Seven used the processes of change in accordance with the stages of change to create a tailored intervention [19, 21, 22, 24, 28, 30, 32]. Haerens et al. 5. For the contemplation/preparation sessions, self-reevaluation and self-liberation were incorporated. Relapse often occurs in situations where feelings of temptation trump individuals’ sense of self-efficacy to maintain the desired behavior change. Mastellos N, Gunn LH, Felix LM, Car J, Majeed A. Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults. how capable they feel of changing, including recognition that there are more pros than cons to changing, as stated in decisional balance [7]. There has not yet been a systematic review of adolescent nutritional interventions that adopted the TTM as a theoretical model in the design of the intervention. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. Brown T, Summerbell C. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for health and clinical excellence. While in the Maintenance stage, people are less tempted to relapse and grow increasingly more confident that they can continue their changes. Intervention based exclusively on stage-matched printed educational materials regarding healthy eating does not result in changes to adolescents dietary behavior. The data were extracted using a table based on the Centre for Reviews and Dissemination for Undertaking Reviews in Healthcare instructions [14]. [47]. Studies of change have found that people move through a series of stages when modifying behavior. BMC Public Health 20, 1543 (2020). The specific focus of the model is on behavior change and the key constructs are dynamic variables, i.e., open to modification, whereas more static variables such as gender and past history are included only as moderator variables. The Transtheoretical Model (Prochaska & DiClemente, 1983; Prochaska, DiClemente, & Norcross, 1992) is an integrative, biopsychosocial model to conceptualize the process of intentional behavior change. Godin KM, Patte KA, Leatherdale ST. Only when interventions in this field consider the usage of all constructs of TTM for the development, the literature will reach sufficient evidence about the use of the model. The transtheoretical model (TTM) describes change not as an individual event but rather as a series of steps that take place according to a person’s degree of motivation. Psychol Behav Sci Int J. The model is composed of constructs such as: stages of change, processes of change, levels of change, self-efficacy, and decisional balance. BMJ. 2010;12:e24. The Transtheoretical Model (TTM) is an integrative health behavior change theory that describes the process of how people change their behavior. The Transtheoretical Model (TTM) is an integrative model designed to assess an individual’s readiness to change a behavior. The use of the model is shown to be restricted to the stage of change’ construct. Separate smaller group sessions took place for those in the preparation, action, and maintenance stages [22]. Individuals in the precontemplation stage are unaware that their behavior is harmful and are not well informed about how to change, so their motivation is low or nonexistent [7]. The TTM is a model of intentional change. Privacy Further information about data extraction is available in the supplementary material. Toral et al. Whereas other models of behavior change focus exclusively on certain dimensions of change (e.g. uses the Stages of Change to integrate the most powerful principles and processes of change from leading theories of counseling and behavior change; is based on principles developed from over 35 years of scientific research, intervention development, and scores of empirical studies; applies the results of research funded by over $80 million worth of grants and conducted with over 150,000 research participants; and. The TTM-based intervention program of Di Noia et al. Whereas other models of behavioral change focus exclusively on certain dimensions of change (e.g. Two reviewers performed the study analysis, which included reading the titles and abstracts and discarding those that did not match the inclusion criteria (JN, GRM). A 2008 replication study at Oregon Science and Health University also shows program effectiveness; see: Evidence-based health and well-being for entire populations. Some of the studies used a combination of the TTM and other behavioral change theories. https://doi.org/10.1002/14651858.CD008066.pub3. Change implies phenomena occurring over time, but surprisingly, none of the leading the-ories of therapy contained a core construct representing time. Contemplation is the stage in which people intend to change in the next six months. As individuals progress through the stages, their self-efficacy is expected to increase, i.e. The Transtheoretical Model and Stages of Change. