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Based on more than 15 years of research, the TTM has found that individuals move through a series of five stages (precontemplation, contemplation, preparation, action, maintenance) in the adoption of healthy behaviors or cessation of unhealthy ones.
The Stages of Change Model, also called the Transtheoretical Model, explains an individual's readiness to change their behavior. It describes the process of behavior change as occurring in stages.
There are two main views of behaviour change that can be measured: self-view, and others' view. This means surveying people and asking them to evaluate their own behaviour. This can be done using simple pulse survey tools and you can survey the whole population or a sample.
Measuring Health BehaviorsDemographic (age, sex)Skill (ability to perform)Behavior factors (exercise habits)Environmental factors (access to care)Health factors (number of risk factors)
In order to obtain a Readiness to Change score, first sum items from each subscale and divide by 6 to get the mean for each subscale. Then sum the means from the Contemplation, Action, and Maintenance subscales and subtract the Precontemplation mean (C + A + M PC = Readiness).
The URICA is a 32-item self-report measure that includes 4 subscales measuring the stages of change: Precontemplation, Contemplation, Action, and Maintenance. (There is also a 24-item version.) Responses are given on a 5-point Likert scale ranging from 1 (strong disagreement) to 5 (strong agreement).
The URICA is just one way to measure the stages of change. For instance, another way to measure stages is with algorithms. Originally, the URICA was envisioned to measure five stages of change: Precontemplation, Contemplation, Determination, Action, and Maintenance.
In order to obtain a Readiness to Change score, first sum items from each subscale and divide by 6 to get the mean for each subscale. Then sum the means from the Contemplation, Action, and Maintenance subscales and subtract the Precontemplation mean (C + A + M PC = Readiness).
In order to obtain a Readiness to Change score, first sum items from each subscale and divide by 6 to get the mean for each subscale. Then sum the means from the Contemplation, Action, and Maintenance subscales and subtract the Precontemplation mean (C + A + M PC = Readiness).