scholarly journals The Transtheoretical Model in Weight Management: Validation of the Processes of Change Questionnaire

Obesity Facts ◽  
2011 ◽  
Vol 4 (6) ◽  
pp. 433-442 ◽  
Author(s):  
Ana Andrés ◽  
Carmina Saldaña ◽  
Juana Gómez-Benito
Keyword(s):  
Weight Management ◽  
Transtheoretical Model ◽  
Processes Of Change

Prediction of Outcome for Veterans with Post-Traumatic Stress Disorder Using Constructs from the Transtheoretical Model of Behaviour Change

2007 ◽  
Vol 41 (7) ◽  
pp. 590-597 ◽  
Author(s):  
Kathleen Rooney ◽  
Caroline Hunt ◽  
Leanne Humphreys ◽  
David Harding ◽  
Miriam Mullen ◽  
...  
Keyword(s):  
Transtheoretical Model ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Symptom Severity ◽  
Stress Disorder ◽  
Readiness To Change ◽  
Processes Of Change ◽  
Post Traumatic Stress ◽  
Predictive Utility ◽  
Post Traumatic

Objective: Post-traumatic stress disorder (PTSD) is a disabling condition, sometimes unresponsive to treatment. The aim of the present study was to examine the predictive utility of constructs from the transtheoretical model of behaviour change (TTM) known to predict outcome for other disorders. Method: A sample of 50 veterans presenting for a PTSD treatment programme provided data for this longitudinal study. Variables were assessed at four time-points during the treatment programme. Multiple regression and mixed-effects regression were utilized to determine the predictive utility of variables from the TTM. Results: Allocated stage of change at the time of a 2 day introduction programme predicted follow-up symptom severity, but changes therein during treatment did not predict changes in symptom severity. However, changes in the continuous readiness-to-change variable and behavioural processes of change were predictive of such changes. Conclusions: Despite some difficulties in the application of the TTM to PTSD, the model does appear to predict treatment outcome. Veterans who have increased readiness to change and who make more use of behavioural processes of change are likely to have improved outcomes.

scholarly journals Applying the transtheoretical model to eating behaviour change: challenges and opportunities

1999 ◽  
Vol 12 (2) ◽  
pp. 281-317 ◽  
Author(s):  
Caroline C. Horwath
Keyword(s):  
Behaviour Change ◽  
Transtheoretical Model ◽  
Readiness To Change ◽  
Eating Behaviour ◽  
Decisional Balance ◽  
Classification Systems ◽  
Dietary Behaviour ◽  
Processes Of Change ◽  
Summary Table ◽  
Stage Theories

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.

scholarly journals The profile of client's readiness for change and preference to typical processes of change

Psihologija ◽  
2004 ◽  
Vol 37 (1) ◽  
pp. 89-108 ◽  
Author(s):  
Vesna Gavrilov-Jerkovic
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Readiness To Change ◽  
Readiness For Change ◽  
Transtheoretical Model Of Change ◽  
Processes Of Change ◽  
Theoretical Part ◽  
Research Author ◽  
Paper Author

In the theoretical part of this paper author considers the difficulties to define phenomenon of patient's readiness to change and proposes dimensions of transtheoretical model of change, that is, stages of change and processes as conceptual frames for exceeding those difficulties. Through the research author investigates the possibility to identify typical profiles of patient's readiness from the data about measured levels of particular stages of change. The results infer that several typical profiles of readiness can be identified and that it is possible that these profiles could be connected with tendency of patients to prefer passive or action-restructure processes of change.

