Journal ArticleDOI
The Transtheoretical Model of Health Behavior Change
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TLDR
If results with stage-matched interventions continue to be replicated, health promotion programs will be able to produce unprecedented impacts on entire at-risk populations.Abstract:
The transtheoretical model posits that health behavior change involves progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Ten processes of change have been identified for producing progress along with decisional balance, self-efficacy, and temptations. Basic research has generated a rule of thumb for at-risk populations: 40% in precontemplation, 40% in contemplation, and 20% in preparation. Across 12 health behaviors, consistent patterns have been found between the pros and cons of changing and the stages of change. Applied research has demonstrated dramatic improvements in recruitment, retention, and progress using stage-matched interventions and proactive recruitment procedures. The most promising outcomes to date have been found with computer-based individualized and interactive interventions. The most promising enhancement to the computer-based programs are personalized counselors. One of the most striking results to date for stag...read more
Citations
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Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science
Laura J. Damschroder,David C. Aron,Rosalind E. Keith,Susan Kirsh,Jeffery A. Alexander,Julie C. Lowery +5 more
TL;DR: The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories.
Journal ArticleDOI
What drives change? Barriers to and incentives for achieving evidence-based practice.
Richard Grol,Michel Wensing +1 more
TL;DR: To bridge the gap between scientific evidence and patient care the authors need an in‐depth understanding of the barriers and incentives to achieving change in practice, and potential barriers at various levels need to be addressed.
Journal ArticleDOI
Understanding Desistance from Crime
John H. Laub,Robert J. Sampson +1 more
TL;DR: The study of desistance from crime is hampered by definitional, measurement, and theoretical incoherence as mentioned in this paper, and a unifying framework can distinguish termination of offending from the process of desistanc...
Journal ArticleDOI
Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges
TL;DR: The paper concludes by suggesting that the future direction of the work on the PARiHS framework is to develop a two-stage diagnostic and evaluative approach, where the intervention is shaped and moulded by the information gathered about the specific situation and from participating stakeholders.
Journal ArticleDOI
2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]
David C.W. Lau,James D. Douketis,Katherine M. Morrison,Irene M. Hramiak,Arya M. Sharma,Ehud Ur +5 more
TL;DR: Over the last 20 years, obesity has become the most prevalent nutritional problem in the world, eclipsing undernutrition and infectious disease.
References
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Journal ArticleDOI
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TL;DR: An integrative theoretical framework to explain and to predict psychological changes achieved by different modes of treatment is presented and findings are reported from microanalyses of enactive, vicarious, and emotive mode of treatment that support the hypothesized relationship between perceived self-efficacy and behavioral changes.
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Self-efficacy: Toward a unifying theory of behavioral change☆☆☆
TL;DR: In this article, the authors present an integrative theoretical framework to explain and predict psychological changes achieved by different modes of treatment, including enactive, vicarious, exhortative, and emotive sources.
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Self-efficacy mechanism in human agency
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Stages and processes of self-change of smoking : toward an integrative model of change
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In search of how people change: Applications to addictive behaviors.
TL;DR: In this article, the authors summarized research on self-initiated and professionally facilitated change of addictive behaviors using the key transtheoretical constructs of stages and processes of change.