Transtheoretical Integrative Process Model (Core Model)
The Transtheoretical model is a model of intentional change, a theoretical model of behaviour change, which has been the basis for developing effective interventions to promote health behaviour change.
Core Model and approaches to theoretical and technical integration
Theoretical integration means that two or more therapies are integrated in the hope that the result will be better than the constituent therapies alone.
The most notable model, describing the relationship between several different theories, is Transtheoretical Model. The Transtheoretical Model is a model of intentional change through external influences, impacting through the individual. Technical eclecticism is designed to improve an ability to select the best treatment for the person and the problem. It is guided primarily by data on what has worked best for others in the past.
Focus on the decision making of the individual.
Approach: social influences on behaviour (peer influence models or policy changes); biological influences on behaviour (nicotine regulation models and replacement therapy).
The model involves emotions, cognitions, and behaviour.
Mechanisms of change. The model describes how people modify problem behaviours or acquire a positive behaviour. The central organizing construct of the model is the Stages of Change. The Transtheoretical model is currently conceptualised in terms of several major dimensions. The core constructs, around which the other dimensions are organised, are stages of change. These represent ordered categories along a continuum of motivational readiness to change problem behaviour.
The Transtheoretical Model includes a set of outcome measures that are sensitive to a full range of cognitive, emotional, and behavioural changes and recognize and reinforce smaller steps than traditional action-oriented approaches.
The Transtheoretical Model is designed to develop interventions that are matched to the specific needs of the individual, since the interventions are individualized to their needs. It recognizes that different individuals will be in different stages and appropriate interventions must be developed for everyone.
The model includes a series of independent variables, the Processes of Change, and a series of outcome measures, including the Decisional Balance and the Temptation scales.
Multiple tests of the model are available and effective interventions based on the model, have been developed and evaluated in multiple clinical trials.
Transtheoretical Integrative Process Model Techniques:
* a reliance on self-report;
* one's image as a couch potato or an active person;
* value clarification, healthy role models, and imagery techniques;
* family interventions;
* interventions that can increase awareness, including feedback, education, confrontation, interpretation, bibliotherapy and media campaigns.
The interventions required for each process of change.
Processes of Change: Experiential
The model is recommended for a wide variety of problem behaviours: smoking cessation, exercise, low fat diet, radon testing, alcohol abuse, weight control, condom use for HIV protection, organizational change, use of sunscreens to prevent skin cancer, drug abuse, medical compliance, mammography screening, and stress management.
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