Its just who we are. patients to move to the next stage. The doctor wants me to stop drinking wine. I was doing so well on my dietI What are some things that make people resistant to change? Indeed, self-efficacy the belief in our ability to change is crucial to planning and executing the actions required to meet the goals we set and fight the temptation to relapse (Luszczynska, Diehl, Gutirrez-Dona, Kuusinen, & Schwarzer, 2004). Many aspects of personal change fit the model to some degree. Worksheets are Stages of change scenario activity answers, Cognitive behavioral therapy ii, Stages of change scenario activity, The stages of change, Change plan work, Assessing your stage of change work, Stages of change, Stages of change handout. Discuss as a group. Your email address will not be published. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Stage 1: Precontemplation. Indeed, interventions based on the TTM have resulted in substantial improvements when applied across multiple disciplines, including the workplace and health settings (Liu et al., 2018; Freitas et al., 2020). [], Motivation is a powerful predictor of change in recovery. three weeks now. You could change the word "anxiety" to depression, social challenges, attention deficit disorder, or executive functioning if it is more fitting for your child. prescribed to help., Ask yourself: What do I want to change? 4 0 obj continuum. The change management process can be long and complex because people tend to resist change. You need a comprehensive change management strategy to get the most out of digital transformation. _____ Specific Learning Outcome 11.SU.2 Explain the stages of involvement in substance use or abuse. Stage 1: Precontemplation thought. Focus on the real message being spoken by repeating or rephrasing what has been said. While the addict has become more fully aware of the benefits of change, they are also aware of the pitfalls and obstacles that await them in recovery. Most successful self-changers go through the stages three or four times before they make it through the cycle of change without at least one slip. The clients old ways are in the past. Ive been shopping for groceries twiceand 3 0 obj This indeed powerful information, so clear and easily applicable. climb the stairs to my apartment., months now. Engaging in a Future State. was doing really well working out until I pulled a muscle. YXOHQwfgwv}j;Kg]3\->osUym;c8u=]~|?fxN]{:~7O2X7qKUl\>,]OYU*%~&?Kr wW+*9s,dr +YF60 The final stage, termination, is perhaps more of a destination - an end state. If you're looking to run a successful business in a dynamic, consumer-driven, and globally competitive market, this zen-like motivational poster quote should be your mantra. If youre looking for more science-based ways to help others reach their goals, this collection contains 17 validated motivation & goals-achievement tools for practitioners. <> I This means supporting change through comprehensive training. guess its time to stop smoking., My wife and I have talked about it, and shes going to Smoking is just me and Im not changing., Worksheets are Stages of change activity, Recognizing the stages of change work, Stages of change and activity, Stages of change, Assessing your stage of change work, The stages of change model, Stages of change, Pre contemplation stage of change. What can you do to make it easier for people in your organization to accept the changes associates with Lean and Six Sigma? A scenario is the description of a specific situation. 0 We are getting together tomorrow He has been obtaining and nasally ingesting Ritalin to keep himself awake at night to study. are the covert and overt activities that people use to progress through the stages. Sustain the new behavior for the long term. Have each mini-company prepare a product and business plan presentation. Work hard to improve your technique and communicate it to employees. _____ Create a specific plan for change, and complete a contract (see Wellness Worksheet 5). If we can utilize games to better illustrate change, why not use them? These change management activities encourage employees to self-reflect on their approach to organizational change. Once theyve done this, ask them why the second attempt might have left them feeling uncomfortable, even though its the same action. Participants may face each other again, all eyes open and ask the partner who did not make changes to identify as many changes as possible. endstream endobj 621 0 obj <>/Metadata 78 0 R/Outlines 104 0 R/PageLayout/SinglePage/Pages 615 0 R/StructTreeRoot 143 0 R/Type/Catalog>> endobj 622 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 623 0 obj <>stream Some of the worksheets for this concept are Stages of change scenario activity answers, Cognitive behavioral therapy ii, Stages of change scenario activity, The stages of change, Change plan work, Assessing your stage of change work, Stages of change, Stages of change handout. They found that people go through six different stages when trying to make a change: precontemplation, contemplation, preparation, action, maintenance, and termination. While some adults see games in class as childish, as long as the games are not too ridiculous, many adults are willing to give them a try. Mike is a college student who is struggling with the stress of his coursework. for and answer any related questions before moving on to the next 2. My grandma was big and lived to be 80., It is not a stage in itself, but a failure to maintain the existing position in behavioral change, either as a result of inaction (e.g., stopping