.

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Macnee, Carol L., and Susan McCabe. "The Transtheoretical Model of Behavior Change and Smokers in Southern Appalachia." Nursing Research 53, no. 4 (July 2004): 243–50. http://dx.doi.org/10.1097/00006199-200407000-00007.

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13

Reed, Justy, Brian L. Pritschet, and David M. Cutton. "Grit, conscientiousness, and the transtheoretical model of change for exercise behavior." Journal of Health Psychology 18, no. 5 (August 17, 2012): 612–19. http://dx.doi.org/10.1177/1359105312451866.

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Ludlum, K. L., and D. G. Dolny. "THE TRANSTHEORETICAL MODEL OF BEHAVIOR CHANGE: ITS POTENTIAL USE WITH YOUTH." Medicine & Science in Sports & Exercise 31, Supplement (May 1999): S391. http://dx.doi.org/10.1097/00005768-199905001-02007.

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15

De Vet, Emely, Jascha De Nooijer, Nanne K. De Vries, and Johannes Brug. "Do the Transtheoretical Processes of Change Predict Transitions in Stages of Change for Fruit Intake?" Health Education & Behavior 35, no. 5 (August 2, 2006): 603–18. http://dx.doi.org/10.1177/1090198106289570.

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In a longitudinal study, it is examined whether the transtheoretical processes of change do predict stage transitions in fruit intake. A random sample of an existing Internet research panel resulted in a cohort of 735 adults, who were examined three times with electronic questionnaires assessing stages of change, processes of change, and fruit intake. Cross-sectional differences were found for the processes of change between precontemplation and all further stages. Experiential as well as behavioral processes increased from precontemplation to action with similar patterns. Both experiential and behavioral processes predicted forward transition out of precontemplation and forward transition into action, whereas only behavioral processes predicted forward transition out of contemplation. The results indicate that the transtheoretical processes of change predict stage transitions for fruit intake, but that the pattern of relevant processes for fruit intake is not as straightforward as outlined by the transtheoretical model of behavior change.

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Cheung, Corjena, Jean Wyman, Cynthia Gross, Jennifer Peters, Mary Findorff, and Holly Stock. "Exercise Behavior in Older Adults: A Test of the Transtheoretical Model." Journal of Aging and Physical Activity 15, no. 1 (January 2007): 103–18. http://dx.doi.org/10.1123/japa.15.1.103.

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The transtheoretical model (TTM) was developed as a guide for understanding behavior change. Little attention has been given, however, to the appropriateness of the TTM for explaining the adoption of exercise behavior in older adults. The purposes of this study were to determine the reliability of the TTM instruments and validate TTM predictions in 86 community-dwelling older adults (mean age 75.1 ± 7.0 years, 87% women) who were participants in a 16-week walking program. TTM construct scales—self-efficacy, decisional balance (pros and cons), and processes of change (behavioral and cognitive)—were generally reliable (all α > .78). Behavioral processes of change increased from baseline to follow-up, but pros, cons, and cognitive processes did not change among participants who became regular exercisers. Stage of change did not predict exercise adoption, but baseline self-efficacy predicted walking behavior. These results lend partial support to the TTM in predicting exercise behavior.

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Aamir Khan, Amna, and Syed Abid Mehdi Kazmi. "SPECIAL REPORT- SIGNIFICANCE OF TRANSTHEORETICAL MODEL." Pakistan Journal of Rehabilitation 5, no. 1 (January 1, 2016): 52–56. http://dx.doi.org/10.36283/pjr.zu.5.1/009.

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The purpose of the case study was to identify the importance of Exercise Consultation (EC) based on Transtheoretical Model (TTM) and Relapse Prevention Model. A 58 years old woman in the precontemplation phase is found to be inactive and is not willing to change the high risk behavior. On evaluation the functional status and a shuttle walk test (SWT) was performed where the level 4 out of 12 was attained initially with a peak heart rate of 130. The target was to incorporate TTM on patient in order to motivate her to proceed activities in her daily routine and move towards the action / maintenance stage. The process of changing was divided into experiential (thinking) and behavioral (doing) for the patient in order to motivate her to do physical activity. Furthermore counter-conditioning, helping relationships and self-liberation was utilized to improve the activity. Smarter goals were set up by dividing into weekly (short term), 2 monthly (intermediate) term and 4 monthly (longer) basis. Exercise adherence has found to be significantly affected by age, gender, physical as well as psychosocial well-being. Behavioral change model was found to be beneficial for the patient in cardiac rehabilitation phase 3. More significant results may be accomplished by incorporating TTM on larger scales.

