MEASURING PROCESSES OF CHANGE - APPLICATIONS TO THE CESSATION OF SMOKING
MEASURING PROCESSES OF CHANGE - APPLICATIONS TO THE CESSATION OF SMOKING
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DOI：
10.1037/0022-006x.56.4.520
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发表时间：
1988-08-01
影响因子：
5.9
通讯作者：
FAVA, J
中科院分区：
文献类型：
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作者：
PROCHASKA, JO;VELICER, WF;FAVA, J
受试者（N= 970）代表戒烟的五个阶段（考虑前，考虑，行动，维持和复吸）给予65项测试测量10个基本的变化过程。受试者记录了他们最后一次戒烟的时间，他们目前的使用，发生的频率和项目的帮助程度。一份40个项目的问卷提供了10个变化过程的高度可靠的测量，标记为（a）意识提高，（B）戏剧性的救济，（c）自我解放，（d）社会解放，（e）反调节，（f）刺激控制，（g）自我重新评估，（h）环境重新评估，（i）强化管理，（j）帮助关系。在验证性分析中，770名受试者在6个月后接受了评估。分析既证实了10个过程的模型，并揭示了两个次要因素，经验和行为，这是由5个过程，并反映了在特定阶段的个人如何使用一个以上的过程在同一时间。跨理论模型的变化和现有的外部效度证据进行了审查。
Subjects (N= 970) representing five stages of smoking cessation (precontemplation, contemplation, action, maintenance, and relapse) were given a 65-item test measuring 10 basic processes of change. Subjects recorded the last time they quit smoking, their current use, the frequency of occurrence, and the degree of item helpfulness. A 40-item questionnaire provided highly reliable measures of 10 processes of change, labeled (a) consciousness raising,(b) dramatic relief,(c) self-liberation,(d) social liberation,(e) counterconditioning,(f) stimulus control,(g) self-reevaluation,(h) environmental reevaluation,(i) reinforcement management, and (j) helping relationship. In a confirmatory analysis, 770 subjects were assessed 6 months later. The analysis both confirmed the 10-process model and revealed two secondary factors, Experiential and Behavioral, which were composed of 5 processes each and reflected how individuals in particular stages use more than 1 process at a time. The transtheoretical model of change and available external validity evidence are reviewed.