Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What stage of behavior change is exhibited by someone unsure if they can give up sweets despite acknowledging lifestyle improvements?

1. Precontemplation

2. Contemplation

3. Preparation

4. Action

The correct answer is: Contemplation

The stage of behavior change that describes someone who acknowledges the need for lifestyle improvements but expresses uncertainty about giving up sweets is indeed contemplation. In this phase, individuals recognize that a change could be beneficial and are weighing the pros and cons of making that change. Although they may see the positive effects of improving their health, their hesitation to fully commit to the behavior change indicates they are still in the deliberation process. This confusion and evaluation process is essential during contemplation as individuals gather more information and reflect on their feelings and motivations for change. They might consider their attachment to the behavior (in this case, consuming sweets) and how it fits into their current lifestyle or how giving it up could be challenging. This internal debate characterizes the contemplation stage, emphasizing awareness without immediate action or resolution. Other stages do not encompass the same level of consideration and acknowledgment. Precontemplation refers to a lack of awareness regarding the need for change, the preparation stage involves planning ahead to make the change, and action is when someone actively implements changes in their behavior. Since the individual in question is still in the process of evaluating their options, contemplation is the most fitting stage.