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Science of Behavior Change
 for Adaptation to Climate

    James O. Prochaska, Ph.D.
          Change

         Director and Professor
    Cancer Prevention Research Center
        University of Rhode Island

                    .
Transtheoretical Model (TTM)

Model of Intentional Behavior Change
                     Overview



Basis for developing interventions to promote
 (health) behavior change
Describes how people:

modify a problem behavior   acquire a positive one
TTM & Climate Change?

  Mitigation      Climate Change
                                      Adaptation


Behavior Change                      Behavior Change

                  Levels of Change
Stages of Change
     TTM
Precontemplation
               Stages of Change
                     Not Ready to Take Action

                                    Have no intention to
                                     start taking action in
                                     the next 6 months.
  Stages of Change




 Example:
 * Currently not exercising.
 * Do not intend to begin exercising in the next 6 months.
1. Uninformed
Characteristics of Precontemplation


2. Demoralization
3. Denial
Contemplation
                Stages of Change

              Thinking About Taking Action
                                 Intend to start in
                                   the next 6 months
 Stages of Change




 Example:
* Currently not exercising.
* Intend to begin exercising in the next 6 months.
Characteristics of Contemplation

1. Doubt
2. Delay
Preparation
               Stages of Change
               Getting Ready to Take Action

                                  Intend to start in the
  Stages of Change
                                   next 30 days




 Example:
* Currently not exercising.
* Intend to begin exercising in the next 30 days.
Characteristics of Preparation

1. Fear of failure
2. Be prepared
Action
                Stages of Change
             Behavior Change Recently Started
                                 Consistently for less than
  Stages of Change                 6 months




 Example:
 * Exercising.
 * Have been exercising for less than 6 months.
Maintenance
              Stages of Change
   Has Changed Behavior for an Extended Time
                               Consistently for more
 Stages of Change               than 6 months




 Example:
 * Exercising.
 * Have been exercising for more than 6 months.
Two Examples
                     Stages of Change




     Pre-
                Contemplation   Preparation     Action   Maintenance
contemplation




                       sump pump installation
How do people move from one stage to another?
         Stage Transition

                   Processes
                         of
                    Change


            Decisional         Self-
             Balance          Efficacy



                    STAGE
Decisional Balance
    Pros =
                     Pros & Cons          Cons =
   Advantages                          Disadvantages
   of changing                            of changing


      Exercising                      Exercising
     + more energy                     - takes time
     + sleep better                - could get injured
+ more productive at work      - $ equipment/membership
        Adapting                      Adapting
+ home/property protected            - takes time
+ reduce community burden            - $ to adapt
+ save money (in the future)     - may not be worth it
How do people move from one stage to another?
        Decisional Balance
    Pros =
  Advantages
  of changing


                                        Cons =
                                      Disadvantages


 A growing awareness that the advantages (Pros) of
                                         of changing


    changing outweigh the disadvantages (Cons)
Stage Transitions
  56
  54
  52                                                                                                      Pros
                                                                                                          Cons
  50
  48
  46
  44



       The pros and cons of changing across stages of change for 48
                PC                 Cont                  PR                Action                 Maint



                                behaviors
Hall, K. L. & Rossi, J. S. (2008). Meta-analytic examination of the strong and weak principles across 48 health
behaviors. Preventive Medicine, 46, 266-274.
Self-Efficacy
                   Confidence
Not at all Confident                      Very Confident
       1-------2-------3-------4-------5

            Exercising
      * When I am stressed.
        * When I am tired.
* When I don’t have a workout buddy.

                              Adapting
                   * When it costs me too much $.
                * When I can’t find people to help me.
            * When I think about the uncertainty of damage.
Self-Efficacy

How do people move from one stage to another?
                              Confidence
    60
                                            Confidence / Self-Efficacy




    50




    40

         Precontemplation   Contemplation   Preparation   Action       Maintenance




 Confidence that they can make and maintain
             PC                 C               PR                 A             M




         changes in difficult situations
Strategies that can help people make and maintain change
              Processes of Change

 10 Processes of Change; 2 types


   Consciousness Raising         Self Liberation
  Experiential Processes        Behavioral Processes


   Dramatic Relief               Counter Conditioning
   Environmental Reevaluation    Stimulus Control
   Social Liberation             Reinforcement Management
   Self Reevaluation             Helping Relationships


         Different processes are most effective
              at different Stages of Change
Stage of Change
35

