Describe a health promotion model used to initiate behavioural changes. How does this model help in teaching behavioural changes? What are some of the barriers that affect a patient's ability to learn? How does a patient's readiness to learn, or readiness to change, affect learning outcomes?
A health promotion model
Full Answer Section
T
he TTM proposes that people progress through five stages of change:
- Precontemplation: People in this stage are not thinking about changing their behavior. They may not see a problem with their current behavior, or they may not be ready to make a change.
- Contemplation: People in this stage are thinking about changing their behavior. They may be weighing the pros and cons of change, or they may be making plans to change.
- Preparation: People in this stage are getting ready to change their behavior. They may have made some small changes, or they may be setting a date to make a big change.
- Action: People in this stage are making changes to their behavior. They may be trying new things, or they may be working to maintain changes they have already made.
- Maintenance: People in this stage are successfully maintaining the changed behavior. They may have occasional setbacks, but they are generally able to stay on track.
- Lack of motivation: If a patient is not motivated to change their behavior, they are less likely to be able to learn the skills they need to make a change.
- Cognitive barriers: Patients may have cognitive barriers that make it difficult for them to learn, such as limited literacy skills or difficulty understanding complex information.
- Emotional barriers: Patients may have emotional barriers that make it difficult for them to learn, such as anxiety or depression.
- Environmental barriers: Patients may face environmental barriers that make it difficult for them to learn, such as lack of access to resources or lack of support from family and friends.
- Assessment: It is important to assess each patient's individual needs and readiness to learn.
- Motivation: Interventions should be designed to motivate patients to change their behavior.
- Relevance: The information and skills that are taught should be relevant to the patient's own life and circumstances.
- Support: Patients should be provided with support from healthcare providers, family, and friends.
Sample Answer
The Transtheoretical Model (TTM) is a stage-based model of behavior change that describes how people progress from precontemplation (not thinking about changing) to maintenance (successfully maintaining the changed behavior). The TTM has been used to understand and promote a wide range of health behaviors, including smoking cessation, weight loss, and exercise.