Module B: Behavior Change Theory (Theories) & Program Planning Model
Chronic Disease Process: Obesity
- Modifiable Risk Factors: Lifestyle changes, Diet modifications, Exercise Regimen.
Target Population: Non-Hispanic Black Adults.
Behavior Change Theory (BCT) or Model: The Transtheoretical Model (Stages of Change)
| In Text Citation (as would appear in a paragraph) | Concept | Definition | Activities you will use for this concept |
| National Institutes of Health (NIH) Obesity Research | Precontemplation
(TTM – 1st Stage) |
Likelihood of not having the intent to change behavior. | Questionnaire/Interview: determine if the target population appreciates the need to address obesity by measuring their attitudes and readiness to adopt healthy behaviors.
|
| National Institutes of Health (NIH) Obesity Research | Contemplation
(TTM – 2nd Stage) |
Getting ready for behavior change. | Being aware of the pros of changing, SMART weekly goals will be set for the three modifiable risk factors to address the ambivalence of change among the target population. Shown role models with healthy behaviors to illustrate how they will become after adopting healthy behaviors. Encouraged to reduce the cons hindering change of behavior. |
| National Institutes of Health (NIH) Obesity Research | Preparation
(TTM – 3rd Stage) |
Ready for change | Encourage them to seek support from friends, family, and community to adopt healthy behaviors.
Introduce less intensive lifestyle changes, dietary changes, and light exercise regimens. They should be less involving to ensure that the participants are not discouraged considering their ambivalence. |
| National Institutes of Health (NIH) Obesity Research | Action
(TTM – 4th Stage) |
Changed their behavior | Increase commitment to change by intensifying lifestyle changes, dietary changes, and exercise regimens.
Substituting all activities related to unhealthy behaviors with activities that are healthy (Haghi et al., 2018). Avoiding people, situations, and things that tempt them to get into unhealthy ways. |
| National Institutes of Health (NIH) Obesity Research | Maintenance
(TTM – 5th Stage) |
Monitoring of the new behavior | Increase awareness of situations and things that increase the temptation for unhealthy ways.
Identify and address all stressful situations by engaging the people they trust. Engaging in healthy behaviors even during stressful moments. Commit to long-term behavior change to avoid a relapse. |
| In Text Citation (as would appear in a paragraph) | Notes: Evidence on selected Behavior Change Theory |
| ( Karintrakul & Angkatavanich, 2017) | Provide educational pamphlets to encourage them to become mindful of their decisions and more conscious of the effects of leading unhealthy lifestyles vis-à-vis the benefits of changing unhealthy behavior.
Tailor messages to encourage behavior change towards lifestyle changes, diet modifications, and exercise regimen. |
| (Johari & Sutan, 2016) | Utilize materials from books, newspapers, and friends. The action and intervention are to address the ambivalence that comes with change.
The outlined resources influence the target population’s readiness towards change. Support from other sources comes in handy in ensuring that the target population does not lose their motivation and commitment towards the behavior change process. |
| (Boff et al., 2018) | This stage is marred by the intent to quit and support from the all – friends, medical practitioners, and nurses. Social support is an essential part of behavior change in the sense that it addresses the complexities that come with modifiable risk behaviors. The intervention must encourage the participants to activate their social network because it encourages their change efforts. This stage requires emotional, practical, and informational support. |
| (Manuvinakurike, Bharadwaj, & Georgila, 2018) | Human role-play dialogues between a person seeking help and another person offering help come in handy in the domain of weight management. The conversation between the seeker and the helper models positive behavior change. |
| (Baysal & Hacialioglu, 2017) | The essence of the behavior change process is to realize a behavior change without a relapse. TTM is known to increase improvements in lifestyle changes concerning exercise behavior. The model of behavior change is effective in building positive exercise behavior. |
Program Planning Model:
| In Text Citation (as would appear in a paragraph) | Step/Phase/ Component | Definition | Activities you will use for this planning phase |
| Community Tool Box (n.d.) | Mobilize | Prepare for a behavior change intervention | Mobilize the target population and other stakeholders in the control and prevention of obesity. |
| Community Tool Box (n.d.) | Assess | Determine the needs of the target population. | Develop a plan in line with the identified needs of the target population. |
| Community Tool Box (n.d.) | Plan | Layout a feasible action plan | Outline the action plan for the intervention touching on the modifiable risk factors |
| Community Tool Box (n.d.) | Implement | Implement changes associated with the intervention plan | Methods used to implement the intervention, participants/trainers, and attendance schedules. |
| Community Tool Box (n.d.) | Track | Measure and track progress. | Measure if the objectives and goals of the intervention are met. Data quality and limitations. |
| In Text Citation (as would appear in a paragraph) | Notes: Evidence on Program Planning Model |
| Community Tool Box (n.d.) | MAP-IT CBT
|
References
Chapter 2. Other Models for Promoting Community Health and Development | Section 14. MAP-IT: A Model for Implementing Healthy People 2020 | Checklist. (n.d.). Retrieved from https://ctb.ku.edu/en/table-of-contents/overview/models-for-community-health-and-development/map-it/checklist
Baysal, H. Y., & Hacialioglu, N. (2017). The Effect of Transtheoretical Model-Based Education and Follow-up on Providing Overweight Women with Exercise Behavior. International Journal of Caring Sciences, 10(1), 225.
Boff, R. D. M., Segalla, C. D., Feoli, A. M. P., Gustavo, A. D. S., & Oliveira, M. D. S. (2018). The transtheoretical model to assist lifestyle modification in adolescents with overweight and obesity. Temas em Psicologia, 26(2), 1055-1067.
Haghi, M., Mazloomy Mahmoodabad, S. S., Mozaffari-Khosravi, H., Eslami Shahrbabaki, H., Fallahzadeh, H., & Rafati Fard, M. (2018). Analysis of Weight Control among Overweight and Obese Iranian Adolescents: Application of the Trans-theoretical Model. International journal of pediatrics, 6(2), 7013-7022.
Johari, A., & Sutan, R. (2016). Assessing Stages of Readiness to Lose Weight among Overweight and Obese Adolescents Using the Trans-Theoretical Model. Obes Control Ther, 4, 1-6.
Karintrakul, S., & Angkatavanich, J. (2017). A randomized controlled trial of an individualized nutrition counseling program matched with a transtheoretical model for overweight and obese females in Thailand. Nutrition research and practice, 11(4), 319-326.
Manuvinakurike, R., Bharadwaj, S., & Georgila, K. (2018). A Dialogue Annotation Scheme for Weight Management Chat using the Trans-Theoretical Model of Health Behavior Change. arXiv preprint arXiv:1807.03948.
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