Measuring the Processes of Change From the Transtheoretical Model for Physical Activity and Exercise in Overweight and Obese Adults

2016 ◽  
Vol 30 (4) ◽  
pp. 272-278 ◽  
Author(s):  
Ahmed Jerôme Romain ◽  
Paquito Bernard ◽  
Marie Hokayem ◽  
Christophe Gernigon ◽  
Antoine Avignon
Keyword(s):  
Physical Activity ◽  
Transtheoretical Model ◽  
Processes Of Change ◽  
Obese Adults ◽  
Physical Activity And Exercise

Educational Intervention Enhances Consumers' Readiness To Adopt Food Thermometer Use When Cooking Small Cuts of Meat: An Application of the Transtheoretical Model

2005 ◽  
Vol 68 (9) ◽  
pp. 1874-1883 ◽  
Author(s):  
MASAMI T. TAKEUCHI ◽  
MIRIAM EDLEFSEN ◽  
SANDRA M. McCURDY ◽  
VIRGINIA N. HILLERS
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Intervention Program ◽  
Decisional Balance ◽  
Processes Of Change ◽  
Safety Risks ◽  
Raising Awareness ◽  
Readiness To Adopt ◽  
Educational Campaigns

An intervention to promote use of food thermometers when cooking small cuts of meat was conducted using the Transtheoretical Model. Objectives were to (i) increase use of food thermometers by home food preparers, (ii) improve consumers' attitudes regarding use of a food thermometer, and (iii) examine relationships between stages of change and decisional balance, self-efficacy, and processes of change. A randomly selected group of residents of Washington and Idaho (n = 2,500) were invited to participate in the research; 295 persons completed all phases of the multistep intervention. Following the intervention program, there was a significant increase in food thermometer use when cooking small cuts of meat (P < 0.01); those persons classified in action and maintenance stages increased from 9 to 34%. Ownership of thermometers also significantly increased (P < 0.05). The three constructs related to the Transtheoretical Model that were used in the study (decisional balance, self-efficacy, and processes of change) were very useful for examining differences among people at different stages of change because the responses for each set of questions differed positively and significantly (P < 0.01) as stages of change classifications advanced from precontemplation (no interest in thermometer use) to action and maintenance (individuals who use food thermometers). Additional educational campaigns designed to increase use of food thermometers are needed. Because most consumers are currently in the precontemplation stage, food thermometer campaigns will be most effective when they are focused on raising awareness of the food safety risks and the benefits of using food thermometers when cooking small cuts of meat.

Exercise Behavior among New Zealand Adolescents: A Test of the Transtheoretical Model

2006 ◽  
Vol 18 (3) ◽  
pp. 351-363 ◽  
Author(s):  
Ralph Maddison ◽  
Harry Prapavessis
Keyword(s):  
New Zealand ◽  
Transtheoretical Model ◽  
Stage Of Change ◽  
Decisional Balance ◽  
Exercise Behavior ◽  
Change Processes ◽  
Processes Of Change ◽  
Reciprocal Relationships ◽  
Adolescent Population ◽  
Time Periods

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.

Processes of change assessment in heroin addicts following the Prochaska and DiClemente transtheoretical model

1997 ◽  
Vol 47 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Antoni Tejero ◽  
Joan Trujols ◽  
Emilia Hernández ◽  
José Pérez de los Cobos ◽  
Miquel Casas
Keyword(s):  
Transtheoretical Model ◽  
Processes Of Change ◽  
Heroin Addicts ◽  
Change Assessment

scholarly journals Transtheoretical Model-based multiple behavior intervention for weight management: Effectiveness on a population basis

2008 ◽  
Vol 46 (3) ◽  
pp. 238-246 ◽  
Author(s):  
Sara S. Johnson ◽  
Andrea L. Paiva ◽  
Carol O. Cummins ◽  
Janet L. Johnson ◽  
Sharon J. Dyment ◽  
...  
Keyword(s):  
Weight Management ◽  
Transtheoretical Model ◽  
Behavior Intervention ◽  
Management Effectiveness ◽  
Model Based

Exercise Behavior in Older Adults: A Test of the Transtheoretical Model

2007 ◽  
Vol 15 (1) ◽  
pp. 103-118 ◽  
Author(s):  
Corjena Cheung ◽  
Jean Wyman ◽  
Cynthia Gross ◽  
Jennifer Peters ◽  
Mary Findorff ◽  
...  
Keyword(s):  
Older Adults ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Decisional Balance ◽  
Community Dwelling ◽  
Exercise Behavior ◽  
Processes Of Change ◽  
Walking Behavior ◽  
Walking Program ◽  
Pros And Cons

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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