The Stages-of-Change Model was developed by James Prochaska and Carlo DiClemente as a framework to describe the five phases through which one progresses during health-related behavior change (Prochaska & DiClemente, ). It is part of their broader Transtheoretical Model, which not only assesses an individual’s readiness to act to eliminate a problem behavior but also includes strategies and processes of change to guide the individual through the stages. The Stages-of-Change Model originated in research related to psychotherapy and the cessation of addictive behaviors, such as smoking, alcohol and substance abuse, and issues related to weight management (Buxton, Wyse, & Mercer, ). Although Prochaska and DiClemente initially hypothesized that individuals progress linearly through a series of discrete stages of change, researchers now believe that a cyclical or “spiral” pattern more accurately represents how most people change unhealthy behavior over time. Since its...
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Department of Medicine/Division of General Medicine, Columbia University Medical Center, 622 West 168th Street PH9 West, Room 319, 10032, New York, NY, USA
Dr. Jonathan A. Shaffer Ph.D.
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Correspondence to Jonathan A. Shaffer Ph.D. .
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Behavioral Medicine Research Center, Department of Psychology, University of Miami, Miami, FL, USA
Marc D. Gellman
Cardiovascular Safety, Quintiles, Durham, NC, USA
J. Rick Turner
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Shaffer, J.A. (2013). Stages-of-Change Model. In: Gellman, M.D., Turner, J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. //doi.org/10.1007/978-1-4419-1005-9_1180