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Table 2 Experiential and behavioural processes of change

From: Applying trans-theoretical model for blood donation among Spanish adults: a cross-sectional study

  Processes of Change Items
Experiential Processes Consciousness Raising
Increase awareness and gain understanding about the behaviour change I recall articles, posts and/or TV messages about donating blood.
I look for information related to blood donation process.
I seek out groups of people who can raise my awareness about how to become a blood donor.
Dramatic Relief
Increase emotional experiences about the behaviour change Portrayals of people whose lives are saved by blood donation affect me emotionally.
I am moved by a person who helped save lives by donating blood.
I get upset when I hear stories about people whose lives depend on regular blood transfusions.
Environmental Reevaluation
Realize how the behaviour change affects physical and social environment I am considering the idea that I could save lives by donating blood
I stop to think about how donating blood would be beneficial for people in my community
I realize that people who donate blood are a great source of inspiration to others.
Assess how one feels with and without the behaviour change I think that being a blood donor supports my view of myself as a caring and responsible person.
I feel very competent and proud when I (decide to) donate blood.
Being a non-donor makes me feel disappointed and helpless.
Social Liberation
Harness environmental and social opportunities with the behaviour change I am aware that society is actively encouraging and supporting people to become blood donors.
I notice that there are more opportunities to donate blood in my community.
I see more companies and organizations hosting and sponsoring blood drives.
Behavioural Processes Self-Liberation
Choose and commit to act or believe in the ability to change I make commitments to myself to donate blood.
I recognize I have the energy needed to be a blood donor.
I tell myself that I can be a blood donor despite the fact that my relatives and friends don’t support my decision.
Reinforcement Management
Reward oneself or be awarded for making steps towards behaviour change I can expect to be praised and appreciated by others for donating blood
I feel respected in society for being a blood donor.
I reward myself with a treat after donating blood.
Helping Relationships
Trust and accept the support of others that encourage the desired behaviour I share with someone my thoughts and feelings about blood donation.
There are special people around me that encourage me and improve my willpower to continue donating blood.
I have a friend on whom I can count to come with me when I want to donate blood.
Counter Conditioning
Substitute healthy behaviours and thoughts for the problem behaviour I keep in mind that blood donation is a simple and safe process to overcome the fear of donating.
When I am hesitant to donate blood, I remind myself that it helps save lives.
Whenever I feel tempted to reassess being a blood donor, I begin to think about all the health benefits it offers.
Stimulus Control
Avoid cues for unhealthy habits and add stimuli that encourage alternative behaviours I make sure I know when and where nearby blood drives are held.
I schedule my blood appointments.
I keep around any source of information associated with blood donation to reconsider my reasons for donating blood.