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Paul, Sara, and Nancee V. Sneed. "Strategies for Behavior Change in Patients With Heart Failure." American Journal of Critical Care 13, no. 4 (July 1, 2004): 305–13. http://dx.doi.org/10.4037/ajcc2004.13.4.305.

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Appropriate management of chronic heart failure and its signs and symptoms requires a considerable amount of participation by patients. Behavioral changes that prevent or minimize signs and symptoms and disease progression are just as important as the medications prescribed to treat the heart failure. The most difficult lifestyle changes include smoking cessation, weight loss, and restriction of dietary sodium. The Transtheoretical Model is a framework for assessing and addressing the concept of readiness for behavior change, which occurs in a 6-step process. The model consists of 3 dimensions: the stages of change, the processes of change on which interventions are based, and the action criteria for actual behavior. The stages of change are discussed, and interventions are presented to assist patients with heart failure in progressing through those stages toward maintenance of changed lifestyle behaviors. Methods for measuring the level of readiness for change of patients with heart failure are also presented, because correct staging is required before appropriate interventions matched to a patient’s stage can be delivered.

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19

Kim, Youngho. "A Stage-Matched Intervention for Exercise Behavior Change Based on the Transtheoretical Model." Psychological Reports 102, no. 3 (June 2008): 939–50. http://dx.doi.org/10.2466/pr0.102.3.939-950.

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The effectiveness of a stage-matched intervention for enhancing exercise behavior was investigated with related Transtheoretical Model constructs among young Korean adults. 265 university students (147 men, 118 women; M age = 24.1 yr., SD = 3.5) enrolled in Seoul National University of Technology voluntarily participated in an 8-wk. intervention study. In order to measure exercise behavior and its related psychological constructs, the Stages of Readiness for Exercise Behavior Scale, Decision Balance Scale for Exercise, Exercise Self-efficacy Scale, Processes of Change Scale, and Leisure Time Exercise Questionnaire were used. Results indicated that the participants' exercise readiness was significantly changed in a positive way after the 8-wk. intervention. There was a significant main effect of testing time and an interaction between testing time and exercise readiness stage at baseline. There were significant interactions between testing times and groups for all Transtheoretical Model measures, implying that the stage-matched intervention can be an effective tool for increasing exercise readiness and related psychological variables. The present study provides a starting point for stage-matched interventions aimed at increasing exercise levels, and a baseline level from which to evaluate interventions.

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20

Gorely, Trish, and Sandy Gordon. "An Examination of the Transtheoretical Model and Exercise Behavior in Older Adults." Journal of Sport and Exercise Psychology 17, no. 3 (September 1995): 312–24. http://dx.doi.org/10.1123/jsep.17.3.312.

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This study examined the structure of the transtheoretical model (TM) in exercise behavior change among adults age 50–65 years (n = 583). The purpose was to examine the relationship between stage of change and the constructs of processes of change, self-efficacy, and decisional balance. The results showed that 5 of the 10 processes of change, self-efficacy, and both pros and cons make significant and unique contributions to discrimination between the stages. Specifically, the use of the processes of change was shown to fluctuate across the stages, self-efficacy was shown to increase from precontemplation to maintenance, and the balance between pros and cons was shown to change from precontemplation to maintenance. The similarity of these results to previous literature suggests that the process of behavior change hypothesized within the TM holds across different age groups and cultures. Several implications for intervention design and suggestions for further research are discussed.

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Maddison, Ralph, and Harry Prapavessis. "Exercise Behavior among New Zealand Adolescents: A Test of the Transtheoretical Model." Pediatric Exercise Science 18, no. 3 (August 2006): 351–63. http://dx.doi.org/10.1123/pes.18.3.351.

