Chapter 4
A Stage Approach to Enhancing Adherence to Treatment
Janice M. Prochaska,
James O. Prochaska,
Janice M. Prochaska
Search for more papers by this authorJames O. Prochaska
Search for more papers by this authorJanice M. Prochaska,
James O. Prochaska,
Janice M. Prochaska
Search for more papers by this authorJames O. Prochaska
Search for more papers by this authorBook Editor(s):David I. Mostofsky,
David I. Mostofsky
Search for more papers by this authorSummary
The transtheoretical model of behavior change (TTM) delivers individualized, theoretically delivered interventions for entire populations of individuals, including those individuals who may not be ready to be adherent. The TTM systematically integrates four theoretical constructs central to change: stages of change, decisional balance, self-efficacy, and the processes of change. Depending on the depth of the assessment, varying degrees of tailoring are available to intervene on adherence. Once all variables are assessed for a specific adherence behavior (screening, acquisition or discontinuation), the assessments can then drive an intervention designed to increase the specific adherence behavior. In addition to providing an assessment framework, the TTM provides a scheme for tailoring programs by matching them to the needs of patients at each stage of change for treatment adherence. Stage-matched interventions for smokers more than doubled the smoking cessation rates of the best action-oriented interventions available.
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