physical activity) or the wrong activity (e.g., beginning smoking again.). The classes begin Covert and overt activities that people use to progress through the stages" of change in the transtheoretical model (TTM). or read books about nutrition, its all too much work., All the importance of listening to the cues patients give you regarding their They each lived a good long life; Ill live Lately, Im out of endobj Motivational Interviewing Workbook - Juvenile Court Judges' Commission When an addict starts to weigh the pros and cons of . Purpose ask what benefits the change will bring. Address the anxiety of your employees by focusing on their needs. Processes of Change . looked into the local health/exercise facility, but I just dont feel The client is either completely unaware or lacking details regarding the health benefits of changing their behavior and taking up physical exercise. I am looking forward for more. The following exercises and games were designed to increase participant understanding of the emotional barriers that are part of resistance and how to deal with them. And thats a change that no one will be complaining about. Ask employees to cross their arms. Take this opportunity to acknowledge the fear of the unknown and share information about the need for upcoming changes. Will it increase revenue? For example, I have no intention of taking up a sport or going running.. My grandfather loved wine, my father loved wine, and I love wine. All of my family is big. By filling out your name and email address below. what I eat so closely., I am In recent years, addiction treatments have shifted away from punitive methods and abstinence protocols toward a [], Even if we know changing our behavior is good for us, change involves chartering unknown territories, putting forth effort, and letting go of familiar habits. Before you continue, we thought you might like to download our three Goal Achievement Exercises for free. Now, lets take a look at interventions for managing the change endstream endobj 627 0 obj <>stream However, it is essential to note that the clients behavior through earlier stages may not be linear. Ive circled the day on my calendar. Ive been on my diet for two weeks and I feel A relapse is a form of regression to an earlier stage. The harder you push change, the more frustrated employees become. The model helps us understand not only the process by which clients make an intentional change, but also the support from themselves and others that can help. endobj Ive been biking four mornings a week for two "F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VKYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()WT6U@P+!~mDe!hh/']B/?a0nhF!X8kc&5S6lIa2cKMA!E#dV(kel }}Cq9 Although there are multiple change theories and models, these high school activities directly address Prochaska's transtheoretical model (TTM), which details six stages of change. Most likely, they are either under-informed or uninformed. that the patients dont always fit neatly match the statements with the stage of change? pulled a muscle. Ive been biking four mornings a week for two months The client has made good progress; they have modified their lifestyle over the last six months. something to help with the cravings., My Ive continued since.. bed., Id I really feel better and its much easier to When a company undergoes a large-scale transformation, its workers are the first to feel it. Ive started walking every morning. Stage 3: Preparation. Encourage your employees to be more open-minded toward changing long-standing methods. Freitas, P. P., Menezes, M. C., Santos, L. C., Pimenta, A. M., Ferreira, A. V., & Lopes, A. C. (2020). I Based on data from both self-efficacy and temptation studies, maintenance can last between six months and five years (Prochaska & Velicer, 1997). 620 0 obj <> endobj He has since been named as one of the Top 100 Most Influential People in the World by Time magazine. H"sI!TRidZ[dO-o&hbgUTt read the first chapter of a book that was suggested about nutrition, but 3 0 obj Change can take many forms. The approach has proven successful as an intervention for managing health conditions and overcoming addiction. By using simulations, exercises or games, practitioners can enliven their learning environments and improve knowledge retention, skills and applications. Create four columns and label them left to right: Project, Purpose, Particulars, and People. There is always a risk of relapse into prior unhealthy ways, even several years down the line. Stage 4: Action. Before you know it, your change strategy is falling apart. Mike is a college student who is struggling with the stress of his coursework. These statements are to be handed out to the participants in the group activity. doctor wants me to stop drinking wine. The following two real-life case studies provide examples of the scenarios clients present to their therapist and how the Motivational Interviewing Theory can help. Begin with the preceding questions. se}!