Behavioural Change Model

Running head: BEHAVIORAL CHANGE MODEL
BEHAVIOURAL CHANGE MODEL
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Author’s Note:

BEHAVIOURAL CHANGE MODEL
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The crucial purpose of the essay is to critically discuss the use of Motivational
interviewing technique and Transtheoretical model in changing the irresistible and unhealthy
behaviour of the patient. In the essay includes a brief description of the Motivational
interviewing and transtheoretical model with some of its limitation. The essay also discusses the
implementation of each stage of model to help Harry to manage his increased weight.
The transtheoretical model is a biopsychosocial and integrative model which focus on the
change in the behaviour of the person in their life. The model suggests and describes the
different stage of change that people undergo, which includes five different change. The
precontemplation stage refers to them when the person does not have the plan to change within
six months (Prochaska, Redding & Evers, 2015). The contemplation stage indicates that a
person is thinking to change or take action for change within six months. In preparation stage,
the person takes action to make the change. In the next step, which refers to work involve when
the person modifies their behaviour in less than six months. In the maintenance stage, the person
sustains the change for more than six months. The last step is termination, where they show no
intention to return to the unhealthy behaviour. The model helps to assess the stage of change
where effective behavioral theories can be applied to modify the harmful behaviour. However, it
does not capture the complexity of the behavior of the person (Ligmann-Zielins et al., 2016),
The motivational interviewing theories are also consistent with TTM. It is the client-
centred technique which involves counselling and motivation for helping them to determine
ambivalence regarding health behaviour (Kay et al., 2016). It comprises of eight stage- spirit,
where a person is expertise when the support is given. ORAS involves open-ended questions for
accurate empathy. Third, is recognition of an aspect of the speech of the client. Fourth,
strengthening client for making the change. Fifth showing resistance, sixth negotiating for

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change the plan. Seventh consolidating the commitment of the client (Spencer & Wheeler, 2016).
Eight showing flexibility for other intervention. The model helps to motivate the client to adopt
healthy behaviour. However, the model needs extra time to build a relationship with the client.
The case study highlights the unreceptive behavior of the patient name Harry, who is 58
years old admitted to the surgical ward for a hip replacement for obesity. He is an overweight
person with 165 kg who have tremendous love for the food and unwilling to take any step for
weight loss. It is evident from the study of Nigg et al. (2019) that obesity is the potent issue in
surgery which arises the complication of high blood pressure and cardiovascular issue. Further,
due to obesity, his bone density has been low and became week due to which he has to go
through hip replacement surgery. Therefore, there is the need to take appropriate step to manage
the issue of obesity for promoting the wellness of the patient. The transtheoretical model of
change helps to assess the behaviour of the person and accordingly take action and motive to
adapt the change. According to the review of case study, it can be said that he is at
precontemplation stage as he is not thoughtful to take any action to lose weight despite knowing
the fact that it is impacting his health (Thepwongsa, Muthukumar & Kessomboon, 2017).
Moreover, he states that he loves food as a chef and he has to stay around food all day. Use of
the TTM model and motivation technique will assist him in creating a sense of urgency to lose
weight (Nigg et al., 2019). There is the need to change the perception of Harry and encourage
him to lose weight. The motivational interviewing technique will help the client to create a sense
of the importance of losing weight for his better health outcome.
At the first stage of pre-contemplation, he is not even thinking to take any action, for
which there is the need for educating him about the associated health risk with his choice
(Saunders et al., 2016). The nurse will listen to his discrepancies and past life to acknowledge the