reflection journal

ReadinessforChange.docx

Page 2 of 2

I. Transtheoretical Model applied to Health Promotion

Note: these principles are going to relate to your Quality Improvement Project

Stages of change: readiness to take action, Decisional balance: pros and cons of the decision

Self-efficacy: self confidence in being able to do the behavior, Processes of change: cognitive and affective activities helping change

Focus Area: __________________________________

Readiness Handout

1 How satisfied are you with this area of your life right now? Score

2 Do the Pros outweigh the Cons at this time? Score

3 How much are your dreams or desires motivating you to take action in this

area of your life now?

4 Rate your current (emotional or physical) pain or stress level with this area

of your life right now:

5 Rate your current (or near foreseeable future) amount of crisis / loss (that

may motivate you for immediate change):

6 Is now a good time for focusing on this area of your life?

7 How much of this change is being done for you (as opposed to someone

else)?

8 Are you prepared to move forward with this change, regardless of the

possible responses (disapproval, fear, control, insecurity, resistance, etc) of

significant people in your life?

9 How “in place” or ready are the resources and support systems needed to

help you make and sustain this change?

Add your total points: If your Total is… …then you are

1 – 15 Not ready for change now Red

16 – 30 Possibly ready for change Yellow

31 – 45 Ready for change Green

Keep your score until next week when you’ll determine your goals for the Quality Improvement Project.