In the stages of change model, creating a contract to identify behavior goals for getting healthy is most appropriate for which stage?

• A. Preparation.
• B. Contemplation.
• C. Action.
• D. Pre-contemplation.

Answer: (C)

In the Transtheoretical Model, the stage where people have moved beyond thinking about change and are actively making it happen is the point at which a contract to identify specific behavior goals fits best. A contract provides concrete, measurable targets and a clear plan, which helps sustain momentum, accountability, and self-monitoring as new healthy behaviors are being implemented. It translates intentions into actionable steps, aligns with the commitment people are already making in this stage, and supports steady progress toward healthier habits.

In earlier stages, like contemplation or pre-contemplation, individuals are not yet acting on changes, so a detailed contract would be premature or overwhelming. In preparation, the person might be getting ready to change, but the ongoing, concrete structure of a contract is especially helpful once action has begun and there’s a need to codify specific goals and routines. For example, setting goals such as “walk 30 minutes five days a week and record progress every day” gives direction and accountability during the active change process.