The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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].”
3 more claims about this paper
Create a free account to see every claim other papers make about this one.
Citations
Cites
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098
Self-citationHandbook of Psychotherapy and Behavior Change
Garfield, S. L., Bergin, A. E., & Dryden, W. (1987) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.1.4.264a · Cited by 3,997
Transtheoretical therapy: Toward a more integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1982) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0088437 · Cited by 3,922
Self-citationDiClemente, C. C., Prochaska, J. O., Fairhurst, S., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.2.295 · Cited by 2,402
Self-citationSmith, M. L., Glass, G. V., & Miller, T. I. (1980) · Medical Entomology and Zoology · Cited by 2,123
The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy
Sporakowski, M. J., Prochaska, J. O., & DiClemente, C. C. (1986) · Family Relations · doi:10.2307/584540 · Cited by 1,975
Self-citationToward a Comprehensive Model of Change
Prochaska, J. O., & Diclemente, C. C. (1986) · Treating Addictive Behaviors · doi:10.1007/978-1-4613-2191-0_1 · Cited by 1,877
Self-citationSystems of psychotherapy a transtheoretical analysis
Prochaska, J. O., & Norcross, J. C. (2010) · Cited by 1,487
Self-citation(1992) · PubMed · Cited by 1,429
Self-citationStages of change in psychotherapy: Measurement and sample profiles.
McConnaughy, E. A., Prochaska, J. O., & Velicer, W. F. (1983) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0090198 · Cited by 1,201
Self-citationHandbook of Psychotherapy Integration
(2005) · Oxford University Press eBooks · doi:10.1093/med/9780195165791.001.0001 · Cited by 1,147
Measuring processes of change: Applications to the cessation of smoking.
Prochaska, J. O., Velicer, W. F., DiClemente, C. C., & Fava, J. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.56.4.520 · Cited by 1,110
Self-citationProgress in Behavior Modification
Hersen, M., & Eisler, R. M. (1983) · Cited by 1,020
Decisional balance measure for assessing and predicting smoking status.
Velicer, W. F., DiClemente, C. C., Prochaska, J. O., & Brandenburg, N. A. (1985) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.48.5.1279 · Cited by 952
Self-citationUnderstanding and preventing relapse.
Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986) · American Psychologist · doi:10.1037/0003-066x.41.7.765 · Cited by 895
Utilization of Health and Mental Health Services: Three Epidemiologic Catchment Area Sites
Shapiro, S. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210053007 · Cited by 807
(1987) · Journal of Studies on Alcohol · doi:10.15288/jsa.1987.48.596 · Cited by 777
DiClemente, C. C., & Prochaska, J. O. (1982) · Addictive Behaviors · doi:10.1016/0306-4603(82)90038-7 · Cited by 764
Self-citationStages of change profiles in outpatient alcoholism treatment
DiClemente, C. C., & Hughes, S. O. (1990) · Journal of Substance Abuse · doi:10.1016/s0899-3289(05)80057-4 · Cited by 659
Self-citationSelf-efficacy and the stages of self-change of smoking
DiClemente, C. C., Prochaska, J. O., & Gibertini, M. (1985) · Cognitive Therapy and Research · doi:10.1007/bf01204849 · Cited by 562
Self-citationStages of change in psychotherapy: A follow-up report.
McConnaughy, E. A., DiClemente, C. C., Prochaska, J. O., & Velicer, W. F. (1989) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/h0085468 · Cited by 556
Self-citationTreating addictive behaviors : processes of change
Miller, W. R., & Heather, N. (1986) · Plenum Press eBooks · Cited by 529
Where are the commonalities among the therapeutic common factors?
Grencavage, L. M., & Norcross, J. C. (1990) · Professional Psychology: Research and Practice · doi:10.1037//0735-7028.21.5.372 · Cited by 529
Self-citationExcessive Appetites: A Psychological View of Addictions
Orford, J. (1985) · Medical Entomology and Zoology · Cited by 483
Predicting change in smoking status for self-changers
Prochaska, J. O., DiClemente, C. C., Velicer, W. F., Ginpil, S., & Norcross, J. C. (1985) · Addictive Behaviors · doi:10.1016/0306-4603(85)90036-x · Cited by 478
Self-citationToward the delineation of therapeutic change principles.
Goldfried, M. R. (1980) · American Psychologist · doi:10.1037/0003-066x.35.11.991 · Cited by 451
Prochaska, J. O., Norcross, J. C., Fowler, J. L., Follick, M. J., & Abrams, D. B. (1992) · Addictive Behaviors · doi:10.1016/0306-4603(92)90051-v · Cited by 405
Self-citationPatterns of Change: Dynamic Typology Applied to Smoking Cessation
Prochaska, J. O., Velicer, W. F., Guadagnoli, E., Rossi, J. S., & DiClemente, C. C. (1991) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr2601_5 · Cited by 397
Self-citationRecidivism and self-cure of smoking and obesity.
Schachter, S. (1982) · American Psychologist · doi:10.1037//0003-066x.37.4.436 · Cited by 352
Longitudinal Research on Drug Use: Empirical Findings and Methodological Issues.
