Which of the following is a behavioral strategy most appropriate for a client in the Pre-contemplation stage undertaking an exercise program?

• A. Replacing your current internet browser home page with one on healthy living
• B. Only being allowed to walk to your favorite restaurant
• C. Create a contract to walk 10,000 steps 4 out of 7 days a week
• D. Use stairs in the workplace whenever going three flights or less

Answer: (A)

In the pre-contemplation stage, the focus is on raising awareness and prompting reflection rather than demanding action. Replacing the current internet browser home page with one on healthy living creates an environmental cue and increases exposure to information about exercise. This supports consciousness-raising without pressuring the client to change right away, helping them start considering the benefits and options.

The other approaches push for action or impose restrictions before the client is ready. Setting a contract to walk a specific number of steps commits the client to a concrete plan, which is more appropriate after they’ve begun contemplating change. Using stairs for a workplace habit requires immediate behavior and self-control, again moving toward action rather than awareness. Limiting where they can walk imposes rules but doesn’t help them recognize the relevance or value of exercise.