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The purpose of this study was to examine whether variables in the Transtheoretical Model (TTM) acted more as predictors than as consequences of exercise behavior (stage of change). Students from 13 New Zealand high schools (N = 1,434) completed questionnaires corresponding to variables in the TTM (i.e., stage of exercise change, processes of change, self-efficacy, and decisional balance) at two time periods separated by 6 months. Reciprocal relationships were found between exercise behavior and the TTM variables. The TTM might be a useful framework for understanding longitudinal exercise behavior in the adolescent population.

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Dempsey, Angela R., Sara S. Johnson, and Carolyn L. Westhoff. "Predicting Oral Contraceptive Continuation Using The Transtheoretical Model of Health Behavior Change." Perspectives on Sexual and Reproductive Health 43, no. 1 (December 22, 2010): 23–29. http://dx.doi.org/10.1363/4302311.

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23

Rakowski, William, Catherine A. Dube, and Michael G. Goldstein. "Considerations for extending the transtheoretical model of behavior change to screening mammography." Health Education Research 11, no. 1 (1996): 77–96. http://dx.doi.org/10.1093/her/11.1.77.

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Belton, A. B., L. Edwards, and H. Jones. "Teaching health care professionals to apply the transtheoretical model of behavior change." Diabetes Research and Clinical Practice 50 (September 2000): 19. http://dx.doi.org/10.1016/s0168-8227(00)81521-1.

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Nigg, Claudio R. "Explaining adolescent exercise behavior change: A longitudinal application of the transtheoretical model." Annals of Behavioral Medicine 23, no. 1 (February 2001): 11–20. http://dx.doi.org/10.1207/s15324796abm2301_3.

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Teoh, Lee San Chloe, and Ai-Girl Tan. "A study of the transtheoretical model of behaviour change in computer gaming." RICERCHE DI PSICOLOGIA, no. 1 (December 2011): 141–55. http://dx.doi.org/10.3280/rip2010-001008.

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Research questions about how adolescents in Singapore cope with additive gaming behavior (cyber, video, computer) were explored by applying The Transtheoretical Model (TTM) of Behavior Change. A total of 112 adolescent students from a secondary school participated in the study. All participants, aged 12 to 17, reported playing computer games for 3 hours and above every day; they each completed a demographic sheet and three scales that measured the TTM constructs explored in the study. Contrary to findings from previous studies, self efficacy measures of symptom (e.g., bad mood, long time spent in gaming) management and interpersonal skills were found to be related to the precontemplation rather than maintenance stage. In line with previous studies, decisional balance, particularly the perceived cost of behavior change, was related to the precontemplation stage, while the benefit of behavior change was related to contemplation, action and maintenance stages. In addition, boys were more likely than girls to consider the costs of changing their behavior when considering whether to quit playing computer games.

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Di Noia, Jennifer, and James O. Prochaska. "Mediating Variables in a Transtheoretical Model Dietary Intervention Program." Health Education & Behavior 37, no. 5 (June 3, 2009): 753–62. http://dx.doi.org/10.1177/1090198109334897.

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This study identified mediators of a Transtheoretical Model (TTM) intervention to increase fruit and vegetable consumption among economically disadvantaged African American adolescents ( N = 549). Single-and multiple-mediator models were used to determine whether pros, cons, self-efficacy, and stages of change satisfied four conclusions necessary for establishing mediation of intervention effects on youths’ dietary behavior. All four conclusions were satisfied for stages of change and pros in the single-mediator models and for stages in the multiple-mediator model. Stages mediated 31% of the intervention effect, and pros mediated 7% of the intervention effect in the single-mediator models. In the multiple-mediator model, stages accounted for 72% of the intervention effect. Findings add to the limited data on mediating variables in TTM dietary intervention programs. Replication studies are needed before it can be concluded that stages of change and pros are consistent mediators of TTM intervention program effects.

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Jiménez-Zazo, Fabio, Cristina Romero-Blanco, Nuria Castro-Lemus, Alberto Dorado-Suárez, and Susana Aznar. "Transtheoretical Model for Physical Activity in Older Adults: Systematic Review." International Journal of Environmental Research and Public Health 17, no. 24 (December 11, 2020): 9262. http://dx.doi.org/10.3390/ijerph17249262.

