Table 1.
| Stages of change | Description | Assessment question* | Intervention strategy |
|---|---|---|---|
| Precontemplation | Is unaware of need to change and does not have intention to change | “Do you do the (target behavior) less than half the time now, and have no plans to do it within the next 6 months?” | -Consciousness raising |
| -Dramatic relief | |||
| -Environmental reevaluation | |||
| -Providing information about change | |||
| Contemplation | Has intention to change but experiences ambivalence towards change | “Do you do the (target behavior) less than half the time now, but are thinking about doing it sometime within the next 6 months?” | -Self-reevaluation |
| -Cost and benefits | |||
| Preparation | Is preparing to take action and make plans related to change | “Do you do the (target behavior) less than half the time now, but are making definite plans to start doing it within this month?” | -Self-liberation |
| -Goal-setting | |||
| Action | Engages in change or modifying behavior (less than 6 months) | “Do you do the (target behavior) at least half the time now, and have just started doing it within the last 6 months?” | -Counterconditioning |
| -Helping relationships | |||
| -Reinforcement | |||
| -Stimulus control | |||
| -Encouragement | |||
| Maintenance | Sustains changed behavior for more than 6 months | “Do you do the (target behavior) at least half the time now, and have been doing it for more than 6 months now?” | -Relapse prevention |
*Questions are implemented from Weight Loss Behavior-Stage of Change Scale.13