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. 2022 Aug 1;90(1):247–261. doi: 10.1111/prd.12462

TABLE 4.

Common behavior change models, theories, or approaches

Theory/model/approach Definition/key concepts

Prochaska’s stages of change

(the transtheoretical model) 58 , 59

The model postulates that in the process of intentional behavior change, individuals go through 6 stages: precontemplation, contemplation, preparation, action, maintenance, and termination
CBT 60 CBT is based on the idea that thoughts, emotions, and behavior interact together. It is an intervention that helps individuals understand the thoughts and feelings that influence behaviors
HAPA 40 A model that suggests that the adoption and maintenance of a behavior is a structured process involving a motivation phase (intention formation), and a volition phase (initiative, maintenance, and recovery), and emphasizes the role of perceived self‐efficacy at different stages of behavior change
MI 61 , 62 A client‐centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. The main elements of MI are a collaboration between the patient and clinician, evocation (eliciting the motivation from within the patient, and autonomy (allowing the patient freedom to make their own choices)
COM‐B model 63 , 64 A model of behavior and behavior change that recognizes that a change must occur in “capability” to perform the behavior and “opportunity” and ‘motivation’ to carry out a change in behavior

Abbreviations: CBT, cognitive behavioral therapy; COM‐B, capability, opportunity and motivation model of behavior; HAPA, health action process approach; MI, motivational interviewing.