Stages Of Behavioral Changes

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[COMMUNITY MEDICINE: STAGES OF BEHAVIOURAL CHANGE]

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“Stages of Behaviour Change” is a model developed by Prochaska and DiClemente in the late 1970s.

The model proposes two key principles:

-There are several stages a person must go through before they successfully action and maintain lasting change (a stage cannot be missed)
-Change is cyclical, people will have a range of feelings at different times about their risk behaviour/s and it can involve several attempts before they achieve any lasting change

The stages are:

1)PRE-CONTEMPLATION
In this stage, people are not thinking seriously about changing and are not interested in any kind of help. People in this stage tend to defend their current bad habit(s) and do not feel it is a problem. They often underestimate the pros of changing behavior and place too much emphasis on the cons of changing behavior.

2)CONTEMPLATION
In the contemplation stage people are more aware of the personal consequences of their bad habit and they spend time thinking about their problem. Although they are able to consider the possibility of changing, they tend to be ambivalent about it. In this stage, people are on a teeter-totter, weighing the pros and cons of modifying their behavior.

3)PREPARATION
In this stage, people have made a commitment to make a change. Their motivation for changing is reflected by statements such as: “I’ve got to do something about this – this is serious. Something has to change. What can I do?”

4)ACTION
In this stage, people have recently changed their behavior and intend to keep moving forward with that behavior change. People may exhibit this by modifying their problem behavior or acquiring new healthy behaviors.

5)MAINTENANCE
In this stage, people have sustained their behavior change for a while and intend to maintain the behavior change going forward. People in this stage work to prevent relapse to earlier stages.

*RELAPSE
Along the way to permanent cessation or stable reduction of a bad habit, most people experience relapse. In fact, it is much more common to have at least one relapse than not. Relapse is often accompanied by feelings of discouragement and seeing oneself as a failure.

6)TERMINATION
In this stage, people have no desire to return to their unhealthy behaviors and are sure they will not relapse. Since this is rarely reached, and people tend to stay in the maintenance stage, this stage is often not considered in health promotion programs.

Zagazig Academic Panelist,
“Achieve the Highest, Improve Others”
Academic Bureau,
PERUBATAN Zagazig Chapter 2015/2016

Categories: General

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