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. J Sch Nurs. Literature has shown a tendency of inadequate dietary intake among youth, consequently, nutritional interventions are required. These terms are important to understand when discussing models and theories (Glanz, Rimer, ... transtheoretical model to address obesity, then the . Guerra PH, da Silveira JA, Salvador EP. Melo GRA, Vargas FCS, Chagas CMS, Toral N. Nutritional interventions for adolescents using information and communication technologies (ICTs): A systematic review. PubMed Central  Theoretical integration in health psychology: unifying ideas and complementary explanations. study, no significant differences between groups for dietary intake were found [24, 29, 30]. Intervention from Gur et al. (umbc.edu) TTM recognizes change as a process that unfolds over time, involving progress through a series of stages. Besides, girls tend to be more concerned than boys about weight loss, engaging in dieting, and present more guilt over eating too much [40]. reported eating significantly more servings of fruits and vegetables than the control group [26]. For example, reduction in the number of cigarettes or switching to low-tar and low-nicotine cigarettes were formerly considered acceptable actions. Google Scholar. The Transtheoretical Model consists of 4 constructs: Stages of Change; Processes of Change; Decisional Balance; Self-Efficacy . Lewis, (Eds.) GRM: Formal analysis, Methodology, Validation, Writing – review & editing. Thus, the full texts of 88 articles were read. 2016;92(1):15–23. Health Psychol Rev. Of these, 77 did not meet the eligibility criteria for reasons described in Fig. Nutrition in children and adolescents. Meta-analytic review of tailored print health behavior change interventions. Transtheoretical Model Constructs' Longitudinal Prediction of Sun Protection Over 24 Months. An updated search was performed in the databases by one reviewer (JN), and both reviewers assessed the eligible studies for inclusion (JN, GRM). PubMed  found no differences in the participants’ fruit and vegetable intake or in perceived self-efficacy or benefits and barriers compared to baseline [28]. PMID: 1329589. Prochaska JO, Velicer WF. The central organizing Filgueiras et al. In a recent meta-analysis, Gourlan et al. Therefore, this review aimed to weigh the strength of evidence about the TTM usage in nutritional interventions for adolescents, by describing how the TTM (any construct mentioned above or all) is applied to nutritional interventions for adolescents and evaluate its effectiveness regarding dietary intake. Obes Rev. increased fruit and vegetable consumption more than controls. Am J Health Promot. Five studies included decisional balance and self-efficacy as a measure [19, 24, 28, 30, 32] and one used these two constructs in the development of the intervention [23]. There were positive results in intervention groups of Haerens et al. Both of these articles were analyzed with the other studies on the same intervention [18, 27]. Acceptability of a school-based intervention for the prevention of adolescent obesity. Decision making was conceptualized by Janis and Mann (1977) as a decisional “balance sheet” of comparative potential gains and losses. The intervention in Frenn et al. Figure 1 describes the primary search strategy for PubMed, which was then adapted for the other databases. These ten covert and overt processes need to be implemented to successfully progress through the stages of change and attain the desired behavior change. Prev Med. https://doi.org/10.1186/s12889-020-09643-z, DOI: https://doi.org/10.1186/s12889-020-09643-z. People don’t change all at once. Article  Centre for Reviews and Dissemination, 2008. Hagger MS. This review also showed the effectiveness of each intervention. This is the first systematic review to collect data on how the TTM has been applied to design nutritional interventions for adolescents. This study found positive results in the intervention and opens the way for an alternative to a tailored intervention, demanding less time and logistics. Stage-based interventions for low-fat diet with middle school students. Initial efficacy of MI, TTM tailoring, and HRI’s in multiple behaviors for employee health promotion. 2017;19(10):e13017–22. When an individual is in the Precontemplation stage, the pros in favor of behavior change are outweighed by the relative cons for change and in favor of maintaining the existing behavior. Few studies continued six months or more [17, 25, 28, 29, 31], so the time period is a positive aspect of their design [42]. Prochaska, J.O., DiClemente, C.C., & Norcross, J.C. (1992). Moreover, using digital media facilitates stage-based tailored interventions [11]. Key constructs from other theories are integrated. Be recruited for action-oriented programs that expect participants to transtheoretical model constructs immediately lead to demoralization about consequences... To develop a tailored intervention program of Di Noia et al DP, Reynolds KR, Stacy AW obesity by! Extraction is available in supplementary materials estimated that maintenance lasts from six are. 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