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Accessibility Information and Tips Revised Date: 07/2015

Stages of change

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Detailed Record

Title:

Stages of change.

Authors:

Norcross, John C.1 (AUTHOR) [email protected] Krebs, Paul M.2 (AUTHOR) Prochaska, James O.3 (AUTHOR)

Source:

Journal of Clinical Psychology. Feb2011, Vol. 67 Issue 2, p143-154. 12p. 2 Charts.

Document Type:

Article

Subject Terms:

*PSYCHOTHERAPY research *MENTAL health counseling *PSYCHIATRY *THERAPEUTICS *ALTERNATIVE medicine

Author-Supplied Keywords:

meta‐analysis metaanalysis stage of change tailoring treatment therapy relationship transtheoretical model treatment adaptation

Abstract:

The transtheoretical model, in general, and the stages of change, in particular, have proven useful in adapting or tailoring treatment to the individual. We define the stages and processes of change and then review previous meta-analyses on their interrelationship. We report an original meta-analysis of 39 studies, encompassing 8,238 psychotherapy patients, to assess the ability of stages of change and related readiness measures to predict psychotherapy outcomes. Clinically significant effect sizes were found for the association between stage of change and psychotherapy outcomes ( d = .46); the amount of progress clients make during treatment tends to be a function of their pretreatment stage of change. We examine potential moderators in effect size by study outcome, patient characteristics, treatment features, and diagnosis. We also review the large volume of behavioral health research, but scant psychotherapy research, that demonstrates the efficacy of matching treatment to the patient's stage of change. Limitations of the extant research are noted, and practice recommendations are advanced. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:143-154, 2011. [ABSTRACT FROM AUTHOR]

 

Copyright of Journal of Clinical Psychology is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Author Affiliations:

1University of Scranton 2New York University and VA New York Harbor Healthcare System 3University of Rhode Island

Full Text Word Count:

5792

ISSN:

0021-9762

DOI:

10.1002/jclp.20758

Accession Number:

57219760

Publisher Logo:

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