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. 2020 Aug 26;29(4):260–269. doi: 10.7570/jomes20026

Table 1.

Stages and components of transtheoretical model11,13,14

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