Motivational subtypes and continuous measures of readiness for change: concurrent and predictive validity.

This study compared the concurrent and predictive validity of motivational subtypes versus a continuous measure of readiness for change as measured by the University of Rhode Island Change Assessment Scale (URICA; E. A. McConnaughy, J. O. Prochaska, & W. F. Velicer, 1983) in 252 individuals participating in a substance abuse treatment study (38% female; mean age = 36). Hierachical cluster analysis identified a 2-cluster solution. Consistent with previous research, both the motivational subtypes and the continuous readiness measure exhibited good concurrent validity with both baseline characteristics and change process variables. Neither readiness-for-change measure predicted end treatment outcomes. Measures of readiness for change based on the URICA exhibit limited clinical utility, because they are not able to predict future behavior.

[1]  J. Edens,et al.  Motivational patterns of alcohol dependent patients: a replication. , 2000, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[2]  J. Carbonari,et al.  Using transtheoretical model profiles to differentiate levels of alcohol abstinence success. , 2000, Journal of consulting and clinical psychology.

[3]  J. Edens,et al.  Motivational profiles of polysubstance-dependent patients: do they differ from alcohol-dependent patients? , 1999, Addictive behaviors.

[4]  G. Norman,et al.  SMOKING CESSATION AND STRESS MANAGEMENT : APPLICATIONS OF THE TRANSTHEORETICAL MODEL OF BEHAVIOR CHANGE , 1998 .

[5]  C. Kahler,et al.  Affiliation with Alcoholics Anonymous after treatment: a study of its therapeutic effects and mechanisms of action. , 1997, Journal of consulting and clinical psychology.

[6]  W F Velicer,et al.  A criterion measurement model for health behavior change. , 1996, Addictive behaviors.

[7]  M. Iguchi,et al.  Stages of change in methadone maintenance: Assessing the convergent validity of two measures , 1996 .

[8]  D. Kivlahan,et al.  Motivational subtypes among veterans seeking substance abuse treatment: Profiles based on stages of change. , 1995 .

[9]  N. Heather,et al.  Predictive validity of the Readiness to Change Questionnaire. , 1993, Addiction.

[10]  A. Mclellan,et al.  "Stage of change" by drug problem in concurrent opioid, cocaine, and cigarette users. , 1993, Journal of psychoactive drugs.

[11]  W. Velicer,et al.  Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[12]  Carlo C. DiClemente,et al.  Changing Addictive Behaviors: A Process Perspective , 1993 .

[13]  J. C. Tate,et al.  Measuring the stages of change in cigarette smokers. , 1993, Journal of substance abuse treatment.

[14]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[15]  D. Metzger,et al.  The Fifth Edition of the Addiction Severity Index. , 1992, Journal of substance abuse treatment.

[16]  R. Davidson Prochaska and DiClemente's model of change: a case study? , 1992, British journal of addiction.

[17]  S. Hall,et al.  Effects of commitment to abstinence, positive moods, stress, and coping on relapse to cocaine use. , 1991, Journal of consulting and clinical psychology.

[18]  S. Hall,et al.  Commitment to abstinence and acute stress in relapse to alcohol, opiates, and nicotine. , 1990, Journal of consulting and clinical psychology.

[19]  W F Velicer,et al.  Measuring processes of change: applications to the cessation of smoking. , 1988, Journal of consulting and clinical psychology.

[20]  L C Sobell,et al.  Reliability of a timeline method: assessing normal drinkers' reports of recent drinking and a comparative evaluation across several populations. , 1988, British journal of addiction.

[21]  S. Shiffman,et al.  Coping and Substance Use , 1985 .

[22]  G. W. Milligan,et al.  An examination of procedures for determining the number of clusters in a data set , 1985 .

[23]  W F Velicer,et al.  Decisional balance measure for assessing and predicting smoking status. , 1985, Journal of personality and social psychology.

[24]  J. Prochaska,et al.  Self-efficacy and the stages of self-change of smoking , 1985, Cognitive Therapy and Research.

[25]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[26]  K. A. Blanchard,et al.  Testing the effectiveness of cognitive-behavioral treatment for substance abuse in a community setting: within treatment and posttreatment findings. , 2001, Journal of consulting and clinical psychology.

[27]  W F Velicer,et al.  Using the Transtheoretical Model for population-based approaches to health promotion and disease prevention. , 2000 .

[28]  C. Kahler,et al.  Modeling therapeutic response to 12-step treatment: optimal responders, nonresponders, and partial responders. , 1996, Journal of substance abuse.

[29]  J. Edens,et al.  Construct validity and predictive utility of the stages of change scale for alcoholics. , 1996, Journal of substance abuse.

[30]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[31]  Barbara S. McCrady,et al.  Research on Alcoholics Anonymous: Opportunities and alternatives. , 1993 .

[32]  J. Prochaska,et al.  Attendance and outcome in a work site weight control program: processes and stages of change as process and predictor variables. , 1992, Addictive behaviors.

[33]  W F Velicer,et al.  The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. , 1991, Journal of consulting and clinical psychology.

[34]  S. Hughes,et al.  Stages of change profiles in outpatient alcoholism treatment. , 1990, Journal of substance abuse.

[35]  Wayne F. Velicer,et al.  Stages of change in psychotherapy: A follow-up report. , 1989 .

[36]  M. Aldenderfer Cluster Analysis , 1984 .

[37]  Wayne F. Velicer,et al.  Stages of change in psychotherapy: Measurement and sample profiles. , 1983 .

[38]  J. Prochaska,et al.  Transtheoretical therapy: Toward a more integrative model of change. , 1982 .