Behavior Change - TTM and Related Concepts

Vocabulary flashcards covering Target Behavior, Self-Efficacy, Locus of Control (Internal/External), and the Transtheoretical Model stages.

Target Behavior

An isolated behavior that is the specific focus of a behavior change program (e.g., beginning to exercise, quitting smoking, starting to floss, wearing a seatbelt, reducing binge drinking, eating more fruits and veggies).

Primary step in beginning a behavior change

Identify a Target Behavior.

Self-Efficacy

The belief in one’s ability to take action and perform a specific task.

Locus of Control

The figurative “place” a person designates as the source of responsibility for events in his/her life.

Internal Locus of Control

Belief that it is your responsibility and you practice personal control to improve behaviors that affect your life in a positive way.

External Locus of Control

Belief that external factors control your life and you have no say or responsibility in outcomes.

Transtheoretical Model of Change

A stage-based model driven by experience and willingness to shift values, beliefs, attitudes, and behaviors through reflective practices.

Pre-contemplation

Not thinking about change; unaware of risks; there is no problem.

Contemplation

Aware of a problem and its benefits/costs; considering taking action but not yet acting.

Preparation

Plan to take action within about a month; develop a detailed plan, visualize/self-talk, and begin trying.

Action

Outward signs of modifying behavior and environment; monitor self; implement changes; seek support.

Maintenance

Have maintained new healthier behavior for at least 6 months; continue positive strategies; relapse can occur but is not a stage.

Relapse

Not a stage of the model, but a potential return to old behavior that can occur during change.

Termination

Complete adherence to the new behavior with no temptation to lapse; old behavior effectively eliminated.

Stage progression strategies

Raising consciousness, examining barriers, boosting self-efficacy, and leveraging social support to move through Pre-contemplation, Contemplation, Preparation, Action, and Maintenance.