QUESTIONS AND CORRECT ANSWERS
2026 UPDATE|| PASSED
BASIC ASSUMPTIONS OF THE TTM - CORRECT ANSWER- 1. No
single theory can account for all the complexities of behavior change
2.Behavior change is an ongoing process that unfolds over time and
through a sequence of stages.
3.Stages of change may be stable or open to change.
4.Without planned interventions, populations remain stuck in the early
stages.
5.Most at risk populations are not prepared for action. They must be
prepared by stages. (Education & Income)
6.Intervention programs must be appropriately matched to each person's
stage of change (Stage Matching)
7.Chronic behavioral patterns are under some combination of biological,
social, and self-control. Most stage match programs are designed to
enhance self-control.
Self control - the ability to get what you need in a healthy way
5 stages of change - CORRECT ANSWER- pre-contemplation,
contemplation, preparation, action, maintenance
precontemplation stage - CORRECT ANSWER- no intention of taking
action in the next 6 months
engage the individual with information about need for change
provide personalized information about the risks if no change and
benefits of change
contemplation stage - CORRECT ANSWER- intends to take action in
the next six months
,motivate and encourage the individual to set foals and make specific
plans
preparation stage - CORRECT ANSWER- intends to take action in
the next month and has taken some steps to change behavior
help the individual create and implement specific action plans and set
realistic goals
action stage - CORRECT ANSWER- has changed behavior for <6
months
provide problem based (action oriented) learning experiences
provide social support, feedback
maintenance - CORRECT ANSWER- had changed behavior for more
than 6 months
continue to provide social support, assist with problem solving, positively
address slips and relapses if necessary
employ reminder systems/performance support tools
process of change - CORRECT ANSWER- Dramatic Relief
Experience (or simulate) emotions connected with unhealthy behavioral
risks
Self Reevaluation
Cognitive and affective assessments of self image with and without the
unhealthy habit
Environmental Reevaluation
Cognitive and affective assessments of the relationship of the habit to
one's social environment
Self Liberation
Belief that one can change and commitment to act on that belief (Self
efficacy & Behavioral intent)
Helping Relationships
Social support (building psychosocial assets)
, Counterconditioning
Learning healthier alternatives to unhealthy habits
Contingency Management
Operant conditioning (Punishment or incentives)
Consequences for taking steps in a particular disease
Stimulus Control
Remove cues for unhealthy habits
Social Liberation
increasing social opportunities and alternatives especially for those
otherwise deprived
The four most prevalent health disparities in the ENC region -
CORRECT ANSWER- Cardiovascular Diseases (CVD)
Type 2 Diabetes
Cancers
Obesity
health diparities - CORRECT ANSWER- The term refers to the
unequal distribution of health, disease and death by social status1.
Social status includes race/ethnicity, gender, age, geographical region,
socioeconomic status (SES), occupation, and other factors.
Health disparities cost $500 billion per year, and account for about 1/3 of
health care costs
Reducing or eliminating health disparities is one of the major missions of
schools of public health
These same patterns hold for many other health problems and diseases:
- CORRECT ANSWER- Health on the eastern sideof route 95 in NC is
poorerthan health on the other side
Psychosocial - CORRECT ANSWER- pertaining to the influence of
social factors (norms, political systems, cultural systems, economic
systems) on an individual's behaviors, and to the interrelation of
behavioral and social factors