Transtheoretical Model of Change Flashcards

Which pair of TTM stages is MOST associated with behavioral processes of change rather than experiential ones?

Answer: Action and Maintenance

Behavioral processes of change (e.g., stimulus control, counterconditioning) are most active and relevant in the Action and Maintenance stages.

A holistic coach notices that a client in Maintenance is starting to slip into old patterns after 8 months. What stage might this client be entering?

Answer: Relapse (Recycling)

In TTM, relapse means returning to a prior stage—often Contemplation or Preparation—after failing to sustain the behavior in Maintenance.

Which TTM construct refers to a client's confidence in their ability to maintain a change across high-risk situations?

Answer: Self-efficacy

Self-efficacy in TTM measures a client's confidence to resist relapse temptations and sustain behavior change.

A client in Precontemplation argues that their stress-eating is 'not a real problem.' Which coach approach is MOST appropriate?

Answer: Provide emotional support and raise consciousness gently

In Precontemplation, coaches should gently raise consciousness and increase awareness without confrontation, since the client isn't ready to change.

The TTM 'decisional balance' construct is MOST useful for identifying which of the following?

Answer: The client's perceived pros and cons of changing behavior

Decisional balance assesses the relative weight the client gives to the benefits versus costs of making a change.

In TTM, 'stimulus control' is best described as:

Answer: Removing cues that trigger unhealthy behaviors

Stimulus control involves restructuring the environment to reduce cues associated with the problem behavior.

Which TTM stage is characterized by a client who has set a specific start date and is taking small preparatory steps toward change?

Answer: Preparation

In the Preparation stage, clients have a plan and intend to act within 30 days, often taking initial small steps.