30

25

20

15
                     PC
10                   Cont
                     Action
5                    Main.

0
     Adv. & Pro.   Public Edu.   Laws & Pen.   Taxs & Fees Rest. Smoke
TTM & Climate Change?

  Mitigation      Climate Change
                                      Adaptation


Behavior Change                      Behavior Change

                  Levels of Change

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Science of behavior change for climate

  • 1. Science of Behavior Change for Adaptation to Climate James O. Prochaska, Ph.D. Change Director and Professor Cancer Prevention Research Center University of Rhode Island .
  • 2. Transtheoretical Model (TTM) Model of Intentional Behavior Change Overview Basis for developing interventions to promote (health) behavior change Describes how people: modify a problem behavior acquire a positive one
  • 3. TTM & Climate Change? Mitigation Climate Change Adaptation Behavior Change Behavior Change Levels of Change
  • 5. Precontemplation Stages of Change Not Ready to Take Action  Have no intention to start taking action in the next 6 months. Stages of Change  Example: * Currently not exercising. * Do not intend to begin exercising in the next 6 months.
  • 6. 1. Uninformed Characteristics of Precontemplation 2. Demoralization 3. Denial
  • 7. Contemplation Stages of Change Thinking About Taking Action  Intend to start in the next 6 months Stages of Change  Example: * Currently not exercising. * Intend to begin exercising in the next 6 months.
  • 9. Preparation Stages of Change Getting Ready to Take Action  Intend to start in the Stages of Change next 30 days  Example: * Currently not exercising. * Intend to begin exercising in the next 30 days.
  • 10. Characteristics of Preparation 1. Fear of failure 2. Be prepared
  • 11. Action Stages of Change Behavior Change Recently Started  Consistently for less than Stages of Change 6 months  Example: * Exercising. * Have been exercising for less than 6 months.
  • 12. Maintenance Stages of Change Has Changed Behavior for an Extended Time  Consistently for more Stages of Change than 6 months  Example: * Exercising. * Have been exercising for more than 6 months.
  • 13. Two Examples Stages of Change Pre- Contemplation Preparation Action Maintenance contemplation sump pump installation
  • 14. How do people move from one stage to another? Stage Transition Processes of Change Decisional Self- Balance Efficacy STAGE
  • 15. Decisional Balance Pros = Pros & Cons Cons = Advantages Disadvantages of changing of changing Exercising Exercising + more energy - takes time + sleep better - could get injured + more productive at work - $ equipment/membership Adapting Adapting + home/property protected - takes time + reduce community burden - $ to adapt + save money (in the future) - may not be worth it
  • 16. How do people move from one stage to another? Decisional Balance Pros = Advantages of changing Cons = Disadvantages A growing awareness that the advantages (Pros) of of changing changing outweigh the disadvantages (Cons)
  • 17. Stage Transitions 56 54 52 Pros Cons 50 48 46 44 The pros and cons of changing across stages of change for 48 PC Cont PR Action Maint behaviors Hall, K. L. & Rossi, J. S. (2008). Meta-analytic examination of the strong and weak principles across 48 health behaviors. Preventive Medicine, 46, 266-274.
  • 18. Self-Efficacy Confidence Not at all Confident Very Confident 1-------2-------3-------4-------5 Exercising * When I am stressed. * When I am tired. * When I don’t have a workout buddy. Adapting * When it costs me too much $. * When I can’t find people to help me. * When I think about the uncertainty of damage.
  • 19. Self-Efficacy How do people move from one stage to another? Confidence 60 Confidence / Self-Efficacy 50 40 Precontemplation Contemplation Preparation Action Maintenance Confidence that they can make and maintain PC C PR A M changes in difficult situations
  • 20. Strategies that can help people make and maintain change Processes of Change  10 Processes of Change; 2 types Consciousness Raising Self Liberation Experiential Processes Behavioral Processes Dramatic Relief Counter Conditioning Environmental Reevaluation Stimulus Control Social Liberation Reinforcement Management Self Reevaluation Helping Relationships Different processes are most effective at different Stages of Change
  • 21. Stage of Change 35 30 25 20 15 PC 10 Cont Action 5 Main. 0 Adv. & Pro. Public Edu. Laws & Pen. Taxs & Fees Rest. Smoke
  • 22. TTM & Climate Change? Mitigation Climate Change Adaptation Behavior Change Behavior Change Levels of Change