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Healthy aging makes the practice of physical activity (PA) a necessity. However, PA guidelines achievement in older adults is scarce. The use of behavioral theories such as Transtheoretical Model (TTM), helps in older adults PA promotion. The aim of this review was to identify the use of TTM for PA in older adults (>60 years). PubMed, SPORTdiscus, and Medline databases were used to conduct the search. All steps of the process followed the recommendations of the PRISMA flow-diagram. We identified eight studies: Six were descriptive cross-sectional studies, one prospective-cohort study and one with a quasi-experimental design. Only two papers evaluated the four behavior change dimensions within the same study, three evaluated the processes of change and the decisional balance, four evaluated the exercise self-efficacy and all assessed the stages of change for PA behavior. From this review, we can conclude that TTM is a useful and suitable behavior model in creating, developing, and evaluating interventions with the aim of acquiring and improving PA habits in the older adults. However, there is paucity of research in this area, and more studies including the four behavioral change dimensions are needed to analyze the effect of TTM on the promotion of PA in the older adults.

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Lowrey, Olivia, Kaitlyn Ciampaglio, Jamie L. Messerli, and Jessica D. Hanson. "Utilization of the Transtheoretical Model to Determine the Qualitative Impact of a Tribal FASD Prevention Program." SAGE Open 9, no. 1 (January 2019): 215824401882236. http://dx.doi.org/10.1177/2158244018822368.

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Alcohol consumption during pregnancy can lead to damaging effects on an infant’s health, including fetal alcohol spectrum disorders. Project Changing High-risk alcOhol use and Increasing Contraception Effectiveness Study (CHOICES), a program developed to reduce alcohol-exposed pregnancies through decreased alcohol consumption and increased birth control use, has been implemented with success in a variety of populations. The CHOICES program was structured to align with the transtheoretical model (Stages of Change), a popular public health model. Although studies have described the Stages of Change in the context of a variety of health behaviors, none have addressed the qualitatively distinct characteristics of each stage in the context of American Indian (AI) women’s alcohol and birth control use. A framework analysis of 203 participants’ written responses during their experience in the Oglala Sioux Tribe (OST) CHOICES Program was conducted. As a conceptual framework, the transtheoretical model of behavior change was applied to the participants’ experiences, with two staff reading the open-ended responses and coding based on the stage of change. Participants’ responses suggest qualitatively distinct stages as well as a progression through the stages for both behaviors during the course of the program. Many participants mentioned their children, education, and work as inspiration to decrease their unhealthy behaviors. Common barriers to behavior change were found across both behaviors. The open-ended responses uncover common themes in the experiences of the participants. These results can help inform future programs which hope to address the needs of AI communities.

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Cardinal, Bradley J., Hermann-J. Engels, and Weimo Zhu. "Application of the Transtheoretical Model of Behavior Change to Preadolescents’ Physical Activity and Exercise Behavior." Pediatric Exercise Science 10, no. 1 (February 1998): 69–80. http://dx.doi.org/10.1123/pes.10.1.69.

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The Transtheoreticai Model of behavior change was applied to a sample of 669 preadolescents (M age = 8.2) to determine whether stages of exercise could be observed. Associations between stage of exercise classification and demographic, fitness, and cognitive variables were examined. Stage of exercise classifications, on the basis of the Children’s Stage of Exercise Algorithm, were as follows: maintenance (50.8%), action (36.5%), preparation (3.1%), contemplation (4.9%), and precontemplation (4.6%). Stage of exercise was significantly related to gender, age, and grade level. Controlling for these differences, the relationship between exercise beliefs and stage of exercise was significant.

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31

Werch, Chudley E., Steven Ames, Michele J. Moore, Dennis Thombs, and Andrea Hart. "Health Behavior Insights—The Transtheoretical/ Stages of Change Model: Carlo C. DiClemente, PhD." Health Promotion Practice 10, no. 1 (January 2009): 41–48. http://dx.doi.org/10.1177/1524839908323519.

