1. Teori perubahan perilaku TRANSTHEORETICAL MODEL OF CHANGE
Kelompok 3
Minat Farmasi Rumah Sakit

2. TRANSTHEORETICAL MODEL (TTM)
Menggunakan “STAGES OF CHANGE” untuk mengintegrasikan proses dan prinsip-prinsip perubahan
Mengapa dikatakan transtheoretical???
Karena konsep yg digunakan berasal dari teori yg berbeda dari perilaku manusia dan pandangan tentang bagaimana merubah seseorang.

3. CORE CONSTRUCTS : Stages of Change Processes of Change
temporal dimension
Processes of Change
covert and overt activities people use to progress through the stages
Decisional Balance
weighing pros and cons of changing
Self-Efficacy

4. 1. Stages of Change Precontemplation Termination Precontemplation

5. Stages of change….
Termination (Optimal recovery )

6. Stages of change deskripsi
Pre-contemplation
no intention to act in the near future (six months)
Contemplation
intention to change in the near future; aware of pros and cons of changing
Preparation
intention to take action in the immediate future (1 month); have a plan of action
Action
overt action taken within the last 6 months
Maintenance
work to prevent relapse; less temptation and more confidence
Termination
no temptation and 100% self efficacy

7. 2. Processes of Change Experience: Behavioral: Stages of Change
Decisional Balance
Self-Efficacy
Experience:
Consciousness Raising
Dramatic Relief
Environmental Reevaluation
Social Liberation
Self Reevaluation
Behavioral:
Stimulus Control
Helping Relationships
Counter Conditioning
Reinforcement Management
Self liberation

8. Processes of Change: Experience
Consciousness Raising [Increasing Awareness]
I recall information people had given me on how to stop smoking.
Dramatic Relief [Emotional Arousal]
I react emotionally to warnings about smoking cigarettes.
Environmental Reevaluation [Social Reappraisal]
I consider the view that smoking can be harmful to the people around me.
Social Liberation [Environmental Opportunities]
I find society changing in ways that make it easier for the nonsmoker.
Self Reevaluation [Self Reappraisal]
My dependency on cigarettes makes me feel disappointed in myself.

9. Processes of Change: Behavioral
Stimulus Control [Re-Engineering]
I remove things from my home that remind me of smoking.
Helping Relationships [Supporting]
I have someone who listens to me when I need to talk about my smoking.
Counter Conditioning [Substituting]
I find that doing other things with my hands is a good substitute for smoking.
Reinforcement Management [Rewarding]
I reward myself when I don’t smoke.
Self liberation [Committing]
I make commitments not to smoke.

10. Stages of Change in Which Change Processes Are Most Emphasized
Precontemplation
Contemplation
Preparation
Action
Maintenance
Consciousness Raising
Dramatic relief
Environmental reevaluation
Self-reevaluation
Self-liberation
Reinforcement Management
Helping relationships
Counterconditioning
Stimulus Control

11. 3. Decisional Balance Stages of Change Processes of Change
Self-Efficacy
comparison of the strength of perceived pros of the target behavior with the perceived cons
Decisional Balance Leads to Individual Behavioral Acts
Precontemplation
Termination

12. 4. Self-Efficacy Confidence: Temptation:
Stages of Change
Processes of Change
Decisional Balance
Self-Efficacy
Confidence:
situation-specific confidence people have that they can cope with high-risk situations without relapsing to their unhealthy or high-risk habits
Temptation:
the intensity of urges to engage in a specific habit when in the midst of difficult situations

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