At this stage, individuals are unaware of their problem (Povey et al., 1999). Dr. DiClemente believe there are four reasons to be in this stage. These reasons are referred to as the “the Four Rs”: reluctance, rebellion, resignation, and rationalization (Gold, 2013). Individuals who are reluctant do not want to change. They are not fully aware of the impact of the problem. Rebellious precontemplators are people who resist authority and control. Precontemplators with resignation gave up hope since they made numerous attempts with no success. Individuals who rationalize about why their behaviors are not the problem (Gold, 2013). To encourage clients to take the next step, you can help the individual become aware of a need to change and educate the risks and benefits while making it personal to the …show more content…
Individuals may be trying to quit addictive substances or activities, increase exercise, lose weight, and eat healthier. A case study demonstrated that using the stages of change model can increase mobility and exercise in older adults who were in the contemplation stage. The Senior Elastic Band exercise program (SEB) was implemented into their daily routines. The participants met for 40 minutes three times per week for 6 months. As the older adults were participating in the intervention, they received explanations of the purpose and benefits of the program, assistance in goal setting, and a reward system. About 3 months into the SEB intervention, the participants showed improvement in lung capacity, cardiopulmonary fitness, upper and lower body flexibility, upper limb muscle power and lower limb muscle endurance (Yang, Chen, Chen, Wu, Chang, Wang & Huang, 2015). This improvement continued throughout the 6 months of the