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Showcased in this article is an interview with Carlo C. DiClemente, PhD, an internationally renowned health behavior researcher and codeveloper of the Transtheoretical or Stages of Change Model. In this verbatim interview transcript, later edited by the authors and interviewee, Dr. DiClemente, he provides practical information and frank commentary on the steps to follow and pitfalls to avoid in developing, implementing, evaluating, and disseminating efficacious programs for affecting the health and well-being of individuals and populations. A concluding section summarizes key lessons learned from the professional experiences of Dr. DiClemente and discusses implications for advancing health behavior intervention practice and research.

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Cardinal, B. J., K. J. Tuominen, and P. Rintala. "CROSS-CULTURAL COMPARISON OF COLLEGE STUDENTS?? EXERCISE BEHAVIOR USING THE TRANSTHEORETICAL MODEL OF BEHAVIOR CHANGE." Medicine & Science in Sports & Exercise 34, no. 5 (May 2002): S167. http://dx.doi.org/10.1097/00005768-200205001-00932.

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Cole, Tiffany K. "Smoking cessation in the hospitalized patient using the transtheoretical model of behavior change." Heart & Lung 30, no. 2 (March 2001): 148–58. http://dx.doi.org/10.1067/mhl.2001.111249.

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Cassidy, Catherine A. "Using the Transtheoretical Model to Facilitate Behavior Change in Patients with Chronic Illness." Journal of the American Academy of Nurse Practitioners 11, no. 7 (July 1999): 281–87. http://dx.doi.org/10.1111/j.1745-7599.1999.tb00578.x.

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35

Hutchison, Andrew J., Jeff D. Breckon, and Lynne H. Johnston. "Physical Activity Behavior Change Interventions Based on the Transtheoretical Model: A Systematic Review." Health Education & Behavior 36, no. 5 (July 7, 2008): 829–45. http://dx.doi.org/10.1177/1090198108318491.

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This review critically examines Transtheoretical Model (TTM)—based interventions for physical activity (PA) behavior change. It has been suggested that the TTM may not be the most appropriate theoretical model for applications to PA behavior change. However, previous reviews have paid little or no attention to how accurately each intervention represents the TTM. Findings comprise two sections: sample characteristics of each intervention reviewed and a summary outlining the use of the TTM to develop the interventions. Results reveal numerous inconsistencies regarding the development and implementation/application of TTM-based interventions. Specifically, the majority of interventions reported to be based on the TTM fail to accurately represent all dimensions of the model. Therefore, until interventions are developed to accurately represent the TTM, the efficacy of these approaches and the appropriateness of the underpinning theoretical model cannot be determined.

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Johnson, Paige, Elizabeth A. Fallon, Brandonn S. Harris, and Bryce Burton. "Body satisfaction is associated with Transtheoretical Model constructs for physical activity behavior change." Body Image 10, no. 2 (March 2013): 163–74. http://dx.doi.org/10.1016/j.bodyim.2012.12.002.

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Moreira, Renata Andrade de Medeiros, Luana Caroline dos Santos, Mariana Carvalho de Menezes, and Aline Cristine Souza Lopes. "Eating behavior toward oil and fat consumption versus dietary fat intake." Revista de Nutrição 27, no. 4 (August 2014): 447–57. http://dx.doi.org/10.1590/1415-52732014000400006.

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Objective: To analyze whether the stages of change of the Transtheoretical Model are in accordance with the fat consumption of members of the Academia da Cidade of Belo Horizonte, Minas Gerais. Methods: This cross-sectional study included a simple random sample of users aged ≥20 years frequenting an Academia da Cidade. Eating behavior toward oil and fat consumption was evaluated by the transtheoretical model and compared with fat intake adequacy, obtained through mean fat intake was investigated by three 24-hour recalls. Anthropometric and sociodemographic data were also collected. Additionally, the stages of change were verified, after reclassification the stages of change agreed with the consumption of fatty foods, fats, and fractions. Results: A total of 131 women with a mean age of 53.9±12.1 had an average fatty acid consumption of 556.0 mL. Some participants consumed high-fat foods, lipids (20.6%), saturated (31.3%) and polyunsaturated (38.2%) fatty acids, and cholesterol (16.0%) in excess. The stages of eating behavior were significantly different after reclassification. The number of women in action and maintenance decreased in a way that in the end, 4.6% were in precontemplation, 19.8% were in contemplation, 26.0% were in preparation, 28.2% were in action, and 21.4% were in maintenance. The consumption of chicken skin; fatty salad dressing; bread, doughnuts or cake with butter/margarine; and fats, saturated fatty acids, and monounsaturated fatty acids was lower in the final stages of the transtheoretical model. Conclusion: After reclassification the algorithm is in agreement with the ingestion of high-fat foods, which denotes its applicability for the evaluation of eating behavior and for providing data to food and nutrition education actions.

