Transtheoretical Model of Change Flashcards

A client says, 'I've been thinking about quitting smoking for months but keep finding reasons not to.' Which TTM stage best describes this client?

Answer: Contemplation

Contemplation is characterized by awareness of a problem and ambivalence—thinking about change but not yet committed to acting.

Which of the following processes of change is classified as an EXPERIENTIAL process in the TTM?

Answer: Dramatic relief

Dramatic relief (emotional arousal) is an experiential process involving emotional experiences that motivate change awareness.

A coach uses motivational interviewing to explore a client's ambivalence about exercise. This technique is MOST aligned with which TTM stage?

Answer: Contemplation

Motivational interviewing is especially effective in Contemplation, where ambivalence is the central challenge to resolve.

In the TTM, 'self-reevaluation' involves which of the following?

Answer: Assessing how one's self-image aligns with a healthier lifestyle

Self-reevaluation is a cognitive-emotional process of evaluating how one's values and self-image relate to the behavior change.

Which TTM concept captures the idea that behavior change is rarely a straight path forward?

Answer: Spiral of change

The spiral model of change in TTM recognizes that relapse and recycling through stages is a normal part of the change journey.

A client in the Action stage has been exercising regularly for 3 weeks. What is the coach's PRIMARY focus at this stage?

Answer: Supporting skill-building and preventing relapse

In Action, coaching focuses on reinforcing new behaviors, building coping skills, and preventing relapse.

Which of the following BEST describes 'environmental reevaluation' as a TTM process of change?

Answer: Considering how one's behavior affects others and the environment

Environmental reevaluation involves assessing the social and physical impact of one's behavior on others and the surrounding world.