title: The transtheoretical model: an approach to behavioral change.
abstract: Facilitating change in the behavior of clients to encourage effective and consistent oral self-care behaviors has been a main focus in the delivery of dental hygiene care. The Transtheoretical Model proposes that individuals progress through a series of stages when intentionally changing a behavior. Individuals utilize stage specific processes of change. The level of decisional balance and self-efficacy of an individual impact progression through the stages. This paper reviews the development of the Transtheoretical Model, presents a description of the model, and provides suggested applications for dental hygiene practice.
authors.affiliation: University of Colorado Health Sciences Center School of Dentistry, Department of Dental Hygiene, Denver, Colorado, USA.
authors.forename: Deborah Bailey
authors.initials: DB
authors.lastname: Astroth
authors.forename: Gail N
authors.initials: GN
authors.lastname: Cross-Poline
authors.forename: Donna J
authors.initials: DJ
authors.lastname: Stach
authors.forename: Terri S I
authors.initials: TS
authors.lastname: Tilliss
authors.forename: Sandra D
authors.initials: SD
authors.lastname: Annan
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D003657:Decision Making; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008960:Models, Psychological; D009910:Oral Hygiene / Q000523:psychology*; D010349:Patient Compliance; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy