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Journal of Health Psychology, Vol. 11, No. 1, 37-50 (2006)
DOI: 10.1177/1359105306058845

Understanding and Modeling Health Behavior

The Multi-Stage Model of Health Behavior Change

Sonia Lippke

Freie Universität Berlin, Germany, slippke{at}zedat.fu-berlin.de

Jochen P. Ziegelmann

Freie Universität Berlin, Germany

The purpose of this study was to evaluate the Multi-Stage Model (MSM). The MSM proposes eight different stages that are distinguished by cognitions and behavior and concepts of habituation as well. The MSM stages were assessed in 835 rehabilitation patients with a questionnaire. People in the different stages were compared and trends across the means of individuals in the different stages were evaluated to test for discontinuity patterns. Discontinuity patterns across the stages were found in social-cognitive variables such as intention, self-efficacy, outcome expectancies and social support. Most predictions according to stage differences were empirically found. This supported the validity of the MSM. Implications for further investigations and stage-specific interventions are discussed.

Key Words: discontinuity patterns • habituation • health behavior change • physical exercise • stage models • time-span


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