Reality of transtheoretical model (Lived) for retinoblastoma treatment legend: The spiral model represents the lived experience as an often non-linear experience of delay to start, regressions, and recycling through stages. The lighter the shade, the more mature the progression. Red in this model represents warning of abandonment as upfront treatment refusal or failure to complete therapy, representing regression or a recycling backward in stage progression. Blue represents a forward movement. Green represents an intervention which re-addresses family-efficacy and decisional balance to foster forward progression. Bold shades warrant additional support as patients may feel vulnerable during the newness of entrance into a stage, embarrassed by regression, or even ashamed about returning to care due to regression or recycling backward in stages.