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Objective: in order to clarify and develop useful concepts for nursing practice, this study used Rodger’s methodology with the purpose of defining “Decision to Change” (DC) and thus improve health care behavior when dealing with chronic disease (obesity, hypertension, diabetes). Method: empirical evidence found in databases was analyzed in order to determine the attributes, subrogated terms, background and consequences in the DC concept. To complement this, semi-structured open coded interviews were also applied. Results: thus, the “Decision to Change” can de defined as electing an intention and an attitude to responsibly commit towards effectively and permanently improving behavior towards the social and emotional conditions surrounding a persona affected by chronic disease, who requires immediate support from family and health care providers. Conclusion: decision to change is a deliberate election that requires permanent determination to change health care behavior and solve eventual contingencies resulting from chronic illness.

Analyzing "Decision to Change" in Order to Improve Health Care Behavior in Adult Chronic Disease