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Tsuji, Taishi, Satoru Kanamori, Yasuhiro Miyaguni, and Katsunori Kondo. "Community-Level Sports Group Participation and Health Behaviors Among Older Non-Participants in a Sports Group: A Multilevel Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 2 (January 10, 2021): 531. http://dx.doi.org/10.3390/ijerph18020531.

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This study validates the relationship between community-level sports group participation and the frequency of leaving the house and transtheoretical model stages of behavior change for exercise among older individuals who did not participate in a sports group. We used cross-sectional data from the 2016 Japan Gerontological Evaluation Study. The proportion of sports group participants at the community level was calculated using the data from 157,233 older individuals living in 1000 communities. We conducted a multilevel regression analysis to examine the relationship between the proportion of sports group participants and the frequency of leaving the house (1 day/week or less) and the transtheoretical model stages of behavior change for exercise. A statistically significant relationship was observed between a high prevalence of sports group participation and lower risk of homeboundness (odds ratio: 0.94) and high transtheoretical model stages (partial regression coefficient: 0.06) as estimated by 10 percentage points of participation proportion. Older individuals, even those not participating in a sports group, living in a community with a high prevalence of sports group participation are less likely to be homebound; they are highly interested and have numerous opportunities to engage in exercise.

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Tsuji, Taishi, Satoru Kanamori, Yasuhiro Miyaguni, and Katsunori Kondo. "Community-Level Sports Group Participation and Health Behaviors Among Older Non-Participants in a Sports Group: A Multilevel Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 2 (January 10, 2021): 531. http://dx.doi.org/10.3390/ijerph18020531.

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This study validates the relationship between community-level sports group participation and the frequency of leaving the house and transtheoretical model stages of behavior change for exercise among older individuals who did not participate in a sports group. We used cross-sectional data from the 2016 Japan Gerontological Evaluation Study. The proportion of sports group participants at the community level was calculated using the data from 157,233 older individuals living in 1000 communities. We conducted a multilevel regression analysis to examine the relationship between the proportion of sports group participants and the frequency of leaving the house (1 day/week or less) and the transtheoretical model stages of behavior change for exercise. A statistically significant relationship was observed between a high prevalence of sports group participation and lower risk of homeboundness (odds ratio: 0.94) and high transtheoretical model stages (partial regression coefficient: 0.06) as estimated by 10 percentage points of participation proportion. Older individuals, even those not participating in a sports group, living in a community with a high prevalence of sports group participation are less likely to be homebound; they are highly interested and have numerous opportunities to engage in exercise.

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Fahrenwald, Nancy L., and Susan Noble Walker. "Application of the Transtheoretical Model of Behavior Change to the Physical Activity Behavior of WIC Mothers." Public Health Nursing 20, no. 4 (July 2003): 307–17. http://dx.doi.org/10.1046/j.1525-1446.2003.20408.x.

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Martinasek, Mary, Nauris Tamulevicius, Linda Gibson-Young, Justin McDaniel, Sarah J. Moss, Ines Pfeffer, and Briana Lipski. "Predictors of Vaping Behavior Change in Young Adults Using the Transtheoretical Model: A Multi-Country Study." Tobacco Use Insights 14 (January 2021): 1179173X2098867. http://dx.doi.org/10.1177/1179173x20988672.

