Transtheoretical Model (Stages of Change) and Its Potential Applications to Psychiatric and Mental Health Nursing Practice


  • Sarah Jane Racal College of Nursing, Christian University of Thailand
  • Yuwanida Aramroom College of Nursing, Christian University of Thailand
  • Onpicha Ketphan College of Nursing, Christian University of Thailand


Transtheoretical Model of Change, Stages of Change, Mental Health, Psychiatry, Nursing


Over the years, mental health challenges have always been a significant concern for the healthcare system. More recently, global events including the COVID-19 pandemic and its impacts on society have increased the burden and stress on the healthcare system and its management of mental health issues.  This article offers a fresh perspective on the possibility of integrating the Transtheoretical Model (Stages of Change) in Psychiatric and Mental Health Nursing Practice alongside the already existing nursing concepts, approaches and interventions. This model has already been widely used in behavioral studies and in the management of chronic diseases. In the field of mental health nursing, this is yet a concept that needs further exploration.  The use of the Transtheoretical Model highlights the shared responsibility and commitment to change by the client and the mental health practitioner such as the nurse. According to the elements of the Transtheoretical model, when a client’s self-efficacy, commitment, and readiness to change are taken into consideration, this is more likely to lead to treatment and recovery success that is long-term and more permanent, thereby preventing relapses.  Of all the elements of the Transtheoretical model, this article highlights the six stages of change, ways to identify an individual’s stage of change and the appropriate nursing approaches as well as the pros, cons, and opportunities for further research. 


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