ACE Health Coach Certification Practice Test

Your client has successfully adhered to his exercise program for three months. According to the transtheoretical model of behavioral change, which stage is he in?

1. Contemplation

2. Preparation

3. Action

4. Maintenance

The correct answer is: Action

Your client, having adhered to his exercise program for three months, is in the Action stage of the transtheoretical model of behavioral change. In this stage, individuals have actively engaged in a new behavior for a period of time—typically from one to six months. They have made a noticeable commitment to the change, demonstrating behavioral modifications that significantly alter their routine. During the Action stage, individuals are focused on modifying their behavior, and they often get involved in various strategies to sustain this behavior, such as seeking social support or managing potential barriers. The fact that your client has successfully maintained his exercise program for three months exemplifies that he is not only engaging in the new behavior but is also taking proactive steps to ensure its continuation. In contrast, other stages, such as Contemplation, Preparation, and Maintenance do not apply here. Contemplation involves awareness of the need for change but reluctance to take action, while Preparation signifies planning to change but not yet taking definitive steps toward that change. The Maintenance stage occurs after the Action stage and is characterized by sustaining the behavior for more than six months, focusing on preventing relapse rather than actively changing behavior. Therefore, identifying your client as being in the Action stage aligns perfectly with his engagement level and time frame