Decision making in the transtheoretical model of behavior change

Med Decis Making. Nov-Dec 2008;28(6):845-9. doi: 10.1177/0272989X08327068. Epub 2008 Nov 17.


Decision making is an integral part of the transtheoretical model of behavior change. Stage of change represents a temporal dimension for behavior change and has been the key dimension for integrating principles and processes of change from across leading theories of psychotherapy and behavior change. The decision-making variables representing the pros and cons of changing have been found to have systematic relationships across the stages of change for 50 health-related behaviors. Implications of these patterns of relationships are discussed in the context of helping patients make more effective decisions to decrease health risk behaviors and increase health-enhancing behaviors.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Behavior
  • Decision Making*
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Models, Psychological*
  • Risk-Taking