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Electronic nicotine products remain popular among college students. These products contain heavy metals, carcinogens and the addictive substance nicotine. By understanding where students are in their behavior change can help to determine and focus messages and campaigns. The aim of this study was to assess predictors of the Transtheoretical model in college-aged vaping. This study consisted of an online/Ipad delivery of a voluntary survey to 1249 young adults/college students at 5 universities (International and within the U.S.). Data was analyzed using Stata. Regression analysis was performed to assess predictors of the stages in the Transtheoretical Model of behavior change. Our study found that women tended to be further along in the stages of change as compared to their male counterparts. Additionally, the older students were more likely to be in maintenance stage as compared to the younger students. The students who vaped longer tended to not have advance into any of the stages of change besides precontemplation. Understanding where students are in the stages of change can help to inform behavioral message campaigns enabling more focused targeting of messages and efforts to reduce consumption. Electronic nicotine products are highly prevalent on college campuses, both nationally and internationally. The nicotine is addictive and may result in less of a desire or ability to quit as young adults age.

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Gillespie, Nicole D., and Thomas L. Lenz. "Implementation of a Tool to Modify Behavior in a Chronic Disease Management Program." Advances in Preventive Medicine 2011 (2011): 1–5. http://dx.doi.org/10.4061/2011/215842.

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Chronic diseases like diabetes, hypertension, and dyslipidemia continue to be a significant burden on the US health care system. As a result, many healthcare providers are implementing strategies to prevent the incidence of heart disease and other chronic conditions. Among these strategies are proper drug therapy and lifestyle modifications. Behavior change is often the rate-limiting step in the prevention and maintenance of lifestyle modifications. The purpose of this paper is to describe a tool used to guide the progression and assess the effectiveness of a cardiovascular risk reduction program. The tool uses the Transtheoretical Model of Behavior Change to determine the readiness and confidence to change specific lifestyle behaviors pertinent to cardiovascular health. The tool aids the practitioner in developing a patient-centered plan to implement and maintain lifestyle changes and can be tailored to use in any situation requiring a behavior change on the part of the patient.

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Borschmann, Rohan, Katrina Lines, and David Cottrell. "Sun protective behaviour, optimism bias, and the transtheoretical model of behaviour change." Australian Journal of Psychology 64, no. 4 (September 12, 2012): 181–88. http://dx.doi.org/10.1111/j.1742-9536.2011.00049.x.

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Brodeur, Normand, Gilles Rondeau, Serge Brochu, Jocelyn Lindsay, and Jason Phelps. "Does the Transtheoretical Model Predict Attrition in Domestic Violence Treatment Programs?" Violence and Victims 23, no. 4 (August 2008): 493–507. http://dx.doi.org/10.1891/0886-6708.23.4.493.

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Attrition in intervention programs for domestically violent men is considered to be a serious and enduring problem. Researchers have found a number of sociodemographic variables that partially explain this phenomenon; however, models based on these variables have a limited predictive power. Scott (2004) argues that a firm theoretical base is needed in future investigations of the problem and suggests the use of the transtheoretical model of behavior change (TTM), which was found to predict dropout with accuracy in other areas of behavioral change. This study investigated the relationship between four TTM constructs (Stages of Change, Decisional Balance, Self-Efficacy, and Processes of Change) and premature termination with a sample of Canadian French-speaking men (N = 302) in five domestic violence treatment programs. Contrary to the initial hypotheses, the TTM constructs did not predict dropout. Discussion investigates how social desirability bias affects results being obtained by current TTM measures and whether more motivation to change at intake necessarily relates to involvement in treatment for longer periods of time.

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Horwath, Caroline C. "Applying the transtheoretical model to eating behaviour change: challenges and opportunities." Nutrition Research Reviews 12, no. 2 (December 1999): 281–317. http://dx.doi.org/10.1079/095442299108728965.

