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Photo of a lady Why is change so hard—A structured approach to change can help
 
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One theory about change, called the Stages of Change Model (SCM) describes what happens to the mind and body as we go through change.

Each of the five stages requires grappling with different issues and tasks. How fast a person actually can effect change is highly individual, and only the person making a change can decide whether or not it's time to move to the next stage.

Stages of Change Model

  1. Pre-contemplation
    You are in denial about problem behaviour and not ready to think about making a change.
    Example: You often have a second glass of wine at dinner but aren't concerned about the possible consequences to health.
  2. Contemplation
    You spend time thinking about the bad habit(s) and are becoming more aware of the personal consequences.

    Example: You're starting to wonder if your daily chocolate bar habit is one of the reasons your waistbands are feeling tight.
  3. Preparation/Determination
    You make a commitment to change and begin to do research to better understand what you need to do. Those who try to skip this stage often fall back on old ways because they don't know or don't accept what's actually involved.
    Example: Your family has a history of Type 2 diabetes and you've decided to look into whether or not your sedentary lifestyle further increases your risk.
  4. Action/Willpower
    You develop plans to deal with both personal and external pressures that can lead to relapse. Short-term rewards often help maintain motivation and you are generally more amenable to accepting help and support, an important element of change.
    Example: It's been four months since you quit smoking and you've found that heading outside for a brisk walk around the block really helps with cravings. Every week that goes by, you buy yourself a small gift under $10 and put the rest of the money you formerly spent on cigarettes into a vacation account. You've always wanted to see Paris!
  5. Maintenance
    You are successful at avoiding temptations to return to old habits and have developed new skills to deal with life. You have learned to avoid relapse by anticipating situations and preparing coping strategies in advance.
    Example: You've lost 15 pounds since you replaced after-dinner TV viewing with yoga classes three nights a week. And even though you're going back to that all-inclusive resort with the big buffet meals for your vacation, this year you've already signed up for morning aquafit classes and have made a pact with your travel partner to do a three-kilometer beach walk every afternoon.
 
  Date published: July 15, 2005
  BulletKristin Jenkins is a writer and editor who specializes in health and medicine.

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