Stages of Change

Littell, Julia H.; Girvin, Heather

doi:10.1177/0145445502026002006

Cited by 271 publications

(181 citation statements)

References 97 publications

(184 reference statements)

Supporting

Mentioning

166

Contrasting

Unclassified

Order By: Relevance

“…Here, we have focused on the stages of change of the TTM, but we have not incorporated all of the TTM's constructs. Whether stages of change should be described as categories or on a continuum is worthy of debate (Littell & Girvin, 2002). The linearity of the different stages has also been questioned, with some people suggesting that the readiness distance between the stages varies (Sutton, 2005).…”

Section: Limitationsmentioning

confidence: 99%

Health behavior theories as predictors of hearing-aid uptake and outcomes

Saunders

Frederick

Silverman

et al. 2016

International Journal of Audiology

View full text Add to dashboard Cite

Objective: To understand hearing behaviors of adults seeking help for the first time through the application of two models of health behavior change: the transtheoretical model and the health belief model. Design: The relationships between attitudes and beliefs were examined relative to hearing-aid uptake and outcomes six months later. Study sample: One hundred and sixty adults completed the University of Rhode Island change assessment (targeting the transtheoretical model), and the hearing beliefs questionnaire (targeting the health belief model), as well as the hearing handicap inventory and the psychosocial impact of hearing loss scale, within two months of an initial hearing assessment. Six months later, participants completed these same questionnaires, while those who had taken up hearing aids also completed hearing-aid outcome questionnaires. Results: (1) Attitudes and beliefs were associated with future hearing-aid uptake, and were effective at modeling this behavior; (2) attitudes and beliefs changed following behavior change, and (3) attitudes and beliefs following behavior change were better predictors of hearing-aid outcomes than pre-behavior change attitudes and beliefs. Conclusion: A counseling-based intervention targeting the attitudes and beliefs assessed by the transtheoretical model and the health belief model has the potential to increase uptake of hearing health care.

Funding Agencies|Oticon Foundation; VA Rehabilitation Research and Development Center of Excellence [C9230C]

show abstract

Section: Limitationsmentioning

confidence: 99%

Health behavior theories as predictors of hearing-aid uptake and outcomes

Saunders

Frederick

Silverman

et al. 2016

International Journal of Audiology

View full text Add to dashboard Cite

Funding Agencies|Oticon Foundation; VA Rehabilitation Research and Development Center of Excellence [C9230C]

show abstract

“…5,10,25 In the broader health behavior literature, the "stage" concept has also been directly challenged. 1,17 In short, the available evidence does not support the conclusion that individuals necessarily proceed through discrete stages of adaptation in a fixed sequence. However, the key idea that individuals may vary in their "readiness" to adopt new coping behaviors has not been criticized.…”

mentioning

confidence: 99%

Further Development of the Multidimensional Pain Readiness to Change Questionnaire: The MPRCQ2

Nielson

Jensen

Ehde

et al. 2008

The Journal of Pain

View full text Add to dashboard Cite

This study describes further development of the Multidimensional Pain Readiness to Change Questionnaire (MPRCQ2), a measure of readiness to adopt a variety of pain management and coping strategies commonly taught in multidisciplinary treatment programs. Clinical samples were recruited from a Fibromyalgia Day Program (n = 139) and an Arthritis Day Program (n = 51) as well as 2 survey samples with pain resulting from either a spinal cord injury (n = 127) or an amputation (n = 120). The results indicate preliminary support for the reliability and validity of the MPRCQ2. The MPRCQ2 may be helpful in future research investigating the relationship between readiness to change pain-related coping and adoption of coping behaviors and adjustment to chronic pain.Perspective-This study describes the development of a revised version of the MPRCQ, the MPRCQ2, in 4 patient samples. The results support the reliability and validity of the MPRCQ2 in individuals with fibromyalgia syndrome, arthritis, acquired amputation, and spinal cord injury and improve on some aspects of the instrument. KeywordsChronic pain; readiness to change; Multidimensional Pain Readiness to Change Questionnaire Although multidisciplinary treatment programs for patients with chronic pain have been shown to be effective, 4,20 not all patients appear to benefit equally. 26 The extent to which patients adopt pain management coping strategies proffered by such programs has been cited as one explanation for these individual differences. 29 The Transtheoretical Model (TTM) of behavioral change [22][23] and the "stages of change" concept in particular have been suggested as a theoretical schema that may help explain why some individuals benefit and others do not. 14 The Pain Stages of Change Questionnaire (PSOCQ 16 ), informed by the TTM, has been developed to assess overall readiness to self-manage pain. Accumulating evidence suggests that readiness to self-manage pain, as assessed by the PSOCQ scales, is associated with coping NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript and adjustment to chronic pain and that increased commitment to a self-management approach may mediate improved outcomes during pain self-management treatment. [2][3][4][5][6][7][8][9]14 There is also evidence to suggest that classifying patients into discrete stages of pain-related readiness to change may have theoretical and practical limitations. 5,10,25 In the broader health behavior literature, the "stage" concept has also been directly challenged. 1,17 In short, the available evidence does not support the conclusion that individuals necessarily proceed through discrete stages of adaptation in a fixed sequence. However, the key idea that individuals may vary in their "readiness" to adopt new coping behaviors has not been criticized. Patient variation along a readiness continuum may be a key element in understanding how patients benefit or fail to benefit from multidisciplinary treatment programs. 8 Indeed, there is evidence to suggest that PSOCQ score...

show abstract

“…An overall measure of readiness for change that included both PR and ITC predicted significant reductions in the risk of out-of-home placement within a 1-year period, although the separate PR and ITC scales did not (Littell & Girvin, 2005). Although the URICA has important conceptual and methodological limitations (Carey et al, 1999;Littell & Girvin, 2002), the scales we derived from it appear to measure constructs that are important to practitioners and may have some predictive validity in child welfare samples.…”

Section: Readiness For Changementioning

confidence: 90%

“…In particular, we would have liked better data on the frequency of caseworker contacts and the nature of casework activities. The URICA scale was not ideal, because it is based on a stage theory that did not hold up in our data (Littell & Girvin, 2006) and contains problems with item construction and scoring (Carey et al, 1999;Littell & Girvin, 2002). Our study was based on a subsample of the EFPRS study, and results may not be generalizable to the full sample or to any larger population.…”

Section: Limitationsmentioning

confidence: 94%

“…Limitations of the URICA and its variants have been discussed at length elsewhere (e.g., by Carey et al, 1999;Davidson, 1998;Jefferson, 1991;Hutchison, 1996;Littell & Girvin, 2002); these limitations include reliance on a stage model, conflation of readiness for change with readiness to participate in a particular program, and violation of several principles of item and test construction. However, to our knowledge, there are no better measures of readiness for change.…”

Section: Readiness For Changementioning

confidence: 99%

See 1 more Smart Citation