The measure of stage of readiness to change: Some psychometric considerations.

Morera, Osvaldo F.; Johnson, Timothy P.; Freels, Sally; Parsons, Jennifer; Crittenden, Kathleen S.; Flay, Brian R.; Warnecke, Richard B.

doi:10.1037/1040-3590.10.2.182

Cited by 50 publications

(47 citation statements)

References 32 publications

(53 reference statements)

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“…Stage of readiness to quit, an extension by Crittenden et al (Crittenden et al, 1994 of Prochaska and DiClemente's stage measure (DiClemente et al, 1991;Prochaska et al, 1992), had the following categories: 1) planning no change in smoking ever; 2) seriously thinking of cutting down but not quitting; 3) seriously thinking of quitting but not within the next 6 months; 4) contemplating quitting within the next 6 months; 5) preparing for quitting; and 6) action (abstinent). The stage, motivation, confidence, and action scales have adequate reliability and validity, as described previously (Crittenden et al, 1994Morera et al, 1998). Alpha reliability for the self-efficacy scale is .87.…”

Section: Time-varying Variablesmentioning

confidence: 99%

Smoking cessation processes in low-SES women: The impact of time-varying pregnancy status, health care messages, stress, and health concerns

Crittenden

Manfredi

Cho

et al. 2007

Addictive Behaviors

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We tracked smoking outcomes -quitting, stage of readiness, action, motivation, self-efficacy, and confidenceover time among 943 low-SES women smokers accrued in an earlier smoking cessation intervention trial conducted in public health clinics. We assessed outcomes at 2, 6, 12 and 18 months post-initial clinic visit. Controlling for baseline characteristics and earlier program participation, we used hierarchical linear modeling to assess how intervening life events -pregnancy and exposure to subsequent clinic smoking interventions -affected smoking outcomes directly and indirectly, through the mediators, perceived stress and health concerns.Results: All longitudinal smoking outcomes were positively related to health concerns and negatively related to perceived stress. Pregnancy favorably influenced all smoking outcomes but confidence, but exposure to additional interventions affected only motivation. Health concerns and stress partially mediated the positive impact of pregnancy.Conclusion: Public health efforts targeted to low-SES women smokers should continue to emphasize the benefits of quitting smoking for health maintenance and incorporate more effective stress-coping mechanisms. Pregnancy increases abstinence, but preventing post-delivery relapse may require stress management and refocusing of health concerns.

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Section: Time-varying Variablesmentioning

confidence: 99%

Smoking cessation processes in low-SES women: The impact of time-varying pregnancy status, health care messages, stress, and health concerns

Crittenden

Manfredi

Cho

et al. 2007

Addictive Behaviors

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“…Previously, individual readiness studies were (and continue to be) published in the health, psychology, and medical literature (Block & Keller, 1998;Morera et al, 1998;Prochaska, Redding, & Evers, 1997) and are primarily focused on ceasing harmful health habits (such as smoking and drugs) and starting positive ones (such as weight management, nutritional meals, and sunscreen use). In the HRD and organizational psychology literature, many change models have included readiness components, but most do not include specific depth related to this readiness component.…”

mentioning

confidence: 99%

Readiness for organizational change: Do organizational commitment and social relationships in the workplace make a difference?

Madsen

Miller

John

2005

Human Resource Development Quarterly

297

278

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“…These scales have adequate reliability and validity. 37,40,41 The independent variables were study condition (baseline and control vs experimental) and exposure to smoking cessation intervention components (assessed in the postintervention interviews). The clinic service where the women had their medical visits (prenatal, family planning, well-child) was a control variable, because of variation across the services in the prevalence of smoking interventions offered in normal practice 35 and in pre-and postvisit smoking outcomes.…”

Section: Measurementsmentioning

confidence: 99%

The effect of a structured smoking cessation program, independent of exposure to existing interventions

et al. 2000

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OBJECTIVES: This study assessed the effectiveness of a smoking cessation program for women in public health clinics, controlling for reported exposures to 4 common intervention components (provider advice, booklet, video segment, posters) among smokers in the control group. METHODS: After a baseline control period, 10 pair-matched clinics were randomly assigned to study groups. A total of 1042 smokers in the combined baseline and control groups and 454 smokers in the intervention group completed a preintervention questionnaire and a postintervention telephone interview 5 to 8 weeks later. Eight smoking outcomes, including quitting, were analyzed for the effect of reported exposure to intervention components, experimental program, and clinic service. RESULTS: Greater exposure to intervention components, being in the experimental program, and being seen in prenatal clinics independently improved smoking outcomes. CONCLUSIONS: The number of interventions reported by smokers in the control group ranged from none to 4 and varied across clinic services. The experimental program we tested produced better outcomes than the minimal smoking cessation interventions already existing in the control clinics, after we controlled for whether smokers were or were not exposed to these interventions.

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The measure of stage of readiness to change: Some psychometric considerations.

Abstract: Previous research in the smoking cessation literature has shown that the key component of the transtheoretical model of change, the stage of readiness to change, is a valid independent measure

Cited by 50 publications

References 32 publications

Smoking cessation processes in low-SES women: The impact of time-varying pregnancy status, health care messages, stress, and health concerns

Smoking cessation processes in low-SES women: The impact of time-varying pregnancy status, health care messages, stress, and health concerns

Readiness for organizational change: Do organizational commitment and social relationships in the workplace make a difference?

The effect of a structured smoking cessation program, independent of exposure to existing interventions

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