The precontemplation stage is the first stage of behavior change, and it is marked by a lack of awareness or understanding that a behavior needs to be changed. Individuals in this stage may be resistant to change, deny that a problem exists, or minimize the negative consequences of the behavior. They may not be open to receiving information or feedback about the behavior, and may be defensive or unwilling to consider change. The key to moving forward in the behavior change process is to increase awareness and motivation to change.