The Transtheoretical Model of Behavior Change

The Behavior Process

Conscious Rating

This entails the patients having to enhance their information consent basing on the severe impacts, the causes, and the medication to counter the urine stress incontinence(Alahäivälä & Oinas-Kukkonen,  2016). It entails the urinary stress incontinence being informed of how to attain their objectives by training, education, and online campaigns.

Dramatic Relief

This entails the patient’s encounter alongside their mental status expression basing on the disease(Landers  & Armstrong, 2017). It involves the assertion that life occurrences such as the death of a close family can compel an individual to be in a profoundly emotional situation, this is primarily in instances of death as related to the disease.x


It entails the women with urine stress incontinence acknowledging the healthy situation being part of their lives and the state that they desire in life.

Environment Reevaluation.

It entails the women with urine stress incontinence being examined on how the disorder has impacted their social status such as the intervention by the family awareness on a person if it portrays themselves in a positive and negative role model to third parties(El Sayed, Ibrahim, Aboud & Sarhan, 2019). Thus, the women have to be assessed on the distinct ways that the complication has affected their health status and social position in the community


It entails the women with urinary stress incontinence having to commit themselves and adopt the relevant action. For instance, for self-liberation, it involves decision making therapy alongside the dedication improving plan. The patients, therefore, have to dedicate themselves toward ensuring that the health positions are precisely checked effectively for the essence of ensuring that the plan works well with them owing to the self-liberalization sense instilled to the patients with the complication in the health facility.

Social Liberalization

The patients with urine incontinence are needed to increase their potentiality or choices for non-problem matters such as oppression(Archer, Langhinrichsen-Rohling & Blejwas, 2018). The women with the disorder have to be motivated at this step. Social liberalization is, therefore, a crucial stage in the complication among women since it makes them more exposed to any entities that tend to influence their well-being in terms of health and maintaining their social status.

Counter Conditioning

In this step, the women with urinary stress incontinence are required to incorporate an alternative for the issue to be solved effectively. Counter conditioning is an essential stage as the women with the complication can develop new alternative techniques of countering the complexity by countering it effectively with the help of health professionals in the respective health facilities.

Stimulus Control                                                                                    

The cancer patients are supposed to eradicate any stimuli linked with the disease and replace it with prompts to participate in healthy behaviors, for example, self-help groups. Therefore, stimulus control is an essential prompt in the management of women with the complication as it helps in the elimination of the stimuli that are related to the complication

Contingency Management

At this stage, the women with urinary stress incontinence are allowed to acknowledge the impacts of engaging in some practices that may result in the issues that may get worse in the situation (Friman, Huck  & Olsson, 2017). Thus, conceptual management is, therefore essential in the evidence-based practice as it makes the women with the complication to be more exposed and educated on the best practices to engage in for the essence of ensuring that they maintain positive and healthy lifestyles generally, which will rely upon the contingency management plan.

Helping Relationship

Patients with urinary stress incontinence have to be frank regarding the issue and entrust those who are actively engaged in assisting them with the complication or changing their health traits(Deline&Kahlor, 2019). This support can be pointed out with self-help teams and counselor calls alongside social support.


It is evident that the viewpoint of an individual has concerning their potential to behave in a particular trend that is essential in examining and assessing the cure to the disorder, and this greatly aids in countering the issue.

Decisional Balance

It entails the stage where the patient with urinary stress incontinence is in the position to examine the restriction and altering their trait. The elements to examine are the expenses that will be incurred in the process and third-party entities.

Conceptual Model



Alahäivälä, T., & Oinas-Kukkonen, H. (2016). Understanding persuasion contexts in health gamification: A systematic analysis of gamified health behaviour change support systems literature. International journal of medical informatics96, 62-70.

Archer, S., Langhinrichsen-Rohling, J., & Blejwas, E. (2018). Beyond the Manuscript: Developing a Productive Workgroup Within a Community Coalition: Transtheoretical Model Processes, Stages of Change, and Lessons Learned. Progress in community health partnerships: research, education, and action12(1), 73-79.

Deline, M. B., & Kahlor, L. A. (2019). Planned risk information avoidance: A proposed theoretical model. Communication Theory29(3), 360-382.

El Sayed, H. A. E., Ibrahim, H. A. F., Aboud, S. A. E. H., & Sarhan, A. E. M. (2019). The Effect of a Trans-Theoretical Model-Based Intervention on Physical Exercises Behaviour among Postpartum Women at Benha City, Egypt. American Journal of Nursing7(3), 342-353.

Friman, M., Huck, J., & Olsson, L. E. (2017). The transtheoretical model of change during travel behaviour interventions: An integrative review. International journal of environmental research and public health14(6), 581.

Landers, R. N., & Armstrong, M. B. (2017). Enhancing instructional outcomes with gamification: An empirical test of the Technology-Enhanced Training Effectiveness Model. Computers in human behaviour71, 499-507.


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