Peer Response to the Application of the Change Model (the transtheoretical model) in Promoting Healthy Behavior change Toward the Prevention of Chronic Conditions

Peer Response to the Application of the Change Model (the transtheoretical model) in Promoting Healthy Behavior change Toward the Prevention of Chronic Conditions

Hello,

Great work with your post. This is a brief but precise presentation of the application of the Change Model (the transtheoretical model) in promoting healthy behavior change toward the prevention of chronic conditions such as cardiovascular diseases (CVD) and DM type II. Notably, CVD and hypertension, among other chronic conditions, remain the leading cause of death globally. Arguably, these conditions are manageable and preventable through behavior and lifestyle changes. However, as you have noted, the change to healthy behavior remains a challenge. In addition, as you have noticed, reviewing the model, change towards healthy behaviors is a process. The transtheoretical model (TTM) can successfully guide the required behavioral changes toward the desired healthy behaviors. The TTM appreciates the process of change, including pre-contemplation, contemplation, preparation, action, and maintenance.

Per the transtheoretical model, behavioral changes are not coincidental by a process in which people differ in their level of change and their readiness to change (Hashemzadeh et al., 2019). This means that each individual has a different view of change and has differing behavioral change targets. As such, the TTM can support the individualization of behavior change interventions based on an individual’s needs. Additionally, the application of the model and its appreciation of behavior change as a process leads to improved knowledge, self-efficacy, better support from others, and the realization that change is a personal decision and responsibility (Lönnberg et al., 2020). Therefore, the application of the change model or the transtheoretical model can help overcome the challenges of behavior change in the management and prevention of chronic conditions such as cardiovascular diseases, especially high blood pressure or DM type II, and also help achieve sustainable behavior change.

References

Hashemzadeh, M., Rahimi, A., Zare-Farashbandi, F., Alavi-Naeini, A., & Daei, A. (2019). The transtheoretical model of health behavioral change: A systematic review. Iranian Journal of Nursing and Midwifery Research, 24(2), 83. https://doi.org/10.4103/IJNMR.IJNMR_94_17

Lönnberg, L., Damberg, M., & Revenäs, Å. (2020). “It’s up to me”: The experience of patients at high risk of cardiovascular disease of lifestyle change. Scandinavian Journal of Primary Health Care, 340–351. https://doi.org/10.1080/02813432.2020.1794414

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Modifying and Adapting any health behaviors is challenging, including healthy behaviors to prevent cardiovascular diseases (CVD), particularly HTN or DM type II. With screening, an educational session is a must, categorizing which stage of adopting a healthy behavior your patient is at to build on. Smoking is the most preventable risk factor for the most prevalent chronic diseases in the United States.

Peer Response to the Application of the Change Model (the transtheoretical model) in Promoting Healthy Behavior change Toward the Prevention of Chronic Conditions

One of my favorite concepts in understanding a patient’s readiness to adopt a healthy behavior is the Stages of Change Model, also called the Transtheoretical Model, which explains an individual’s readiness to change their behavior. It emphasizes that any behavior change involves progress through a series of six stages of change when modifying the old behavior. As healthcare providers, we must be reminded that while progression through the Stages of Change is not linear, guaranteed, and relapse is expected!