Let’s
look at the six stages of change, together with an example that will show you
how the model works in practice:
Stage 1: Precontemplation
At
this stage, an individual does not plan to make any positive changes in the
next six months. This may because they are in denial about their problem, feel
too overwhelmed to deal with it, or are too discouraged after multiple failed
attempts to change.
For
example, someone may be aware that they need to start exercising, but cannot
find the motivation to do so. They might keep thinking about the last time they
tried (and failed) to work out regularly. Only when they start to realize
the advantages of making a change will they progress to the next stage.
Stage 2: Contemplation
At
this stage, the individual starts to consider the advantages of changing. They
start to acknowledge that altering their habits would probably benefit them,
but they spend a lot of time thinking about the downside of doing so. This
stage can last for a long time – possibly a year or more.
You
can think of this as the procrastinating stage. For example, an individual
begins to seriously consider the benefits of regular exercise, but feels
resistant when they think about the time and effort involved. When the person
starts putting together a concrete plan for change, they move to the next
stage.
The
key to moving from this stage to the next is the transformation of an
abstract idea to a belief (e.g. from “Exercise is a good, sensible thing to
do” to “I personally value exercise and need to do it.)
Stage 3: Preparation
At
this point, the person starts to put a plan in place. This stage
is brief, lasting a few weeks. For example, they may book a session with a
personal trainer and enroll on a nutrition course.
Someone
who drinks to excess may make an appointment with a drug and alcohol counselor; someone with a tendency to overwork themselves might start planning
ways to devise a more realistic schedule.
Stage 4: Action
When
they have decided on a plan, the individual must then put it into action. This
stage typically lasts for several months. In our example, the person would
begin attending the gym regularly and overhauling their diet.
Stage
4 is the stage at which the person’s desire for change becomes noticeable
to family and friends. However, in truth, the change process began a long time
ago. If someone you know seems to have suddenly changed their habits, it’s
probably not so sudden after all! They will have progressed through Stages 1-3
first – you probably just didn’t know about it.
Stage 5: Maintenance
After
a few months in the Action stage, the individual will start to think about
how they can maintain their changes, and make lifestyle adjustments
accordingly. For instance, someone who has adopted the habit of regular
workouts and a better diet will be vigilant against old triggers (such as
eating junk food during a stressful time at work) and make a conscious decision
to protect their new habits.
Unless
someone actively engages with Stage 5, their new habits are liable to come
unstuck. Someone who has stuck to their new habits for many months – perhaps a
year or longer – may enter Stage 6.
Maintenance
can be challenging because it entails coming up with a new set of habits to
lock change in place. For instance, someone who is maintaining their new
gym-going habit may have to start improving their budgeting skills in order to
continue to afford their gym membership.
Stage 6: Termination
Not
many people reach this stage, which is characterized by a complete commitment
to the new habit and a certainty that they will never go back to their old
ways. For example, someone may find it hard to imagine giving up their gym
routine, and feel ill at the thought of eating junk food on a regular basis.
However,
for the majority of people, it’s normal to stay in the Maintenance period
indefinitely. This is because it takes a long time for a new habit to become so
automatic and natural that it sticks forever, with little effort. To use
another example, an ex-smoker will often find it hard to resist the temptation
to have “just one” cigarette even a year or so after quitting. It can take
years for them to truly reach the Termination stage, at which point they are no
more likely to smoke than a lifelong non-smoker.
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