Good day colleagues,
Hope you’re are well,
Prochaska or trans-theoretical (TTM) model of behavior change evaluates person's readiness and willingness to act on a new healthier behavior, and provides strategies, or processes of change to guide the individual through the stages of change to action and maintenance. And doubtfully the dominant model of health behavior change.
The model consists of four "core constructs":
1. "stages of change,"
2. "processes of change,"
3. "Decisional balance and self-efficacy."
Trans-theoretical model, change is a "process involving progress through a series of stages" which is pre-contemplation, contemplation, preparation, action, maintenance, termination, Relapse/Recycling “In addition, the researchers conceptualized
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Stimulus Control—using reminders and cues that encourage healthy behavior as substitutes for those that encourage the unhealthy behavior.
Decisional balance
This core construct "reflects the individual's relative weighing of the pros and cons of changing." Decision making was conceptualized by Janis and Mann as a "decisional balance sheet" of comparative potential gains and losses." Decisional balance measures, the pros and the cons, have become critical constructs in the transtheoretical model. The pros and cons combine to form a decisional "balance sheet" of comparative potential gains and losses. The balance between the pros and cons varies depending on which stage of change the individual is in.
Sound decision making requires the consideration of the potential benefits (pros) and costs (cons) associated with a behavior's consequences. TTM research has found the following relationships between the pros, cons, and the stage of change across 48 behaviors and over 100 populations studied.
• The cons of changing outweigh the pros in the Pre-contemplation stage.
• The pros surpass the cons in the middle stages.
• The pros outweigh the cons in the Action stage.
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Bargaining — The third stage involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made with a higher power in exchange for a reformed lifestyle. Other times, they will use anything valuable against another human agency to extend or prolong the life. People facing less serious trauma can bargain or seek compromise.
4. Depression — "I'm so sad, why bother with anything?"; "I'm going to die soon so what's the point?"; "I miss my loved one, why go on?"
During the fourth stage, the individual becomes saddened by the certainty of death. In this state, the individual may become silent, refuse visitors and spend much of the time mournful and sullen.
5. Acceptance — "It's going to be okay."; "I can't fight it, I may as well prepare for it."
In this last stage, individuals embrace mortality or inevitable future, or that of a loved one, or other tragic event. People dying may precede the survivors in this state, which typically comes with a calm, retrospective view for the individual, and a stable condition of emotions.
The logic is that if there is no grief, there are no stages of grief to pass. Bonanno's work has also demonstrated that absence of grief or trauma symptoms is a healthy