Table 3: Stages of Change Model

STAGE IN TRANSTHEORETICAL MODEL OF CHANGE	PATIENT STAGE
Precontemplation	Not thinking about change May be resigned Feeling of no control Denial: does not believe it applies to self Believes consequences are not serious
Contemplation	Weighing benefits and costs of behavior, proposed change
Preparation	Experimenting with small changes
Action	Taking a definitive action to change
Maintenance	Maintaining new behavior over time
Relapse	Experiencing normal part of process of change Usually feels demoralized

Adapted from Prochaska, J.O., DiClemente, C.C. & Norcross, J.C. (1992) In search of how people change. Am Psychol .47:1102-4, and Miller, W.R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford Press.

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