Later that afternoon the nurse has a meeting with Jason and Suzanne. She asks Jason about his lifestyle and they identify smoking, excessive alcohol, illicit drugs, low physical activity and poor diet as key areas which need addressing. The nurse now needs to assess Jason’s readiness to change.
Jason makes the following statements about his smoking, recreational drugs, physical activity and diet habits. As Jason is still in hospital and this is the first time he has discussed this, he hasn’t had time to make any actual changes yet. Using the Prochaska and DiClimente model (see behaviour change Topic Loop for more information) decide which of the first 3 stages of change Jason is at for each lifestyle risk.
Topic Loop:
Q. Using the Prochaska and DiClimente model decide which of the first 3 stages of change Jason is at for each lifestyle risk. Drag and drop the first 3 stages of change to each lifestyle stage.
| Stage 1) Pre-contemplation | Stage 1) Pre-contemplation | Stage 2) Contemplation/ Thinking | Stage 3) Preparation/ Planning | Stage 3) Preparation/ Planning |
| Diet | Physical Exercise | Smoking | Alcohol | Recreational drugs |
| “I’m no good at cooking and it’s easier just to get take-aways” | “I used to go the gym but I found it really boring” | “I know smoking is bad but how can some people smoke all their lives and still make it to old age?” | “After my 40th birthday, I would like to cut down my drinking” | “I would like you to refer me to the drug services to quit that side of things” |
| “All my mates eat the same sort of stuff as me and they haven’t had a stroke” | “I don’t need to exercise because I’m not heavy” | “Smoking really relaxes me but I wouldn’t like to make Suzanne ill because of me” | “I think I will need to hang out with my pal Jim a bit less as he drinks like a fish and I try to keep up” | “I’m not going to take any more of that cocaine rubbish” |
| “Suzanne eats all of that healthy stuff but it looks like what you would feed your pet rabbit” | “I never liked exercising and used to skive off P.E at school” | “I suppose I could save a bit of money if I gave up smoking” | “I might try drinking that low alcohol beer when I’m out instead” | “I’m going to delete the mobile number of my dealer” |
Stage 4) Action/Making change
Stage 5) Maintenance or Relapse
Stage 4 and 5 are not yet appropriate for Jason
Page last reviewed: 05 May 2020
