TTM (Exercise)

The (TTM) from the Principles and Foundations of Health Promotion and Education, is a theory created by Prochaska and DiClemente. They call this model the Transtheoretical Model of Change and discuss that,“people attempt to change their behavior, they move through a variety of stages using different processes to help them get from one stage to the next until a desired behavior is attained” (Cottrell, 2018, pg. 106). Prochaska lists out 5-6 different stages for effective behavior change to occur in this program: precontemplation, contemplation, preparation, action, maintenance, and termination.

According to The Center for Disease Control and Prevention, guidelines for Americans ages 18-64 describe physical activity as activities that keep people’s bodies moving and and works the skeletal muscles and cardiac muscle. (Center for Disease Control and Prevention [CDC], 2018). Activities include two forms of exercise; aerobic activity and muscle strengthening. Activities where the cardiac muscle is strengthened and muscles grow would entail bike riding, running, playing sports, and weight training.

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Within the stages of change, I believe I am still in the preparation stage. I have never made that full stride to make exercise a part of my life style and have been stuck in this stage for a while. I believe I am coming close to the action stage and can begin making exercise a part of my daily routine. I want continue exercising and see if I can be consistent to make healthy changes. Outweighing the pros and cons based on Proschange.com, I can see that I am making strides to exercising and begin making progress.

In terms of exercise, my decisional balance leads more towards a negative aspect of exercise. It is shown that I do have more cons than pros, but is not a large difference. Based on this I know I am in the early stage of preparation,but I will make my goal of meeting the 6 months of activity. This does correlate to my stage because I took such a long while of making exercise a priority.

The three processes of change I would identify with would be:

  1. Consciousness Raising

In this part of the change, this is where I increase my attention to healthy behaviors. I try to get my family to participate with me in getting healthy ingredients, food and snacks to keep in the house. I schedule times with dedicating time to exercise and make it a priority to do.

  1. Reinforcement

In this change, I align with this is because I give myself more reasons to believe exercise should be a key component to everyday life. Not just physically, but exercise helps with mental and emotional health.

  1. Self Reevaluation

During this part, this is where the new behavior is checked on, making sure the drive is still there. I have to look at this as a time to see where I am at with making healthy decisions. I need to evaluate the goals I made with myself and keep reminding myself the joy in exercising, the benefits that come with it, and my purpose to why I am exercising.

In times of emotional distress, this can lead to relapse and create unhealthy behaviors. My self efficacy levels were low in the areas where I make exercises. I was shown to do well in exercising when I am doing it alone. This is shown to be true because I go through the fear of being judged for where I am and not go at my own speed. I feel more comfortable working out by myself and think this will create more self motivation in exercising.

Throughout this process I have learned that I need to make a stronger effort in my approach to exercising. I have made excuses for a long time, but by changing my attitude to exercise, this has given me motivation to want exercise to be incorporated into my life.

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Reference:

Cottrell, R. R., Girvan, J. T., Seabert, D., Spear, C., & McKenzie, J. F. (2018). Principles and foundations of health promotion and education.

Physical Activity. (2018, September 07). Retrieved from https://www.cdc.gov/physicalactivity/index.html

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