Application of Trans Theoretical Model for Behavioral Changes Essay

Excerpt from Essay :

Trans-Theoretical Model for Health Behaviors

The adoption of a healthier and new clinical behavior consists of multiple factors. The Roger's diffusion theory is helpful in adopting specific clinical health behaviors. Roger identifies compatibility, relative advantages, complexity, observability, and trialability as the elements that determine a change clinical behavior. (Sanson-Fisher, 2004).

Moreover, the TTM ("Trans-theoretical Model of Behavioral Change") (James & Wayne, 1997 p 38) is one of the most popular theoretical models used to modify a health behavior. The TTM focuses on decision-making with reference to the abilities of an individual rather biological and social influences on human behavior. The paper uses the TTM for the implementation plan for heathier changes of diabetes patients.

Overview of the TTM

The trans-theoretical model of health behavioral changes involves six changes: Contemplation, preparation, pre-contemplation, maintenance, action and termination. In essence, the model assesses the individual readiness to employ a healthier behavior as well providing a process or strategy to achieve changes. The trans-theoretical model involves the following stages:

Precontemplation (Not Ready): At this stage, people are not ready to take action relevant to the foreseeable future. Although, they are aware that their behaviors are problematic.

Contemplation (Getting Ready): At this stage, people starts to recognize that they have a problematic behavior, and start searching for the pros and cons of the continued actions.

Preparation (Ready): At this stage, people are wishing to take actions for their immediate future and start taking steps for the behavioral changes.

Action: At this stage, people have made overt modifications with regard to their problem behavior and start acquiring a new healthy behavior.

Maintenance: At this stage, people are able to sustain their healthy behaviors for at least six months.

Termination: An individual has zero temptation, and has been sure of not returning to the old unhealthy habit. (James & Wayne, 1997).

Application of TTM for the Implementation Plan

A health education is an effective method to apply the TTM to achieve behavioral changes among people with diabetes. Lach, Everard, Hisghstein, et al. (2004) argues that the use of health education is an effective strategy that can be employed for the application of the behavioral changes for the diabetic patients. (Campbell, 2012). The health education using the TTM consists of the following three components:

a comprehensive curriculum, an implementation strategy, and program evaluation.

Program Planning: The program should focus on using health education to enhance people…

Sources Used in Document:


Campbell, J. (2012). Diabetes Empowerment. Diabetes Technology and Therapeutics, 14

(7), 630-634.

James O. P. & Wayne, F. V. (1997) The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion.12 (1):38-48.

Lach, H.W. Everard, K.M. Hisghstein, G. et al. (2004). Application of the Transtheoretical Model to Health Education for Older Adults. Health Promotion Practice. 5 (1): 88-93.

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