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Key words: Personal Training, Behavior Change, Transtheoretical Model, Stages of Change, Processes of Change.
ersonal trainers must often use a variety of tactics to motivate their clients. Trainers may benet from some research that has investigated how and why adults adopt and maintain their exercise programs. Specically, the Transtheoretical Model has been used to understand how people make changes concerning their exercise behavior. Although the original purpose of this
Explanation of the Transtheoretical Model The Transtheoretical Model shows that people make behavior change in stages and that they may advance to another stage with the assistance of various strategies (formerly known as processes). The two components of this model include the stages of change model and the processes of change. Stages of Change Model Research shows that starting an exercise program and adhering to it is more than simply doing it or not doing it, but it can be explained within a series of stages (1, 2). These stages include precontemplation (no intention to make changes), contemplation (considering a change), preparation (making small changes), action (actively engaging in behavior change), and maintenance (sustaining the change for 6 months or more) (5, 6). Processes of Change Processes are common activities that individuals use in an attempt to change behavior. Specically, these activities are used to help individuals move from one stage to the next or to prevent them from slipping backward. Although clients in any stage might benet from any process, it is clear that some of the processes must be used for behavior change to occur (2, 4, 7). How Personal Trainers Can Apply the Processes Although some tness professionals, perhaps unknowingly, use a few of the processes with their clients, most would benet from knowing a variety of ways to apply each process. Here are the 10 processes and some specic ways personal trainers can use them: 1. Consciousness Raising Provide information regarding exercise, tness, and health (e.g., pamphlets on exercise prescription or the benets of exercise).
Give periodic reminders/notication of tness principles, exercise adherence strategies, and recent research.
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Discuss the stress level in the clients life, its physiologic effects, and how exercise affects the symptoms.
3. Environmental Reevaluation Provide clients with the opportunity to determine how physical activity is affecting them physically and socially.
Periodically discuss the physical effects of habitual exercise. Discuss the ways that being physically active affects the activity of others (e.g., how parents affect their childrens activity levels).
4. Self-Reevaluation Provide clients with the opportunity to determine how physical activity is affecting them psychologically.
Have discussions of how exercise affects self-condence, self-esteem, and emotional state. Encourage clients to keep a journal, with entries that discuss how exercise has altered their lives and perhaps those around them.
Suggest/provide specic readings, such as articles or chapters of a text or book. Periodically ask your client about various tness principles and other related information to check for understanding. Notify clients of upcoming presentations or provide videos of dynamic speakers to improve clients motivation.
7. Helping Relationships Encourage clients to get support in their effort to exercise outside of personal training sessions.
Give constant feedback on clients exercise program outside of personal training sessions. Encourage clients to nd a workout partner when not in a personal training session, and discuss the numerous benets of exercising with a partner.
2. Dramatic Relief Encourage clients to reect on the negative health consequences of inactivity (e.g., high stress levels, being overweight, and poor personal appearance).
Periodically provide newspaper, magazine, and professional journal articles that discuss the effects of physical inactivity.
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identied to guide them toward the maintenance stage or to simply prevent them from moving backwards. Overall, and considering that there are no set rules, the trainer should thoroughly understand the processes and apply them into training sessions and their clients everyday situations. Because of the difculty of behavior change, it appears that an effective way to improve exercise adherence may be through introducing adults to a variety of strategies as early and as often as possible. John Acquaviva, Ph.D., is an Associate Professor of Exercise Physiology at Roanoke College where his research focuses on tness education in high schools and the practical uses of the Transtheoretical Model. Dr. Acquaviva is an ACSM member and is ACSM Health/Fitness Instructor certied. References
1. 2. Barke, C. R., and D. R. Nicholas. Physical activity and older adults: the stages of change. The Journal of Applied Gerontology 9:216-223, 1990. Marcus, B. H., J. S. Rossi, V. C. Selby, R. S. Niaura, and D. B. Abrams. The stages of change and processes of exercise adoption and maintenance in a worksite sample. Health Psychology 11:386-395, 1992. Nigg, C. R., and K. S. Courneya. Transtheoretical model: examining adolescent behavior. Journal of Adolescent Health 22:214-224, 1998. Marcus, B. H., L. R. Simkin, J. S. Rossi, and B. M. Pinto. Longitudinal shifts in employees stages and processes of exercise behavior change. American Journal of Health Promotion 10:195-200, 1996. Prochaska, J. O., and C. C. DiClemente. Transtheoritical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research and Practice 19:276-288, 1982. DiClemente, C. C., J. O. Prochaska, S. K. Fairhurst, W. F. Velicer, M. M. Velasquez, and J. S. Rossi. The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology 59:295-304, 1991. Prochaska, J. O., and C. C. DiClimente. Stages and processes of selfchange of smoking: toward an integrative model of change. Journal of Consulting and Clinical Psychology 51:390-395, 1983.
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Develop a reward system based on individual goals, and have a drawing at the end of each month including all of your clients as participants (e.g., provide a gift certicate from a local sporting goods store).
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9. Self-Liberation Teach clients several goal-setting techniques to assist in their exercise habits.
Discuss and assist in setting clients various short- and long-term goals. Have clients practice short- and long-term goal-setting techniques through a tness diary or journal entries, and periodically discuss progress.
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10. Stimulus Control Provide meaningful and noticeable stimuli (e.g., bulletin boards, advertisements, and posters) that might encourage all clients to become and remain more physically active.
Strategically place bulletin boards, posters, and advertisements near cardio and resistance training equipment, locker rooms, and group aerobics room. Advise clients to place stimuli in strategic locations at home.
Conclusion Although adults tend to use processes according to their specic stage of change, there are no hard guidelines (2). However, some clients may need to have their stage of change
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