The transtheoretical model of behaviour change: Are the stages qualitatively different?

Kraft, Pål; Sutton, Sarah; Reynolds, Heather McCreath

doi:10.1037/e536922011-064

Cited by 28 publications

(43 citation statements)

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“…Why should individuals who intend to quit within the next six months (contemplators) be in a different qualitative stage of action‐readiness than individuals who intend to quit within the next month (preparers)? In line with this reasoning, Kraft, Sutton, and McCreath Reynolds (1999) have demonstrated with a sample of Norwegian daily smokers that precontemplators, contemplators, and preparers were not at different qualitative stages, but rather at different points along an underlying continuum. Similarly, Courneya, Nigg, and Estabrooks (2000) reported that continuous measures of intention explained more variance in exercise behavior than the stage algorithm proposed by the TTM.…”

Section: Continuum Models Versus Stage Models Of Health Behavior Changementioning

confidence: 76%

Modeling Health Behavior Change: How to Predict and Modify the Adoption and Maintenance of Health Behaviors

2008

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Health-compromising behaviors such as physical inactivity and poor dietary habits are difficult to change. Most social-cognitive theories assume that an individual's intention to change is the best direct predictor of actual change. But people often do not behave in accordance with their intentions. This discrepancy between intention and behavior is due to several reasons. For example, unforeseen barriers could emerge, or people might give in to temptations. Therefore, intention needs to be supplemented by other, more proximal factors that might compromise or facilitate the translation of intentions into action. Some of these postintentional factors have been identified, such as perceived self-efficacy and strategic planning. They help to bridge the intentionbehavior gap. The Health Action Process Approach (HAPA) suggests a distinction between (a) preintentional motivation processes that lead to a behavioral intention, and (b) postintentional volition processes that lead to the actual health behavior. In this article, seven studies are reported that examine the role of volitional mediators in the initiation and adherence to five health behaviors: physical exercise, breast self-examination, seat belt use, dietary behaviors, and dental flossing. The general aim is to examine the applicability of the HAPA and its universality by replicating it across different health behaviors, based on various measures, time spans, and samples from different countries.Les comportements nuisibles à la santé tels que le manque d'exercice physique et les mauvaises habitudes alimentaires sont difficiles à modifier. La plupart des théories socio-cognitives admettent que le meilleur prédicteur d'un réel changement est l'intention que la personne a de changer. Mais la conduite est souvent en contradiction avec les intentions. La divergence entre intention et comportement est due à plusieurs raisons. Par exemple, des obstacles imprévus

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Section: Continuum Models Versus Stage Models Of Health Behavior Changementioning

confidence: 76%

Modeling Health Behavior Change: How to Predict and Modify the Adoption and Maintenance of Health Behaviors

2008

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“…First, common among most of the supporting studies they cite (but in contrast with the studies reviewed above), Herzog and Blagg (2007) tested the stage of change algorithm against single item measures of motivation (see also Etter & Sutton, 2002; Kraft, Sutton, & Reynolds, 1999; Sciamanna, Hoch, Duke, Fogle, & Ford, 2000), raising questions about the reliability of the motivational measures used to assess the validity of the staging algorithm. Second, it is plausible that Herzog and Blagg's (2007) participants may have been more motivated than smokers in the population at large because they recruited through ‘newspaper advertisements and flyers distributed at community events’ and paid participants $25 for completing the questionnaire as opposed to proactively recruiting participants from the community (cf.…”

Section: The Transtheoretical Modelmentioning

confidence: 99%

Is there utility in the transtheoretical model?

Armitage

2009

British J Health Psychol

140

106

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“…A linear trend would imply pseudostages, in which groups could be created from a continuum. [8][9][10] Most studies investigating stage models, however, have not explicitly tested for discontinuity patterns. To date, results from the few studies that have examined discontinuity patterns in the transtheoretical model (TTM 11 ) are inconsistent, warranting further research.…”

Section: Stage Models Of Health Behavior Changementioning

confidence: 99%

Stages of Change in Physical Exercise: A Test of Stage Discrimination and Nonlinearity

Lippke¹

2006

ajhb

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Objectives: To investigate the utility of the protection motivation theory (PMT), social-cognitive theory (SCT) and transtheoretical model's (TTM) processes of change (POC) by (1) discriminating between TTM's stages with planned comparisons and (2) examining higher-ordered trends across stages. Methods: 1582 individuals were included in the analyses that tested severity, vulnerability, response-efficacy, self-efficacy, POC, pros and cons, social and environmental support. Results: The findings provide evidence for the utility of the PMT and TTM's POC for stage discrimination; stage discontinuity patterns are supported. Conclusions: Promotion of health behavior should target stage-specific variables, such as threat appraisals for early stage movements.

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The transtheoretical model of behaviour change: Are the stages qualitatively different?

Cited by 28 publications

References 0 publications

Modeling Health Behavior Change: How to Predict and Modify the Adoption and Maintenance of Health Behaviors

Modeling Health Behavior Change: How to Predict and Modify the Adoption and Maintenance of Health Behaviors

Is there utility in the transtheoretical model?

Stages of Change in Physical Exercise: A Test of Stage Discrimination and Nonlinearity

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