Section E: Change Model
The change models are change agents that could explain the ways of implementing a change process. These models explain the reason for the change, what to expect during the process and the way a change occurs. Thus, these models help one understand the various aspects of the change process (Agriculture & Life Sciences: Texas A & M University, n.d.). The transtheoretical model of health behavior change could explain my evidence-based practice (EBP) project implementation plan.
Transtheoretical Model of Health Behavior Change The transtheoretical model helps explain the patient’s behavior change related to the health aspects. As per this change agent, the patient’s purposeful behavior change consists of the cognitive and the performance-based elements. The five stages of the model are precontemplation, contemplation, preparation, action and the maintenance stage (Virginia Tech Continuing & Professional Education, n.d.).
Precontemplation Stage
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The reasons could be a lack of motivation, avoidance of information or the ignorance about the health behavior (Virginia Tech Continuing & Professional Education, n.d.). In this initial stage, the patients are still in the hospital. It is the responsibility of the discharge nurse to emphasize the importance of maintaining the blood glucose (BG) levels within the normal range while educating the patient, to prevent the surgical site infections (SSIs). The nurse should stress the need to check the patient’s BG levels at least two to three times a day and document the results in the BG monitoring chart provided to the patient at
The process of change describes how people change. These processes of change are divided into two categories; cognitive and behavioral. Cognitive is the thinking process of change and behavioral is the action process of change. The transtheoretical model suggests that people use different strategies, techniques or different amounts of each at different stages in their change process. Self-efficacy refers to confidence and an individual’s experience with confidence to perform specific behaviors in specific situations. Self-efficacy is a good predictor of behavior change. An individual with higher self-efficacy may be more likely to change a behavior even if the situation doesn’t have any positive reinforcements (Campbell, Eichhorn, Early, Caraccioli, Greely, 2012).
In everyday life many people develop habits, but it is never too late to attempt to change that bad habit to live a healthier life. For this behavioral change project, I was asked to choose a health behavior that I would like to change for the better. So, I decided that I wanted to increase the amount of water I was consuming each day. The standard recommendation on how much water an individual should consume is about 64 ounces daily. However how much a person should drink is more individualized then one might assume. Therefore, for this particular project my goal was to at least consume 64 ounces of water daily as a baseline starting point. I also had to consider days when I worked out. So, I decided that I would attempt to increase that amount
In this part of my assignment I will describe 2 different theories of behaviour change in relation to health.
Transtheoretical model research designed is used in this study. The transtheoretical model is sometimes referred to as stages of change, it is a model created to help us understand and motivate individuals to change behavior. Stages in trans-theoretical
Thank you for taking the time to read my post. Actually, I am familiar with the stages of change as I have personally applied it, about four years ago, to break some bad health habits caused by difficult life circumstances. Although the term transtheoretical model is new to me, perhaps at that moment, I was more focused on how to take “action”, a behavior that can be identified to belong to the preparation stage. After several unused gym memberships, and the feeling of being eternally stuck in the preparation stage, but with a lot of determination, I was able to progress to my current stage of change, which is the maintenance change.
The Transtheoretical Model is a theory of health behavior that suggests that behavior change is a process, not an event. There are five stages of change someone can go through while attempting to engage in positive behavior: precontemplation, no intention to act within six months; contemplation, intention to act within six months; preparation, intention to act within the next thirty days along with some behavioral steps; action, changed behavior for less than six months, maintenance, changed behavior for more than six months; termination, end of the behavior. These stages are not linear, so an individual can move up and down the stages of change indiscriminately.
In few words, studying the aspects of the health belief model, patients can accept or reject the designed and appropriate interventions. For example, if a patient is unaware of his or her risk factors for one or more diseases, direct teaching toward informing the patient about personal risk factors. If the patient is aware of the risk, but feels that the behavior change is overwhelming or unachievable, efforts on helping the patient have the ability to overcome the perceived barriers.
Noreen and Janevic (2013) believe that the success of patients’ preventive and curative interventions depends on the individual’s willingness to take responsibility for and maintain the necessary behaviors. Sadly, studies have shown that there is poor adherence to recommended changes in lifestyle and behaviors including attending scheduled appointments for treatments (which are missed 35% of the time) and compliance prescribed medication. Due to the evidence of subpar participation in preventive care such as screening and immunization efforts, behavioral scientist have dedicated more research to studying and identifying what determines individual’s health behaviors. This is how individual theories of health behavioral change were developed.
| This model has steps of how organization’s change. There are three steps 1) exploration, 2) planning, 3) action, and 4) integration. The exploration is how organization verify the need for change and acquire the necessary resources (such as expertise) to make the change. Planning involves the decision makers and technical experts and the plan is signed off by the manager. Action is completed by feedback and the replanning. The integration aligns the change with other areas in
The Transtheoretical Model of Behaviour Change (TTM) is a model of intentional change that emerged from a comparative analysis of leading theories of behaviour change and psychotherapy. The TTM is guided by a set of assumptions with the primary assumptions supposing that individuals move through stages of change and the challenges and processes one experiences differ at each given stage. This appraisal will outline the five core constructs of this model, highlighting one key strength and limitation that has been identified and conclude with a critical analysis of the models utility to inform and address behaviour change.
The Trans-Theoretical Model of change was developed by Prochaska and DiClemente in 1983 (Pro-Change Behaviour Systems, Inc., 2017) to support people in making changes in their lives. It
Social Cognitive Theory, Health Belief Model, and Transtheoretical Model of Behavior Change are the three models I chose to discuss. An electronic database searched was completed. Three articles were chosen to summarize and discuss each of the above models.
This paper will focus on theoretical approaches to health behaviors. When looking at behaviors in theory, it is important to understand what is actually possible then what realistically may be true. This paper will Identify a health behavior issue targeting a specific population and its goals in the program. Next, the paper will identify a health behavior model and/or theory to examine specific issues. Finally, this paper will include how the given model and/or theory focus on the issue and facilitating the behavior health change in the selected population within the target population.
The Trans Theoretical Model posits that health behavior change involves progress through six stages of change: pre-contemplation, contemplation, preparation, action, maintenance, and termination (Prochaska & Velicer, 1997). The theory and its constructs address critical aspects of this behavior change in a way that increasing water intake is a process rather than an event where people need to move through a series of stages when modifying behavior. The first stage of change called pre-contemplation in which people do not intend to take action in the foreseeable future, usually measured as the next six months (DiClemente et al., 2013). The second stage is the Contemplation where people intend to change in the next six months. They are more aware of the pros of changing but are also acutely aware of the cons (DiClemente et al., 2013). The stage that I believe I was at is called Preparation where people intend to take action in the immediate future, usually measured as the next month (DiClemente et al., 2013), because I have already taken some significant actions in the past year to increase my water intake. The fourth step is the action is in which people have made specific overt modifications in their lifestyles (DiClemente et al., 2013). This construct would have helped me if I applied the theory in a
The Transtheoretical Model of Behavior Change (TTM) was created by Prochaska and DiClemente. It is based on “(1) the stages of change, (2) the decisional balance scale, (3) the strong and weak principle, (4) self-efficacy, and (5) the processes of change” (Kelly, 2008, p. 149). A person’s progression through the stages depends on their perception of the advantages of adopting a healthy lifestyle (Kelly, 2008).