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In search of how people change: Applications to addictive behaviors.
Open accessAbstract
How people intentionally change addictive behaviors with and without treatment is not well understood by behavioral scientists. This article summarizes research on self-initiated and professionally facilitated change of addictive behaviors using the key trans-theoretical constructs of stages and processes of change. Modification of addictive behaviors involves progression through five stages--pre-contemplation, contemplation, preparation, action, and maintenance--and individuals typically recycle through these stages several times before termination of the addiction. Multiple studies provide strong support for these stages as well as for a finite and common set of change processes used to progress through the stages. Research to date supports a trans-theoretical model of change that systematically integrates the stages with processes of change from diverse theories of psychotherapy.
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“Prochaska, DiClemente & Norcross propuseram, em 1992, que há diversos estágios relacionados a comportamentos adictivos que definirão a prontidão de um indivíduo em abandonar o uso de substâncias.16”
From Terapia cognitivo-comportamental de transtornos de abuso de álcool e drogas (2008) · cites this paper as [16]
In the citing paper
“given that individual health behavior change tends to happen gradually (18, 19).”
From An Ecological Study of a Universal Employee Depression Awareness and Stigma Reduction Intervention: “Right Direction” (2021) · cites this paper as [18]
In the citing paper
“The model proposes that an individual can be at 1 of 5 stages: (1) precontemplation, not intending to change; (2) contemplation, intending to change in the foreseeable future; (3) preparation, intending to change in the immediate future; (4) action, making overt efforts to change; or (5) maintenance, working to stabilize behavior change.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [97]
In the citing paper
“The health counseling was based on the transtheoretical model of stages of change [25] and a problem-solving model [32], and used motivational interviewing as a counseling technique [21].”
In the citing paper
“Further, some studies have tailored health counseling to the patient’s stage of readiness to change according to the transtheoretical model of stages of change [25] and have demonstrated effects for persons with type 2 diabetes with the use of this model [26,27].”
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Metadata
- Authors
- Prochaska, J. O., DiClemente, C. C., & Norcross, J. C.
- Affiliations
- University of Rhode Island (US)
- Venue
- American Psychologist
- Published
- 1992-09
- Volume
- 47
- Issue
- 9
- Pages
- 1102-1114
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W2061320251
- Cited by
- 8,596
- References
- 64
- Citations by year
- 2026: 74 · 2025: 118 · 2024: 135 · 2023: 162 · 2022: 170 · 2021: 264 · 2020: 309 · 2019: 274 · 2018: 288 · 2017: 266 · 2016: 319 · 2015: 367 · 2014: 362 · 2013: 401 · 2012: 400
- FWCI
- 56.89
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Journal of Media Literacy Education (submittedVersion, cc-by)
- PubMed
- Funders
- National Cancer Institute (P01CA050087, R01CA027821)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Keywords
- addictive behavior, stages of change, change processes, transtheoretical model, precontemplation, contemplation, preparation, action, maintenance, addiction recovery
- MeSH terms
- Aftercare, Health Maintenance Organizations, Humans, Motivation, Outcome and Process Assessment, Health Care, Psychotherapy, Social Support, Smoking Cessation, Behavior, Addictive
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.