+`&MztptptptptptpTvD9_1_9_1_9_1_9_1_9_1_9_1_e.YDE'N(;QtDE'N Fo7 Fo7 %Rp."Yzn)X2K Maintain behavior across multiple situations. Their task is to point out unusual human social norms and to explain them to the beings on their imaginary planet. <> I feel so much better., continuum. statement from patients regarding a lifestyle change to the participants. Six Stages of Change. The expanded new edition of this successful Workbook provides the reader with practical information and skills to help them understand and change a drug or alcohol problem. eating., Within the maintenance stage, the client becomes confident they can continue their new lifestyle, and the behavioral change is embedded in their lives. It's only human to want to be involved in the decision-making process. process. <> Seriously consider the need for behavioral change. to my apartment. And, were Researches formulated the 5 stage model of behaviour change in the 1970s after researching how people quit smoking. Consider the pros and cons of existing behavior. Read this. Review Physical management exercises like this have a bigger impact on employee mindsets because it sticks with them for longer. hbbd``b`3#$ATKHpE# 7H#: need more physical activity, so I signed up for exercise classes. After 10 minutes, change the group dynamic by moving participants from one group to another. Successful change requires the client to believe that the benefits outweigh the drawbacks. Even smaller-scale change management impacts the workforce. 5) MAINTENANCE STAGE. When you start to get verbal resistance, stop and move to the discussion questions. The client intends to make the change within six months. Discuss The factors that influence "change behavior" have been significantly researched, yet one model is the standard-bearer for change. Enterprise-wide change initiatives demand a lot from their employees. shopping together for healthier food. Training Systems Design. 4 0 obj I went out to a restaurant with some been on my diet for two weeks and I feel good. three days a week., Ive Let's discover where you are on your path through. By seeing how different workers react to change, the team can collaborate more easily to find a way forward. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Going back to the behavior, or relapse, may occur. groups of two or three participants. Change is not wanted, needed, or possible. 8. TTM identifies six stages of readiness experienced by an individual attempting to change (Prochaska & Velicer, 1997; Liu, Kueh, Arifin, Kim, & Kuan, 2018): The final stage, termination, is perhaps more of a destination an end state. This field is for validation purposes and should be left unchanged. Ask them to be honest about their concerns and find ways to make the process fun. So you feel that Ive Kitty goes to the. It provides focus, tracks progress, and ensures appropriate support and resources are in place for success. Thats why change management activities are such essential change management tools. Some of the worksheets displayed are Stages of change scenario activity answers, Cognitive behavioral therapy ii, Stages of change scenario activity, The stages of change, Change plan work, Assessing your stage of change work, Stages of change, Stages of change handout. At this point, even if bored or depressed, the client will not return to their former way of coping (Prochaska & Velicer, 1997). Thats a great idea. Encourage participants to consider and share their own personal emotions related to making changes. Assign members of each group-specific job functions like designing, marketing, distributing, etc. The ball represents an employees capacity for resilience. I have to young male patients that are anxious and depress because they are stuck need to change but do mot know how. They must balance the pros and cons to decide whether to continue the journey, fall back, or give in. The smoker begins smoking, the new runner gives up, the diet is over, fast food is back on the menu. home of her old drug dealer and obtains five Percocet pills. Instructions: Make a copy of the following statements (3 For example, I know I need to lose weight for my health, but I enjoy fast food.. All those being introduced to change need it. Anyone who has ever broken a New Year's resolution can appreciate the difficulty of behavior change. e.g., schedule follow-up appointments, refer them to another resource, and monitor change. 9` pfs|m S5]U$UU@L)a*@a 5CGG` `B!::8:0AL72@@^e`RA 3T5gjj,iq _dH20(L R/A1 )S walking together in the mornings three days a week., food. If you are in this stage it's important to try and stay here and prevent relapse. After successfully quitting a severe Opioid habit, Kitty was sober for over 8 months. If this happens, acknowledge the validity of the statement, but ask how these changes and peoples reactions to them are similar. For example, I am confident I can make healthy eating choices at home, work, or when I go out.. dont know if I can stick to it., My wifes a great cook, and Im eating her food no matter The Stages of Change worksheet is a free download to educate the client about the stages involved in behavioral transformation and relapse. to climb the stairs to my apartment., It is easier to cook healthy foods than I thought. smoking. Scenario planning is a method for developing and thinking through possible future states on the basis of different factors and . I lost six pounds, but then I went n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. for exercise classes. been shopping for groceries twice, and Ive stuck to my list, buying I have smoked since I was a teenager. * Develop a working -together relationship * Remain positive and optimistic * Remember that engagement does not equate to enablin g* Use Motivational Interviewing to Express Empathy and Establish Personal Goals * Provide practical assistance * Reduce harmful consequences * Provide outreach if necessary *Listen for ambivalence about problem behavior * Reflect individual's statements of the These seven change management activities are all designed to help minimize employee resistance to change. Another twist to this game might be asking participants to change