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ReviewIranian journal of nursing and midwifery research

Transtheoretical Model of Health Behavioral Change: A Systematic Review.

Mozhdeh Hashemzadeh, Alireza Rahimi, Firoozeh Zare-Farashbandi, Amir Mansur Alavi-Naeini, Azra Daei

Registry-linked trialAbstract readReview
In one paragraph

Review in Iranian journal of nursing and midwifery research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06970210 (United4Stroke), which is not on this map. Cited by 79 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06970210 naenrolling by invitationnot on this map

United4Stroke (U4S) - El Paso Network: Community Health Program With Group-Based Education

TypeinterventionalSponsorUniversity of Texas, El PasoRan2025 to 2028Enrolled46ConditionsStrokeArmsGroup-Based Education, Individualized Coaching
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  9. Development of a Theoretical Framework for Program Evaluation of the Impact of Policy, Systems, and Environmental Interventions on Individual-Level Behavior.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mozhdeh HashemzadehSchool of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran.
Alireza RahimiDepartment of Medical Librarianship and Information Science, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Firoozeh Zare-FarashbandiDepartment of Medical Librarianship and Information Science, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Amir Mansur Alavi-NaeiniDepartment of Medical Librarianship and Information Science, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Azra DaeiDepartment of Community Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranstheoretical model (TTM) is one of the most commonly used methods in behavioral change modeling. The aim of this study was to conduct a systematic review (SR) to determine research gaps with regard to this template with an emphasis on intervention for patients with chronic diseases (CDs). MATERIALS AND

methodsISI-WOS, Scopus, PubMed, SID, and Magiran databases were examined systematically and on the basis of defined criteria. Titles, abstracts, and full texts of articles retrieved were examined for the presence of defined criteria. Then finalized articles were analyzed in consensus meetings. After that, references of selected articles and full text of those meeting the criteria were also analyzed.

resultsWe screened 103 articles, excluded 27 in abstract review and 34 in full-text review, leaving 42 articles for critical appraisal. Then the references of these 42 articles were also screened. Fifty articles were excluded on abstract review and 5 on full-text review, leaving 15 articles. The result of the analysis of 57 final articles of this SR determined that 28 articles were about aspects of TTM and 5 stages of change were the most commonly used aspect. Eight articles used TTM in intervention about CDs. A total of 21 articles examined TTM's pros and cons, most of which were about TTM's pros.

conclusionsThe majority of studies focused on the effectiveness of TTM on the behavioral change management. This finding supported the hypothesis that TTM can be applied in the prevention of CDs.

Indexed as

Health behaviorreviewtheoretical model

Identifiers

PMID30820217
PMCPMC6390443

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.