The Communication Initiative Network

Where communication and media are central to social and economic development

E-magazines


Average Rating: 4.24 out of 5 (149 ratings submitted)

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



How useful did you find the knowledge and contacts on this page to your work?


4.2
Average: 4.2 (149 votes)
Your rating: None

Post your comments (review comments from others below):

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.

COMMENTS POSTED


It seems to be a precise definition, the links are also useful for references. Thanks

this page gave me all of the relevant info i needed for my research

great succinct thanks

I would like to know about kurt lewin's change theory. what is it and how can it be applied to healthcare in nursing

I am working as a mental health counselor and we are implementing this into our work and this was so helpful.

Useful for a Change paper I need to submit next week for a graduate class.

thanks, keep up the good work.

great quick guide to change theory, I used it with Grade 8 students, was awesome

Good concise review. Already familiar with stages in depth. But nice quick resource to check stage of change.

This website is a great tool for educational purposes. Thanks for your work!

Help Seed The CI Network

Jobs and more...

Journalist/Reader Connection

What are the best possibilities for journalist-readership connections? (you may choose more than one; please add clarifying comments)