Rome for n Contemplation e.g. I think I need to lose a bit of weight, but not quite yet’ reflects awareness of a need to lose weight and consideration of doing so. Generally assessed as planning to change within next six months. n Preparation a person is ready to change and sets goals such as planning a start date for the diet within three months. Stage includes thoughts and action, and people make specific plans about change. n Action for example, a person starts eating fruit instead of biscuits; overt behaviour change. Rome 2016.