Mark Pearl
  • Model originally used to help illustrate people changing health patterns.
  • There are 5 stages of change

General Aspects

  • People move between stages
  • Decisional Balance, do positives outweigh negatives
  • Self efficacy - is person competent and able
  • 10 processes of changed that can make change more likely

Cycle of Change

Pre-contemplation “Not Ready”

  • Encouraged to think about positives and negatives of current behaviour
  • People often down and defensive

What you can do

  • ?


  • Plan to change in next few months but may not do anything for up to two years
  • Person has intention to behave in a new way
  • May still try to avoid action
  • Has the thought but is unlikely to act

What you can do

  • To support, help them appreciate the positives of the new behavior
  • Help person by reducing negatives associated with behaviour change


  • Individual is ready to engage in action in the next 30 days
  • Person takes gradual steps to fit the change into their life
  • Possible that they are doing small things to start
  • Might tell others that they want to change
  • Do they feel competent to do the behaviour
  • Progress is increased if they have a plan of action

What you can do

  • Help them have a plan of action


  • Person has initiated behavior change in the last few months
  • Person needs to work hard to keep behaviour part of their life
  • Strengthening persons commitment to behaviour helps person not slip back down

What you can do

  • Help them learn techniques to enhance commitments, i.e. Acknowledging steps they have taken, avoiding people or situations that would cause regression


  • Person has changed behaviour several months ago
  • Encouraged to share experiences and seek support from others
  • Important to have an awareness of potential situations that could cause slippage
  • When facing an obstacle, confidence to know you can make it through it

What you can do

  • Support them
  • Help identify things that can cause slippage
  • Show your confidence that they are able to overcome the obstacle

Other change models



The Transtheoretical Model of Change Video of Introduction to Transtheoretical Model

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