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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.

References

  • Prochaska JO, Norcross JC Systems of Psychotherapy: A Transtheoretical Analysis. Pacific Grove, CA: Brooks-Cole; 1979.
  • Prochaska JO, DiClemente CC Transtheoretical therapy: toward a more integrative model of change. Psychotherapy. 1982; 19:276-88.[Web of Science]
  • Prochaska JO, DiClemente CC Stages and processes of self change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51:390-5.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Snow MG, Prochaska JO, Rossi JS Stages of change for smoking cessation among former problem drinkers: a cross-sectional analysis. J Subst Abuse. 1992;4:107-16.[CrossRef][Medline] [Order article via Infotrieve]
  • Janis IL, Mann L. Decision Making: A Psychological Analysis of Conflict, Chance and Commitment. New York: Free Press; 1977.
  • Hall K., Rossi JS Examining the transthoeretical model using meta-analytic procedures and integrative analysis and longitudinal data. In: Keller S, Velicer WF, eds. Research on the Transthoeretical Model: Where Are We Now, Where Are We Going? Lengerich, Germany: Pabst Science Publishers; 2004.
  • Prochaska JO Strong and weak principles for progressing from precontemplation to action based on twelve problem behaviors. Health Psychol. 1994;13:47-51.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Fiore MC, Bailey WC, Cohen SJ, et al. Treating Tobacco Use and Dependence: Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services, Public Health Service; 2000.
  • Etter JF, Perneger TV, Ronchi A. Distributions of smokers by stage: International comparison and association with smoking prevalence. Prevent Med. 1997;26:580-5.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Prochaska JO, DiClemente CC, Velicer WF, Rossi JS Standardized, individualized, interactive and personalized self-help programs for smoking cessation. Health Psychol. 1993;12: 399-405.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Prochaska JO, Velicer WF, Fava JL, Rossi JS, Tsoh JY Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. Addict Behav. 2001;26:583-602.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Prochaska JO, Velicer WF, Fava J., et al. Counselor and stimulus control enhancements of a stage matched expert system for smokers in a managed care setting. Prevent Med. 2001;32:23-32.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Prochaska JO, Velicer WF, Rossi JS, et al. Multiple risk expert systems interventions: impact of simultaneous stage-matched expert systems for smoking, high fat diet, and sun exposure in a population of parents. Health Psychol. 2004;23:503-16.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Prochaska JO, Velicer WF, Redding CA, et al. Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer and receive regular mammograms. Prevent Med. 2005;41:406-16.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Noar SM, Benac C., Harris M. Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. In press.
  • Sun, X., Prochaska, JO, Velicer, WF, Laforge, RG Transtheoretical principles and processes for quitting smoking: a 24-month comparison of a representative sample of quitters, relapsers, and non-quitters. Addict Behav. 2007;32,:2707-26.[Medline] [Order article via Infotrieve]
  • Johnson SJ, Driskell MM, Johnson JL, et al. Transtheoretical model intervention for adherence to lipid-lowering drugs. Dis Manage. 2006;9:102-13.
  • Johnson SJ, Driskell MM, Johnson JL, Prochaska JM, Zwick W., Prochaska JO Efficacy of a transtheoretical model-based expert system for antihypertensive adherence. Dis Manage. 2006;9:291-301.
  • Rakowski WR, Ehrich B., Goldstein MG, et al. Increasing mammography among women aged 40-74 by sue of a stage-matched, tailored intervention. Prevent Med. 1998;27:748-56.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Evers KE, Prochaska JO, Johnson JL, Mauriello LM, Padula JA, Prochaska JM A randomized clinical trial of a population-and transtheoretical model-based stress-management intervention. Health Psychol. 2006;25:521-9.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Jones H., Edwards L., Vallis TM, et al. Changes in diabetes self-care behaviors make a difference in glycemic control: the Diabetes Stages of Change (DiSC) study. Diabetes Care. 2003;26:732-7.[Abstract/Free Full Text]

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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This Article
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