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Medical Decision Making
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Decision Making in the Transtheoretical Model of Behavior Change

James O. Prochaska, PhD

Cancer Prevention Research Center, University of RhodeIsland, Kingston, jop{at}uri.edu

Decision making is an integral part of the transtheoretical model of behavior change. Stage of change represents a temporal dimension for behavior change and has been the key dimension for integrating principles and processes of change from across leading theories of psychotherapy and behavior change. The decision-making variables representing the pros and cons of changing have been found to have systematic relationships across the stages of change for 50 health-related behaviors. Implications of these patterns of relationships are discussed in the context of helping patients make more effective decisions to decrease health risk behaviors and increase health-enhancing behaviors.

Key Words: stages of change • pros and cons of changing • health behavior changes.

This version was published on November 1, 2008

Medical Decision Making, Vol. 28, No. 6, 845-849 (2008)
DOI: 10.1177/0272989X08327068
SAGE Open article

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