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Healthcare Management

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Stages of Change Model
• Stages of Change Theory
The Stages of Change Model was originally developed in the late 1970's and early 1980's by James Prochaska and Carlo DiClemente at the University of Rhode Island when they were studying how smokers were able to give up their habits or addiction.
Addiction: The negative end state of a syndrome (of neurobiological and psychosocial causes) resulting in continued or increasing repetitive involvement despite consequences and conscious efforts to discontinue the behavior. Addiction to any particular substance or behavior is seen mainly as a matter of personal vulnerability, exposure and access, and the capacity to produce a desirable shift in mental state.
This definition was originally formulated by Howard J. Shaffer, Ph.D., C.A.S.Harvard Medical School, Division on Addictions.
The SCM model has been applied to a broad range of behaviors including weight loss, injury prevention, overcoming alcohol, and drug problems among others.
The idea behind the SCM is that behavior change does not happen in one step. Rather, people tend to progress through different stages on their way to successful change. Also, each of us progresses through the stages at our own rate.
So expecting behavior change by simply telling someone, for example, who is still in the "pre-contemplation" stage that he or she must go to a certain number of AA meetings in a certain time period is rather naive (and perhaps counterproductive) because they are not ready to change.
Each person must decide for himself or herself when a stage is completed and when it is time to move on to the next stage. Moreover, this decision must come from the inside you (see developing an internal locus of control) -- stable, long term change cannot be externally imposed.
In each of the stages, a person has to grapple with a different set of issues and tasks that relate to changing behavior. Thus, for each for each stage of change, tools are available to you through this website in The Toolbox of Change [The Self-Management Tool Box section]

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