How the stages of change model was adapted in the Change for Life/Cambia tu vida program:

• Tailored to African Descendent and Latino culture: The program used culturally relevant examples and activities to increase engagement and relevance for participants. For example, one activity involved participants sharing traditional recipes for healthy foods. (Ryan & Smith, 2006, p. 5)
• Group sessions with participants at different stages of change: Participants were grouped together based on their readiness to change, rather than their age or other demographic factors. This allowed participants to learn from and support each other at different stages of the change process. (Ryan & Smith, 2006, p. 6)

Which adaptations would be helpful in moving through the stages of change:

• Tailoring the program to my cultural background: This would help me to feel more connected to the program and more likely to be engaged in the activities.
• Being in a group with people at different stages of change: This would allow me to learn from and support others who are further along in the process, and to be encouraged by others who are at similar stages to me.

Why participants at different stages of change were in the same class sessions:

• To provide support and encouragement from peers at different stages of change: This can be helpful for participants to see that others are at different stages of the change process and that it is normal to have setbacks. It can also be motivating to see others who are making progress and to learn from their successes. (Ryan & Smith, 2006, p. 6)

Support to maintain changes made:

• Periodic class reunions: Participants were invited to attend periodic class reunions to provide support and encouragement for maintaining healthy behaviors. (Ryan & Smith, 2006, p. 6)
• Individualized action plans: Participants developed individualized action plans to help them track their progress and stay motivated. (Ryan & Smith, 2006, p. 6)

Overall, the Change for Life/Cambia tu vida program adapted the stages of change model in a number of ways to make it more culturally relevant and supportive for African Descendent and Latino adults in New Hampshire. The program’s use of group sessions with participants at different stages of change was particularly innovative and could be helpful for other populations as well.