Shifting processes model: a conceptual model for sustainable weight management.
Weight-loss maintenance is widely accepted to be a difficult and often elusive process. The transtheoretical model (TTM) provides a useful description of five stages of change. Applied to weight management, weight loss occurs during the action stage and weight-loss maintenance occurs during the maintenance stage. Despite its broad utility, the TTM does not adequately explain the complexity involved with a shift from action to maintenance. Based on Engel's (G. L. Engel, 1977, The need for a new medical model: A challenge for biomedicine, Science, Vol. 196, pp. 129-136) biopsychosocial model and family systems theory, a shifting processes model is proposed to describe the potential differences and shift that occurs between weight loss and weight-loss maintenance processes within relational contexts.
Behavioral Health Program, Arizona State University.
C R
CR
Macchi
Marriage and Family Therapy Program, School of Family Studies and Human Services, Kansas State University.
Candyce
C
Russell
Child Development and Family Relations, College of Human Ecology, East Carolina University.
Mark
M
White
D000328:Adult; D005195:Family Relations; D015438:Health Behavior; D006801:Humans; D008960:Models, Psychological; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology* / Q000628:therapy; D012008:Recurrence; D012648:Self Care / Q000523:psychology*; D012944:Social Support; D014481:United States / Q000453:epidemiology; D061217:Weight Reduction Programs / Q000379:methods / Q000458:organization & administration*