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Ending Intimate Partner Violence: An Application of the Transtheoretical Model

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Objective: To examine the application of the transtheoretical model (TM) to women's experiences of ending intimate partner violence (IPV). Methods: Qualitative interviews were conducted with 23 abused women. Results: Women use 7 traditional processes of change. Women in early stages of change use cognitive processes. Women in later stages use behavioral processes. Consciousness-raising and social liberation appear in both early and later stages. Helping relationships are critical throughout. Decisional balance and self-efficacy are also related. Conclusions: Women ending IPV do use the TM processes and constructs of change. These findings support the development and evaluation of a TM stage-based IPV intervention.

Keywords: domestic violence; females; intimate partner violence; stages of change; transtheoretical model

Document Type: Research Article


Affiliations: 1: Department of Population and Family Health Sciences, Johns Hopkins University School of Public Health, Baltimore, MD. 2: Department of International Health, Johns Hopkins University School of Public Health, Baltimore, MD. 3: Department of Health Policy and Management, Johns Hopkins University School of Public Health, Baltimore, MD. 4: George Washington University, School of Public Health, Department of Maternal and Child Health, Washington, DC.

Publication date: 2004-03-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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