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The Transtheoretical Model of Health Behavior Change

THE S CIENCEOFHEALTHPROMOTIONB ehavior ChangeThe Transtheoretical Model of Health BehaviorChangeJames O. Prochaska, Wayne F. VelicerAbstractThe Transtheoretical Model posits that Health Behavior Change involves progress throughsix stages of Change : precontemplation, contemplation, preparation, action, maintenance,and termination. Ten processes of Change have been identified for producing progress alongwith decisional balance, self-efficacy, and temptations. Basic research has generated a ruleof thumb for at-risk populations: 40 % in precontemplation, 40 % in contemplation, and20% in preparation. Across 12 Health behaviors, consistent patterns have been found be-tween the pros and cons of changing and the stages of Change .

stance abuse, anxiety and panic dis-orders, delinquency, eating disorders and obesity, high-fat diets, AIDS pre-vention, mammography screening, medication compliance, unplanned pregnancy prevention, pregnancy and smoking, ration testing, seden-38 American Journal of Health Promotion

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