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Five Basic ‘Stages of Change’ Model or  Stages or Transtheoretical Model ("TTM") -

I.           was developed in 1982 by James O. Prochaska and Carlo Diclemente, co-authors of "Changing for Good: A Revolutionary Six-Stage Program for Overcoming Bad Habits and Moving Your Life Positively Forward" (Collins) which is arguably the dominant model of individuals changing their Lifestyle Behaviour, that is to -

            a)        reduce Physical Inactivity and/or Recreational Drug Abuse, and/or desisting problem gambling etc; and

            b)        maintain a Healthy Diet and life a healthy Lifestyle by maintaining Personal Health And Fitness.

            The authors contend that it is normal for people to require several trips through the below five stages to achieve lasting change - relapse is viewed as a normal part of the change process, as opposed to a complete failure. 

II.          was an integral treatment featured on Dept of H&A Lifescripts website for GPs to apply when assisting patients improve their Lifestyle Behaviour which mysteriously in Feb 2008 was deleted from Dept of H&A Lifescripts website.  For a few years up until Feb 2008, Dept of H&A was providing courses to train GPs to learn Motivational Interviewing Techniques to successfully administer the below illustrated Five Basic ‘Stages of Change’ which would take, on average, several months to progress through.  See Slide 14 of 35 slides at  Lifescripts: A whole of practice approach to prevention.  Three months earlier on 12 November 2007 the Business Plan Developer had written to CEO of NHMRC of Australia and asserted that GPs were incapable of performing the Final Three Stages.  The Business Plan Developer asserted, however, that lower cost RECs could perform the Final Three Stages with aplomb which would Reduce Supplementary Patient Guidance Role of GPs. 
Application of the Five Basic ‘Stages of Change’ has mysteriously reappeared in the “Measure Up” campaign.  This re-emergence is baffling  because this model contains the below explained Ten Processes Of Change which, unless support is provided to GPs to follow thru these ten individual processes, application of the Five Basic ‘Stages of Change’ model is not viable, yet the Mass Media “Measure Up” campaign Case Study: Chronic Disease Prevention and Management and the “Measure Up” Campaign has provided to GPs the Five Basic ‘Stages of Change' Model as a 'guide', but to do what?

III.         entails the following five distinct psychological stages of change -

            A.         explained on Department of Health and Ageing website as at October 2007 titled Lifestyle Prescriptions - Lifescripts (now blocked) but the Business Plan Developer previously downloaded it from Lifescripts - tools for GPs to use when providing lifestyle advice to patients and summarised in Annexure C(ii)(e): 

     1st          Uninterested, unaware or unwilling to make a change (pre-contemplation).

     2nd         Consider a change (contemplation).

     3rd          Decide and prepare to make a change (determination/preparation)

     4th          Implement genuine, determined action (action)

     5th          Over time, attempts to maintain the new behaviour occur (maintenance) -  the researchers conceptualized "relapse" (recycling) which is not a stage in itself but rather the "return from action or maintenance to an earlier stage"

B.        set out in the below diagrams:

 

 

In general, for people who are living a Negligent Lifestyle to progress through the Five Basic 'Stages Of Change' they need:

  1. A growing awareness that the advantages (the “Pros”) of changing outweigh the disadvantages (the “Cons”) — TTM calls this decisional balance
  2. Confidence that they can make and maintain changes in situations that tempt them to return to their old, unhealthy behaviour — TTM calls this self-efficacy

  3. Strategies that can help them make and maintain change — TTM calls these  Ten Processes Of Change:

  1. Consciousness-Raising—increasing awareness via information, education, and personal feedback about healthy behaviour. 
    Support from their REC ,     e-Learning and e-Research Techniques and feedback after completing their Interested Adult Application Form and Participant Progress Report

  2. Dramatic Relief—feeling fear, anxiety, or worry because of their Negligent Lifestyle Behaviour, or feeling inspiration and hope when they hear about how people are able to change to healthy behaviours.
    YELP Website, RTV Promotion and     Motivational Incentive Of RTV will provide Dramatic Relief.  

  3. Self-Re-evaluation—realizing that healthy Lifestyle Behaviour is an important part of who they are and want to be. 
    The patent mental/physical benefits become self-evident after participating in the     REA (that the Interested Adult selected) in their LDREG.

  4. Environmental Revaluation—realizing how their Negligent Lifestyle Behaviour affects others and how they could have more positive effects by changing. 
    Noticing how experiencing a     REA Is Fun & Addictive and the knock-on effect of QOL and Self-esteem.  

  5. Social Liberation—realizing that society is more supportive of a healthy Lifestyle Behaviour. 
    Making new friends amongst similarly like-minded individuals in one's     Local Community Common Bond Support Groups with LDREGs 

  6. Self-Liberation—believing in one’s ability to change and making commitments and re-commitments to act on that belief. 
    Evidencing as a Participant in a     LDREG their improved performance and weight loss, and being complimented by other Participants.

  7. Helping Relationships—finding people who are supportive of their change.
    Receiving encouragement from other Participants in one's     Local Community Common Bond Support Groups with LDREGs 

  8. Counter-Conditioning—substituting healthy ways of acting and thinking for unhealthy ways. 
    Commit To And Complete Annual Endurance Sporting Event(s)

  9. Reinforcement Management—increasing the rewards that come from positive Lifestyle Behaviour and reducing those that come from Negligent Lifestyle Behaviour.   
    Experiencing Endorphins and Adrenaline from Overdosing Human Induced Drug Only

  10. Stimulus Control—using reminders and cues that encourage Lifestyle Behaviour as substitutes for those that encourage a Negligent Lifestyle Behaviour. 
    LDREGs  provide regular REAs and     Annual Endurance Sporting Events so there is always a new Challenge.    YELP Website will provide for each Participant a Participant Personal Profile Page which includes a Physical Challenges CV to maximise each Participant's  Personal Health & Fitness and enjoyment in their LDREG.  Annual Presentation Awards Dinner.

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Some of the above is taken from http://en.wikipedia.org/wiki/Transtheoretical_model