THE TRANSTHEORETICAL MODEL
RED HOUSE was developed around the knowledge that eating disorders, particularly chronic cases, are extremely complex in their etiology, and that each case is unique in terms of underlying issues, symptomatic behaviours, patient fears, and thought processes. Current programs, particularly those which are hospital-based, have a “one size fits all” approach to treatment, disregarding the fact that each individual presents with different needs, is at a different stage of the illness, and differs in their readiness to recover. For this reason RED HOUSE utilises Prochasca and DeClamenti’s Transtheoretical (also known as the Stages of Change) Model, originally designed for treating addictions and behavioural-related health problems.
Clinical evidence shows varying results for the application of the Transtheoretical Model for the treatment of eating disorders, with scholarly reports discussing many positive and successful aspects, but also some limitations. RED HOUSE has given this careful consideration and adapted its program to compensate for perceived shortfalls. The program has also drawn from successful aspects of other programs, both National and International.
The process of planning and development for RED HOUSE included academic assessment of the application of the Transtheoretical Model to the treatment of Anorexia and Bulimia. This particular public health model has been viewed as fitting, as the use of processes across the stages of change has been recognized to be congruent with the spectrum, complex nature, and course of eating disorders. All the studies evaluated, which assessed the effectiveness of the model in the treatment of Anorexia and Bulimia saw positive results and suggested further development of intervention and treatment programs based on the model.
Both the National Eating Disorders Collaboration (Australia) and the Australian Government’s DoHA Anorexia Nervosa Australian Treatment Guide (developed by consumers and carers in consultation with professionals from eating disorder associations in Australia and NZ) include this model as appropriate and applicable for the treatment of eating disorders. Despite this, the model is not widely used, especially within the hospital milieu and medical context.
The Transtheoretical (Stages of Change) Model Explained