Transtheoretical model of health behavioral change: A systematic review

Abstract

Background: Transtheoretical model (TTM) is one of the most commonly used methods in behavioral change modeling. The aim of this study was to conduct a systematic review (SR) to determine research gaps with regard to this template with an emphasis on intervention for patients with chronic diseases (CDs). Materials and Methods: ISI-WOS, Scopus, PubMed, SID, and Magiran databases were examined systematically and on the basis of defined criteria. Titles, abstracts, and full texts of articles retrieved were examined for the presence of defined criteria. Then finalized articles were analyzed in consensus meetings. After that, references of selected articles and full text of those meeting the criteria were also analyzed. Results: We screened 103 articles, excluded 27 in abstract review and 34 in full-text review, leaving 42 articles for critical appraisal. Then the references of these 42 articles were also screened. Fifty articles were excluded on abstract review and 5 on full-text review, leaving 15 articles. The result of the analysis of 57 final articles of this SR determined that 28 articles were about aspects of TTM and 5 stages of change were the most commonly used aspect. Eight articles used TTM in intervention about CDs. A total of 21 articles examined TTM's pros and cons, most of which were about TTM's pros. Conclusions: The majority of studies focused on the effectiveness of TTM on the behavioral change management. This finding supported the hypothesis that TTM can be applied in the prevention of CDs.

Transtheoretical model on the self-care behavior of hypertension patients: a systematic review

“…To change a person's behavior, educators referring to the change process existing at each stage of behavior change where there are a decision-making process and changes in self-efficacy [9]. The application of the core construct of TTM can change the patient's behavior to become obedient [10,[24][25][26]. It is different from the results of the review by Friman et al [23] who found that the TTM-based education implemented was still able to change a person's behavior even though the intervention provided did not refer to a person's stages of change.…”

“…TTM has been widely used in changing patient behavior as evidenced by several previous reviews. Reviewed the effectiveness of TTM in the prevention of chronic disease [10], activity changes in self-management for people with DM Type 2 [11] and in changing physical activity behavior [12]. Meanwhile, hypertension itself is still limited to experimental research.…”

Impact of Self-Reported Sitting Time and Transtheoretical Model Based on Exercise Behavior Change on Glycemic and Weight Control in Japanese Adults with Type 1 Diabetes: A Cross-Sectional Study

“…In addition, the cut-off points for time spent sitting as an indicator of frailty were more than 4.3 h/day for males and more than 5.5 h/day for females [52]. Assessment and intervention using TTM are useful for the management of various chronic diseases, such as T2D, hypertension, osteoporosis, or cancer, and other habits such as eating, sleeping, or smoking [53]. In this study, 53.8% of patients with poor glycemic control were in the precontemplation stage of TTM.…”

A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh: a theory and evidence-based approach to development

“…They focused on education about SHS and/or developing skills in women to avoid SHS exposure or negotiate with a family member, usually the husband. Five interventions were underpinned by a behaviour change framework, for example, the Transtheoretical Model of Change [ 26 ] and the Health Belief Model [ 27 ].…”