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Why behavioral change is hard, and why you should keep trying, from Harvard Women's Health Watch

Anyone who's ever tried to quit smoking or lose weight knows how hard it is to break old habits or adopt new ones. Most people have to make several tries before they succeed. Others get so discouraged they give up. But every effort you make in the right direction boosts your chances of success, even if you backslide from time to time, reports the Harvard Women's Health Watch in its March 2012 issue.

According to one widely used theory (the transtheoretical model of behavior change), change occurs in five stages. Each stage is necessary before you can successfully move to the next, and stages can't be hurried or skipped. The entire process can take a long time and may involve cycling back through earlier stages before moving on. The five stages are:

Precontemplation. At this stage, you have no conscious intention of making a behavior change, but outside influences, such as public information campaigns or a family member's concern, may spark your interest or awareness.

Contemplation. At this stage, you know that the behavior is a problem and at odds with personal goals (such as being healthy enough to travel), but you're not committed to taking any action. You may weigh and re-reweigh whether it's worth it to you to make a change.

Preparation. You make plans to change, such as joining a health club or buying nicotine patches. You anticipate obstacles and plan ways around them. For example, if you're preparing to cut down on alcohol and you know that parties are a trigger for you, you make a list of alternative activities you can do with friends, like going to the movies.

Action. At this stage, you've changed — stopped smoking or lost weight, for example — and are facing the challenges of life without the old behavior. You use the strategies you came up with in the preparation stage.

Maintenance. Once you've practiced your new behavior for six months, you're in the maintenance stage. Here you work to prevent relapses, including avoiding situations or triggers associated with the old habit or behavior.

Read the full-length article: "Why behavior change is hard — and why you should keep trying"

Also in this issue of the Harvard Women's Health Watch

  • What to do about restless legs syndrome
  • Why behavior change is hard - and why you should keep trying
  • In the journals: Certain dietary patterns are associated with long-term brain health
  • In the journals: Radiation for breast cancer is linked to narrowing of the coronary arteries
  • Ask the doctor: How do you treat a Baker's cyst?

More Harvard Health News »


About Harvard Health Publications

Harvard Health Publications publishes four monthly newsletters--Harvard Health Letter, Harvard Women's Health Watch, Harvard Men's Health Watch, and Harvard Heart Letter--as well as more than 50 special health reports and books drawing on the expertise of the 8,000 faculty physicians at Harvard Medical School and its world-famous affiliated hospitals.