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AbstractThis review provides a rigorous investigation of the question of whether the transtheoretical model (TTM) (or stages of change model) is applicable to eating behaviour change. The TTM is currently the most popular of a number of stage theories being used to examine health behaviour change. Stage theories specify an ordered set of ‘stages of readiness to change’ into which people can be classified and identify the factors that can facilitate movement from one stage to the next. If eating behaviour change follows a stage process, then nutritionists could identify the predominant stage or stages in a population and focus resources on those issues most likely to move people to the next stage (e.g. from no intention of changing, to thinking about changing). In addressing this question, the review draws on the defining characteristics of stage theories as clarified by Weinstein et al. (1998), provides an in-depth coverage of methodological considerations, and a detailed summary table of dietary studies applying the TTM. Specific recommendations are made for improving the accuracy of dietary stage classifications. Among the key conclusions are: (1) dietary studies using the TTM have been hampered by a focus on nutritional outcomes such as dietary fat reduction, rather than clearly understood food behaviours (e.g. five servings of fruit and vegetables per day); (2) accurate stage classification systems are possible for food-based goals, but major misclassification problems occur with nutrient-based goals; (3) observation of an association between stage and dietary intake is not sufficient to demonstrate the validity of the model for dietary behaviour; (4) there is a need for valid questionnaires to measure all aspects of the TTM, and more research on the whole model, particularly the ‘processes of change’, rather than on single constructs such as ‘stage’ (5) cross-sectional studies generally support the predicted patterns of between-stage differences in decisional balance, self-efficacy, and processes of change; (6) studies which test the key hypothesis that different factors are important in distinguishing different stages are rare, as are prospective studies and stage-matched interventions. Only such studies can conclusively determine whether the TTM is applicable to eating behaviour. Since the ultimate test of the TTM will be the effectiveness of stage-matched dietary interventions, the review ends by exploring the requirements for such studies.

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Kraft, På, Stephen R. Sutton, and Heather McCreath Reynolds. "The transtheoretical model of behaviour change: Are the stages qualitatively different?" Psychology & Health 14, no. 3 (May 1999): 433–50. http://dx.doi.org/10.1080/08870449908407339.

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Manchaiah, Vinaya, Barbara Michiels Hernandez, and Douglas L. Beck. "Application of Transtheoretical (Stages of Change) Model in Studying Attitudes and Behaviors of Adults with Hearing Loss: A Descriptive Review." Journal of the American Academy of Audiology 29, no. 06 (June 2018): 548–60. http://dx.doi.org/10.3766/jaaa.16122.

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AbstractHealth Behavior Change (HBC) refers to facilitating changes to habits and/or behaviors related to health. There are a number of models/theories of HBC, which provide a structured framework to better understand the HBCs of individuals. The Transtheoretical Model (TTM, aka “the Stages of Change” model) is an integrative model used to conceptualize the process of intentional behavior change and is applied to a variety of behaviors, populations, and settings. In the last few years, use of TTM by the profession of audiology has been increasing.This descriptive literature review was aimed at identifying and presenting a summary of research studies, which use TTM to study the attitudes and behaviors of adults with hearing loss.A literature review was conducted.This review included 13 empirical studies.A literature review was conducted using the EBSCOhost and included the databases Cumulative Index to Nursing and Allied Health, MEDLINE, and PsycINFO.The review suggests TTM is useful in studying the attitudes and behaviors of adults with hearing loss. There are positive associations between stages of change and help-seeking, intervention uptake, and hearing rehabilitation outcome (i.e., benefit and satisfaction). However, associations with intervention decisions and intervention use were not evident. It appears help-seeking, intervention uptake, and successful outcomes are usually displayed in people in the later stages of change as those with greater hearing loss are often in the later stages of change.Understanding the readiness toward help-seeking and uptake of intervention in people with hearing loss based on TTM may help clinicians develop more focused management strategies. However, additional longitudinal and interventional studies are needed to further test the predictive validity of the stages of change model.

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Czeglédi, Edit. "The application of the transtheoretical model of behavior change for the treatment of obesity." Mentálhigiéné és Pszichoszomatika 13, no. 4 (December 2012): 411–34. http://dx.doi.org/10.1556/mental.13.2012.4.4.

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Surı́s, Alina M., Maria del Carmen Trapp, Carlo C. Diclemente, and Jennifer Cousins. "Application of the transtheoretical model of behavior change for obesity in mexican american women." Addictive Behaviors 23, no. 5 (September 1998): 655–68. http://dx.doi.org/10.1016/s0306-4603(98)00012-4.

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Oka, Koichiro. "Recent trends of research on exercise adherence utilizing the transtheoretical model of behavior change." Taiikugaku kenkyu (Japan Journal of Physical Education, Health and Sport Sciences) 45, no. 4 (2000): 543–61. http://dx.doi.org/10.5432/jjpehss.kj00003397633.

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