Transtheoretical Model: Medication Adherence

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Transtheoretical Model: Medication Adherence

It is important to note that the transtheoretical model is an all-encompassing multifactorial concept of changing human behavior. The framework proposes six stages, which were based on the concepts of decisional balance and self-efficacy in order to ensure that all introduced alterations are solidified with no relapse. The three core elements needed for positive alterations in a persons behavior include self-efficacy, readiness, and decisional balance, which are built through the processes of awareness increase, preparation, and sustained action.

It is important to note that there are six steps to the model. These include pre-contemplation, contemplation, preparation, action, maintenance, and termination (Imeri et al., 2022). In order to effectively transform through these phases, one needs to have a certain level of self-efficacy, readiness, and decisional balance. In the beginning, an individual must become aware of the problem first through the identification of the issue. For example, a person can be given information that long-term physical inactivity can cause blood clots, which will initiate his or her readiness. After the awareness is established, a person is prepared for future change plans, for which a proper decisional balance is required (Imeri et al., 2022). For instance, an obese individual is informed about the basics of weight loss, such as calorie counting, food choices, and cardiovascular exercise types. The sustained actions are achieved through self-efficacy since any meaningful change requires both initial actions as well as maintenance of the behavior. An alcoholic being provided with resources, community, and coping mechanisms to eliminate any possibility of future relapse would be an example.

In conclusion, the processes of awareness increase, preparation, and sustained action are necessary to build the necessary levels of self-efficacy, readiness, and decisional balance to proceed through stages of the transtheoretical model. It should be noted that the framework is focused on changes that last for a lifetime. The rationale for such a methodical approach is that any positive future improvements require long-term maintenance of a desired behavior.

Reference

Imeri, H., Toth, J., Arnold, A., & Barnard, M. (2022). Use of the transtheoretical model in medication adherence: A systematic review. Research in Social and Administrative Pharmacy, 18(5), 2778-2785. Web.

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