The Transtheoretical Model Paper

The stages of change model have been in existence since its development by Prochaska and DiClemente in the late 1970s. The transtheoretical model is a model of intentional change since it focuses on individual decision-making (Levoy et al., 2019). Liu et al. (2018) in their study highlights another assumption of the model, which argues that individuals tend to take time before changing their behavior. Liu et al. (2018) further insist that TTM is not a theory but rather a model that recognizes behavior change as a continuous cyclical process. TTM propounds six stages namely precontemplation, contemplation, preparation, action, maintenance, and termination.

The Transtheoretical Model Paper

At each stage, a variety of interventions and strategies are required to move individuals to the next stage and subsequently maintain the ideal behavior. Numerous studies, among them Motlagh et al. (2017) highlight the importance of wellness programs in the management of hyperglycemia in type 2 diabetics. Nevertheless, adopting these habitual behaviors requires individual decisions, therefore TTM is essential in enforcing such behaviors. TTM can apply in the case of comparing hyperglycemic episodes of school aged children suffering from type 2 diabetic and who participate in wellness programs to those who do not over a six-month period.

Stages of TTM

In the precontemplation stage, people are largey unaware of their problematic behavior and often underestimate the pros of behavior change while in the contemplation stage, people begin to recognize their behavior as troublesome and intend to change (Nakabayashi et al., 2020). The preparation stage involves taking scaled-down steps of behavior change while in the action stage, people have recently changed their behavior and intend to progress with the behavior change because of its benefits (Han et al., 2017). The maintenance stage involves sustained behavior change with efforts directed towards the prevention of relapses to earlier stages whereas, in the termination stage, people have no desire to return to their unhealthy behaviors (Nakabayashi et al., 2020)..

Application of TTM to The Proposed Implementation

In my proposed project of comparing hyperglycemic episodes of type 2 diabetic school-aged children participating in a weekly wellness program to those who do not over six months, the stage of precontemplation will involve creating awareness about diabetes and the importance of wellness programs such as weight loss and physical activity to raise their consciousness. In the stage of contemplation, a careful, thoughtful, and practical consideration (Pennington, 2021) of the 2 variables will be tabled, each with its pros and cons, and then allow the parents and the children to do a self-reevaluation and choose between the two after empowering them with knowledge. In the preparation stage, the organization of the wellness programs and wellness education alongside monitoring of the blood sugars will be put in place, including recruiting trainers and staff to monitor the participants’ sugar levels. Additionally, necessary guidance to the children and their parents shall be set up.

In the action stage, the two groups will be allowed to actively participate in their respective choices for 6 months and the results evaluated. Subsequently, the results, for instance, reduced hyperglycemic episodes in those participating in wellness programs shall act as a stimulus to maintain and attract more children with type 2 diabetes to participate in this program. Other strategies such as reinforcing the positive behavior through rewards, helping relationships, and emotional arousal as well as a re-evaluation of the environment (Pennington, 2021) will all be put in place to maintain healthy behavior.

The Transtheoretical Model Paper References

  • Han, H., Pettee Gabriel, K., & Kohl, H. W., 3rd. (2017). Application of the transtheoretical model to sedentary behaviors and its association with physical activity status. PloS One12(4), e0176330. https://doi.org/10.1371/journal.pone.0176330
  • Levoy, K., Salani, D. A., & Buck, H. (2019). A systematic review and gap analysis of advance care planning intervention components and outcomes among cancer patients using the Transtheoretical Model of Health Behavior Change. Journal of Pain and Symptom Management57(1), 118-139.e6. https://doi.org/10.1016/j.jpainsymman.2018.10.502
  • Liu, K. T., Kueh, Y. C., Arifin, W. N., Kim, Y., & Kuan, G. (2018). Application of transtheoretical model on behavioral changes, and amount of physical activity among university’s students. Frontiers in Psychology9, 2402. https://doi.org/10.3389/fpsyg.2018.02402
  • Motlagh, Z., Hidarnia, A., Kaveh, M. H., & Kojuri, J. (2017). Influence of a trans-theoretical model based intervention on physical activity in hypertensive patients: A randomised clinical trial. Asian Journal of Sports MedicineIn Press(In Press). https://doi.org/10.5812/asjsm.42655
  • Nakabayashi, J., Melo, G. R.-I., & Toral, N. (2020). Transtheoretical model-based nutritional interventions in adolescents: a systematic review. BMC Public Health20(1), 1543. https://doi.org/10.1186/s12889-020-09643-z
  • Pennington, C. G. (2021). Applying the Transtheoretical Model of behavioral change to establish physical activity habits. Journal of Education and Recreation Patterns2(1). https://jlrppatterns.com/index.php/jerp/article/view/6/15