seats frequently, which also can help them enhance their personal ability to deal with change. did what I was supposed to do. good. Jumping into a new work dynamic can be daunting, but practice certainly helps. It enables them to actively work toward changing it for the better. Anger and other emotional responses. endstream endobj 625 0 obj <>stream Be Strong. It is easier to cook healthy foods than I thought. After the activity, follow up with an open discussion on how teams adapted to changes. Communicate your business goals and explain how your change project will benefit employees. The play scenarios become more complex with themes and storylines. When introducing a new work process, you can remind employees of the lessons of this game. A few weeks of change is usually not enough to ensure things will stay that way long-term, though every situation is different. Overview of The Stages of Motivational Readiness for Change Model According to The Stages of Motivational Readiness for Change Model (SOC), individuals move through a series of stages as they adopt and maintain a new habit (Prochaska & DiClemente, 1983). Unfortunately, relapse is typical for many health-related behavioral changes. Now it hurts too much Go ahead and try one for yourself before your next significant change. for something to help with the cravings., I <> Acknowledge someones strengths and behaviors that lead to positive change. We pass through four phases that are distinct and recognizable. After the class gets situated and comfortable, the facilitator should ask participants to change seats. Displaying all worksheets related to - Stages Of Change Activity. Overcome difficulties and maintain the commitment. You will not necessarily begin asking questions in stage one (1). starting over., I Worksheets are Stages of change, Change plan work, Assessing your stage of change work, Five stages of change, Cognitive behavioral therapy ii, Stages of change, Stages of change scenario activity answers, Stages of change handout. Transformational leaders value trust between themselves and their workforce. #9~>92{+o#S7c:/|N>4#Gt?m1KocrnMm04SiGQ&{tX/BC>QGh]t%w`hR|?g%RgQf8 ytnl^f}y?e%K{0t| ;j'+QqrPRAL4 We hope you enjoyed reading this article. do it., I blood pressure. HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb But for these change management activities to truly mean something, organizational leadership must follow up with stellar change management. HqP R9(PIwHa:!r_n`szg,9w'Of` :b % Built with love in the Netherlands. what I like, right?, Stages of Change Framework (Prochaska & DiClemente, 1982) Prochaska and DiClementes' (1982) Stages of Change is a trans-theoretical framework that allows clinicians to meet clients where they are in relation to their readiness to change. I can go back to eating what I like, right?, I need to walk up two flights of steps to get to my Procrastination. A . Then you can manage potential disruptions and approach transformation holistically. %PDF-1.5 comfortable. 636 0 obj <>stream Not only will they give individuals a chance to examine their attitudes towards change in-depth, but they are also sure to enrich any work environment and improve productivity. 1. #2). Here are 7 change management exercises to get employees on board (while having a ton of fun, of course). next week., Were just born How did it feel when you were asked to cross your arms the other way? When they are asked to fold them the other way they, for the most part, stop, refold their arms again and then try to figure out which arm was on top, which arm moves first and so on. Ask employees to imagine themselves as aliens observing a human dinner party. Not only will these change management exercises engage employees in learning new processes, but theyll also encourage engagement in future change projects. My sister needs to watch her cholesterol One afternoon she sees an old boyfriend and becomes depressed. nQt}MA0alSx k&^>0|>_',G! Note that an alternative view is that termination is never reached. The transtheoretical model is an effective weight management intervention: A randomized controlled trial. x]7nCefi7$C6,F3#X&jggGp`bbbWbny5o}bonnz[nar}yO0fxjO|TU;' Care Manager to meet them where they are on the readiness to change The TTM offers a theory of healthy behavior adoption and its progression through six different stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Change Statements (Supplement #1) into individual strips of paper My doctor says I have to watch what I eat, but Dont forget to download our three Goal Achievement Exercises for free. It outlines how this situation started, what is happening and how it concludes. Guide the discussion to highlight our innate resistance to change and the benefits of moving away from a comfort zone to the unknown. Sometimes we choose it, and sometimes it just happens. Are you wondering whether? Also, patients do not always move in a now. Recent insights from McKinsey suggest the scale of this change in attitude. What can you do to make it easier for people in your organization to accept the changes associated with Lean and Six Sigma? Played at the beginning of a meeting or work retreat, these exercises promote conversations about the upcoming change. Note: Then, have your group of employees fill in each column as follows: This exercise will help participants connect the four areas and see the greater purpose of the change they will soon experience. And the only time I have available to exercise is in the early morning The Transtheoretical Model of Change (TTM) the result of the analysis of more than 300 psychotherapy theories was initially developed in 1977 by James Prochaska of the University of Rhode Island and Carlo Di Clemente (Prochaska & Velicer, 1997). !o:&!PFXL;C3p~$^"Y%mw}Q*aOKc,_;j Bl'2(2G5P{=):@R^)=aU('m|\`s%Mb%]-JUhrbWX]j#7/c1?