Integrating stages of change models to cast new vision on interventions to improve global retinoblastoma and childhood cancer outcomes

Table 2 Transtheoretical model’s stages of change

Stage of change	Proposed definition
Precontemplation	Family has not started treatment and does not intend to start treatment in ___ weeks (number of weeks locally determined)
Precontemplation	● Transition emphasis: acknowledgement of urgent need
Contemplation	Family intends to start treatment but is in a “behavioral procrastination” stage without plan in place to start treatment
Contemplation	● Transition emphasis: goal setting with focus on tangible plans to obtain goals
Preparation	Family has a plan of starting treatment in next days
Preparation	● Transition emphasis: Establishment of specific steps to action
Action	Family has made specific modifications to their lifestyles in preparation to start treatment
Action	● Transition emphasis: Community support and partnership
Maintenance	Family is actively in treatment and with intention to continue treatment
Maintenance	● Transition emphasis: Assistance with problem solving and interventions in place to support family through treatment completion

ISSN: 1471-2458