Question 1

How does the model handle relapse?

Accepted Answer

Relapse is viewed as a normal part of the change process. Following a relapse, the individual typically returns to Contemplation or Preparation. Interventions focus on identifying triggers and building coping skills.

Question 2

What interventions are most effective for each stage?

Accepted Answer

Precontemplation: consciousness-raising. Contemplation: decisional balance. Preparation: goal setting. Action: reinforcement management. Maintenance: relapse prevention.

Question 3

How should the tool be used for multiple behaviour changes?

Accepted Answer

Focus on one behaviour at a time, starting with what the patient is most ready to change. Success with one behaviour can increase self-efficacy for others.

Question 4

What is the difference between Preparation and Action stages?

Accepted Answer

Preparation involves intention and planning within 30 days but no sustained action yet. Action involves consistent behaviour change for less than 6 months.