#''f4cYXC>24*kk@h8Gm-Z70L["H1Dd3_1y_f6+ Get started for free! section of training. e.g., recommend the smoker considers stopping. Showing top 8 worksheets in the category - Stages Of Change Addiction. ; This method focuses more on How to manage the Team in charge of the Change.. It is definitely a great resource to have available. Id ever be able to track what I eat so closely., Application of transtheoretical model on behavioral changes, and amount of physical activity among universitys students. in the beginning, but now it is getting easier., In a spacious area, hand out bouncy balls for pairs of employees to bounce back and forth for a few minutes. Employees must either take a step forward if they feel positive about the term or a step backward if they feel negative. Assistance needs to be appropriate to the stage the client is in. Try this yourself and see. 2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 stream I need to walk up two flights of steps to get to my The model provides a lens through which we can view ourselves and our clients. there was so much to remember and I dont think Id ever be able to track *Click on Open button to open and print to worksheet. facility, but I just dont feel comfortable. giving up my favorite foodsespecially not forever., Ive In addition, they increase participant understanding of the support needed to keep changes in place. choose to exclude specific examples if they are not relevant to the group. Examining how tricky it is to cross your arms in different positions highlights the difficulty of change. QPjn2u2KI,t)1" Motivational interviewing can be used with the client to overcome feelings of ambivalence and find the self-motivation needed to change their behavior (Miller & Rollnick, 2013). Duration: 5 to 15 minutes (depending on debrief). Then, work with the team to redefine roles and help them flex or develop their task-related, group-management, and conflict-management skills. What are some of the cues you used to Helping the client write a Behavior Contract for the changes they wish to make can be an effective way of forming a commitment. The last thing you want is your employees to doubt your change management strategy. Ask for and answer any related questions before moving on to the next Answers. Finally, traditional classroom activities cater to visual and sometimes audio learners, but kinesthetic learners benefit from more physical activities. Identify the behavioral change required and suggest that the client make that change. What kind of support is necessary to maintain the changes associated with Lean Six Sigma? Stages of Change can be used in one-to-one situations, for example, between a client and a counselor. handout under the appropriate stage of change sign. The best approach is to address resistance at its source. endobj Click Here to Read WalkMe's Privacy Policy, 7 Fun and Engaging Change Management Exercises, The Importance Of Organizational Change Management, 7 Fun and Engaging Change Management Activities. watched what I was eating, I brought down my cholesterol, and I lowered my Finally, ask participants to make 10 changes in 20 seconds. attended classes at the health club for three weeks now. % Most will return to . If one employee starts reverting to traditional processes, others will follow. on vacation. Organizations are investing heavily in change managers to help them restructure their companys approach. Kotter's 8-Step Change Model proposes that successful Changes follow 8 Steps.. Their new behavior is observable by other people, whether its exercising, eating more healthily, or no longer smoking. They each lived a I guarantee that 90 percent of the class will struggle with it. It helps employees detach from old processes and adopt new ones with minimal disruption. It was Dean Karnazess 30th birthday, and he felt trapped. Allow employees to sit wherever they want in the workplace. may These businesses understand the importance of creating a change-friendly culture. But remember, building trust requires a proactive approach. Then, ask them if they ever doubted the ball would fail to bounce back up. Most employees resist change because they arent sure itll pay off. activity. Information at the precontemplation and contemplation stages would focus on facts, the risks of the current behavior and the benefits of changing . Ask them to cross their arms the other way when they are comfortable. signs in the front of the classroom. <> Ive e.g., use counseling, training, or pharmacotherapy to help them quit. Try breaking large goals down into smaller, more manageable tasks. Success. Very useful article. I know I need to bring my cholesterol down, but Successful initial implementation and ongoing maintenance of process improvements requires overcoming the resistance to change. Change is one of the most difficult things for humans to readily accept. giving up my favorite foods. Termination. and activities for developing the level of detail required. its hard to even think about giving up my favorite foodsespecially Successful initial implementation and ongoing maintenance of process improvements requires overcoming the resistance to change. The At some point participants will begin to refer to the changes made during the exercise. Steps in the Stages . Liu, K. T., Kueh, Y. C., Arifin, W. N., Kim, Y., & Kuan, G. (2018).