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Behavior Change Model: Transtheoretical Model (TTM)

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Behavior Change Model: Transtheoretical Model (TTM)

The Transtheoretical Model (TTM) is a prevalent wellness promotion approach for

beginning behavioral modification. According to Abrash Walton et al. (2022), TTM is an

integrated cognitive paradigm founded on empirical evidence for comprehending and promoting

behavior change. The TTM is based on a variety of cognitive concepts concerning changing

behavior and particular processes that might help with transformation. This framework,

established in the late 1970s by Prochaska and DiClemente, is intended to explain and ease the

procedures of behavior modification by recognizing multiple phases that persons undergo while

changing their behavior (Moreira et al., 2020; Abrash Walton et al., 2022). The TTM is divided

into five distinct phases. The first stage, Precontemplation, is characterized by indifference or

hostility toward transformation. In Contemplation acknowledges but does not completely engage

on change. The Preparation stage represents preparing for change, whereas the Action stage

incorporates conscious adjustment. The maintenance stage concentrates on maintaining fresh

habits in order to avoid relapse (Moreira et al., 2020; Abrash Walton et al., 2022). The TTM aids

in behavioral modification instruction by adapting approaches to a person's present phase of

change. It acknowledges that individual capacity to change varies, and treatments ought to be

tailored appropriately. For example, learning programs in the Precontemplation phase could

concentrate on promoting understanding of the necessity for change and dealing with

misunderstandings or opposition (Hashemzadeh et al., 2019).

A variety of impediments can obstruct learning and the endeavor of behavior

modification. One typical impediment is a shortage of awareness of the health concerns

connected with one's activities, which leads to lacking of inspiration to change (Shimazaki et al.,

2022). Furthermore, societal influences from friends and relatives who follow harmful guidelines
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might make it difficult to become free from previous habits. Finally, the dread of failure hangs

enormously - worries concerning continuing fresh habits or the chance of relapsing might

discourage people from even trying to change (Ragelienė & Grønhøj, 2020; DiClemente &

Crisafulli, 2022). The preparedness of a patient to absorb information or change has a substantial

impact on learning results. Learning is more inclined to be effective whenever a patient is at a

phase of transformation in which they are responsive and determined. Individuals who are in the

preparation, action, or maintenance phases, for example, are more receptive to learning about

and acquiring abilities linked to behavioral change (Sleet & Dellinger, 2020).
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References

Abrash Walton, A., Nageotte, N. L., Heimlich, J. E., & Threadgill, A. V. (2022). Facilitating

behavior change: Introducing the Transtheoretical Model of Behavior Change as a

conservation psychology framework and tool for practitioners. Zoo biology, 41(5), 386–

397. https://doi.org/10.1002/zoo.21704

DiClemente, C. C., & Crisafulli, M. A. (2022). Relapse on the road to recovery: Learning the

lessons of failure on the way to successful behavior change. Journal of Health Service

Psychology, 48(2), 59–68. https://doi.org/10.1007/s42843-022-00058-5

Hashemzadeh, M., Rahimi, A., Zare-Farashbandi, F., Alavi-Naeini, A. M., & Daei, A. (2019).

Transtheoretical model of health behavioral change: A systematic review. Iranian journal

of nursing and midwifery research, 24(2), 83–90.

https://doi.org/10.4103/ijnmr.IJNMR_94_17

Moreira, P. A. S., Faria, V., Cunha, D., Inman, R. A., & Rocha, M. (2020). Applying the

transtheoretical model to adolescent academic performance using a person-centered

approach: A latent cluster analysis. Learning and Individual Differences, 78, 1–9.

https://doi.org/10.1016/j.lindif.2019.101818

Ragelienė, T., & Grønhøj, A. (2020). Preadolescents’ healthy eating behavior: peeping through

the social norms approach. BMC Public Health, 20(1), 1–14.

https://doi.org/10.1186/s12889-020-09366-1

Shimazaki, T., Okoshi, H., Yamauchi, T., Takenaka, K., & Suka, M. (2022). The process of

behavioral change in individuals who are uninterested in health: a qualitative study based
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on professional health knowledge. Environmental health and preventive medicine, 27, 1-

11. https://doi.org/10.1265/ehpm.22-00072

Sleet, D. A., & Dellinger, A. M. (2020). Using behavioral science theory to enhance public

health nursing. Public health nursing (Boston, Mass.), 37(6), 895–899.

https://doi.org/10.1111/phn.12795

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