From Alward et al. 2020: Ward and colleagues’ (2004) MORM model views readiness to change as a function of both internal and external factors that interact - behavior change occurs when individuals possess certain cognitive/affective behavior properties in combination with external environmental support. Specific internal readiness conditions identified include cognitive factors (e.g., change beliefs, attitudes about treatment, self-efficacy), affective factors (e.g., emotional regulation, guilt, shame), volitional factors (e.g., goals, agency), behavioral factors (e.g., problem recognition, help-seeking, compe- tencies), and identity factors (e.g., ability to recognize a prosocial identity). These internal readiness factors are predicted to interact with external readiness factors that include circum- stances, location, opportunities, resources, interpersonal supports, and program characteristics. Model hasn't been empirically validated.