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. this study was designed to compare the initial efficacy of motivational interviewing (mi), online transtheoretical model (ttm)-tailored communications and a brief health risk intervention (hri) on four health risk factors (inactivity, bmi, stress and smoking) in a worksite sample. transtheoretical model is also based on critical assumptions about the nature of behavior change and population health interventions that can best facilitate such change. this construct reflects the degree of confidence individuals have in maintaining their desired behavior change in situations that often trigger relapse. specifically, programs that tailor on stage do better than those that do not; programs that tailor on pros and cons do better than those that do not; programs that tailor on self-efficacy do better than those that do not, and programs that tailor on processes of change do better than those that do not. are both stable and open to change, just as chronic behavior risk factors are both stable and open to change.
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based on principles developed from over 35 years of scientific research, intervention development, and scores of empirical studies;. transtheoretical model:Uses the stages of change to integrate the most powerful principles and processes of change from leading theories of counseling and behavior change;. these ten processes can be divided into two groups: cognitive and affective experiential processes and behavioral processes. innovative strategies to ensure greater impact on multiple behaviors with fewer demands on patients and providers. the current study provides a meta-analytic review of this literature, with a primary focus on the effects of tailoring.
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. theories focusing mainly on social or biological influences), the ttm seeks to include and integrate key constructs from other theories into a comprehensive theory of change that can be applied to a variety of behaviors, populations, and settings—hence, the name transtheoretical. making was conceptualized by janis and mann (1977) as a decisional “balance sheet” of comparative potential gains and losses. certain principles and processes of change work best at each stage to reduce resistance, facilitate progress, and prevent relapse. the treatment protocol included an hri session for everyone and in addition either a recommended three ttm online sessions or three mi in person or telephone sessions over 6 months. implications of these results are discussed and future directions for research on tailored health messages and interventions are offered.
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as individuals enter the maintenance stage, the pros in favor of maintaining the behavior change should outweigh the cons of maintaining the change in order to decrease the risk of relapse. two components of decisional balance, the pros and the cons, have become core constructs in the transtheoretical model. health initiatives can motivate change by enhancing the understanding of the pros and diminishing the value of the cons. future research will examine the long-term impacts of each treatment, their cost effectiveness, effects on productivity and quality of life and process variables mediating outcomes. is the stage in which people have made specific overt modifications in their lifestyles and are working to prevent relapse; however, they do not apply change processes as frequently as do people in action.