Registered Nurses' Association of Ontario

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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