- OXFORD LIBRARY OF PSYCHOLOGY
- Oxford Library of Psychology
- About the Editors
- From Communication to Healthy Behavior and Adherence
- Barriers and Keys to Treatment Adherence and Health Behavior Change
- Health Literacy and Information Exchange in Medical Settings
- The Role of Nonverbal Communication in Medical Interactions: Empirical Results, Theoretical Bases, and Methodological Issues
- The Art of Medical Information Exchange
- Partnering with and Involving Patients
- Training for Effective Communication in Healthcare Settings
- Beyond the Dyad: Communication in Triadic (and more) Medical Encounters
- Systemwide Communication
- Health Beliefs and Health Outcomes
- Perceived Risk and its Relationship to Health-Related Decisions and Behavior
- Readiness to Change and the Transtheoretical Model as Applied to Addictive Disorders: A Balanced Appraisal
- Social Comparison and Persuasion Processes in Health Communications
- The Role of Culture in Promoting Effective Clinical Communication, Behavior Change, and Treatment Adherence
- Commitment to Change: An Examination of the Maintenance of Health-Behavior Changes
- Social Networks, Social Support, and Health-Related Behavior
- Technology and Implications for Patient Adherence
- Social and Environmental Barriers to Adherence and Healthy Behavior
- Improving Team Communication for Better Health Behavior
- The Importance of Effective Measurement for Fostering Change
- Pediatric Adherence and Health Behavior Change
- Issues in Adolescent Adherence and Health-Behavior Change
- Issues in Aging, Adherence, and Health-Behavior Change
- Adherence and Health Behavior Change in the Context of Mental Health Challenges
- Managing Complex Regimens: The Psychological Context of Family Management of Pediatric Diabetes
- Health Communication: Implications for Reform and Public Policy
Abstract and Keywords
Despite great popularity among practitioners and some researchers, the transtheoretical model (TTM) has been strongly criticized. The intention of this essay is not to defend the TTM against these criticisms but to judge which have merit, which do not, and which should lead to improvements in the model. Claimed strengths of the TTM are also considered. Among various conclusions reached, it is argued that, although criticisms of the algorithm method of stage assignment are justified, readiness to change is better viewed in terms of stages of change rather than as a continuum and that stages or phases of change remain indispensable in understanding and responding to addictive disorders. The overall conclusion is that putting the TTM to rest would be to lose much of value but that a variant of the TTM, the social cognitive stage model, represents a theoretical advance.
Nick Heather is Emeritus Professor of Alcohol and Other Drug Studies within the Department of Psychology, Northumbria University.
Johannes Hönekopp is a Senior Lecturer within the Department of Psychology, Northumbria University.
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