Stages of change model

Stages of change model


Prochaska and DiClemente's Stages of Change Model

Stage of changeDescription
Pre-contemplationThe individual is not currently considering change

The following types of 'pre-contemplators' are recognised:

  • Reluctant pre-contemplators - lack sufficient knowledge about the dimensions of the problem, or the personal impact it can have, to think change is necessary.

  • Rebellious pre-contemplators - are afraid of losing control over their lives and have a large investment in their substance of choice.

  • Resigned pre-contemplators - feel hopeless about change and overwhelmed by the energy required. They probably have been in treatment many times before or have tried repeatedly to quit on their own to no avail. This group must regain hope and optimism about their capacity for change.

  • Rationalizing precontemplators have all the answers. Substance use may be a problem for others but not for them, because the odds are against their being at risk.
ContemplationAmbivalent about change, 'Sitting on the fence'
PreparationSome experience with change and are trying to change, 'Testing the waters'
ActionStarted to introduce change
MaintenanceInvolved in ongoing efforts to maintain change