CHANGE                                                  

ACTion /ACTivity            

PRECONTEMPLATION                   
Care Maintenance                   
NOT seeing a problem.                 
Care Management                                  
Resisting Change.                                  
Life Management               
DENIAL                                            
GROWTH 
“What problem? Don’t bug me.” 

Doing something to change. 
Changing behavior, thinking, 
relationships, surroundings. 

“I’m working on 
changing.” 
 

SUPPORT                                 
Assertive Care Team                    
Self‐Help Groups 
Family/Fellowship 
Spiritual/Religious 
Environment/Culture 

Humble 
Efforto 
Learn 
Power 

ASSESSMENT                                
Psychosocial                    
Quality of Life               
Wellness               

STRESS  

CONTEMPLATION       

PREPARATION                                   
Making concrete plans to change behaviors. 
Thinking about changing thinking.                
Not totally convinced of need to change.       
“Is Change possible?”                                           
“Is it worthwhile to change?”                                

CHALLENGE                    
Letting Help Help                
Care Options/Planning                       
Care ACTivity                    
Stress Care 

“I know I need to change, but how do 
I change” 

                                                                                SOUL HELPs CHANGE Work 

Seeing a problem & 
considering whether to 
ACT on it.              
Struggling to 
understand/ define the 
problem.       
Wonder/Worry about 
possible solutions.  

GettingOverDenial 
“I want to change 
but then I don’t.”