McAuliffe, W. E., & Kandel, D. B. (1980) · Contemporary Sociology · doi:10.2307/2065273 · Cited by 343
Addictive Behaviors: Etiology And Treatment
Marlatt, G. (1988) · Annual Review of Psychology · doi:10.1146/annurev.psych.39.1.223 · Cited by 324
Psychoanalysis and behavior therapy : toward an integration
Wachtel, P. L. (1977) · Basic Books · Cited by 318
Cohen, S., Lichtenstein, E., Prochaska, J. O., Rossi, J. S., Gritz, E. R., Carr, C. R., Orleans, C. T., Schoenbach, V. J., Biener, L., Abrams, D., et al. (1989) · American Psychologist · doi:10.1037/0003-066x.44.11.1355 · Cited by 315
Self-citationThe Effectiveness of Alcoholism Treatment
Miller, W. R., & Hester, R. K. (1986) · Treating Addictive Behaviors · doi:10.1007/978-1-4613-2191-0_7 · Cited by 276
Prochaska, J. O., & Norcross, J. C. (1983) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0088487 · Cited by 260
Self-citationThe Addictive Behaviors: Treatment of Alcoholism, Drug Abuse, Smoking, and Obesity
Miller, W. R. (1980) · Cited by 253
Spontaneous remission in alcoholics. Empirical observations and theoretical implications.
Tuchfeld, B. S. (1981) · Journal of Studies on Alcohol · doi:10.15288/jsa.1981.42.626 · Cited by 230
The specificity versus nonspecificity dilemma: toward identifying therapeutic change agents
(1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.6.687 · Cited by 215
Handbook of eclectic psychotherapy
Norcross, J. C. (1986) · Brunner/Mazel eBooks · Cited by 191
Self-citationThe skilled helper : a model for systematic helping and interpersonal relating
Egan, G. (1975) · Medical Entomology and Zoology · Cited by 186
Essential Elements of Self-Help/Minimal Intervention Strategies for Smoking Cessation
Glynn, T. J., Boyd, G. M., & Gruman, J. C. (1990) · Health Education Quarterly · doi:10.1177/109019819001700308 · Cited by 154
Deficit awareness and treatment performance among traumatic head injury adults
Lam, C. S., McMahon, B. T., Priddy, D. A., & Gehred-Schultz, A. (1988) · Brain Injury · doi:10.3109/02699058809150947 · Cited by 132
Implications of a Self-Regulation Model of Therapy for Treatment of Addictive Behaviors
Kanfer, F. H. (1986) · Springer eBooks · doi:10.1007/978-1-4613-2191-0_2 · Cited by 94
Behavioral Self-Control: Power to the Person
Mahoney, M. J., & Thoresen, C. E. (1972) · Educational Researcher · doi:10.3102/0013189x001010005 · Cited by 91
Prevention and Treatment of Alcohol Problems: Research Opportunities
Keeley, K. A. (1990) · JAMA · doi:10.1001/jama.1990.03450110130043 · Cited by 88
Wachtel, P. L. (1987) · Medical Entomology and Zoology · Cited by 83
Subject characteristics as predictors of self-change in smoking
Wilcox, N. S., Prochaska, J. O., Velicer, W. F., & DiClemente, C. C. (1985) · Addictive Behaviors · doi:10.1016/0306-4603(85)90037-1 · Cited by 82
Self-citationBenjamin, A. (1974) · Medical Entomology and Zoology · Cited by 80
Ringing in the new year: The change processes and reported outcomes of resolutions
Norcross, J. C., Ratzin, A. C., & Payne, D. (1989) · Addictive Behaviors · doi:10.1016/0306-4603(89)90050-6 · Cited by 78
Self-citationThe resolution solution: Longitudinal examination of New Year's change attempts
Norcross, J. C., & Vangarelli, D. J. (1988) · Journal of Substance Abuse · doi:10.1016/s0899-3289(88)80016-6 · Cited by 74
Self-citationSome dimensions of a model for smoking behavior change.
Horn, D., & Waingrow, S. (1966) · American Journal of Public Health and the Nations Health · doi:10.2105/ajph.56.12_suppl.21 · Cited by 67
Norcross, J. C., & Prochaska, J. O. (1986) · Psychotherapy · doi:10.1037/h0085577 · Cited by 66
Self-citationPsychotherapists' perspectives on treating themselves and their clients for psychic distress.
Prochaska, J. O., & Norcross, J. C. (1983) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.14.5.642 · Cited by 60
Self-citationThe Structure of Individual Psychotherapy
Beitman, B. D. (1986) · Works - Scholarship, Research, & Creative Expression (Swarthmore College) · Cited by 58
The future of psychotherapy: Delphi data and concluding observations.
Norcross, J. C., Alford, B. A., & DeMichele, J. T. (1992) · Psychotherapy · doi:10.1037/0033-3204.29.1.150 · Cited by 51
Self-citationPrescribing to the stage and level of phobic patients.
Prochaska, J. O. (1991) · Psychotherapy · doi:10.1037/0033-3204.28.3.463 · Cited by 50
Self-citationSchmid, T. L., Jeffery, R. W., & Hellerstedt, W. L. (1989) · Preventive Medicine · doi:10.1016/0091-7435(89)90009-1 · Cited by 49
Gottlieb, N. H., Galavotti, C., McCuan, R. A., & McAlister, A. L. (1990) · Cognitive Therapy and Research · doi:10.1007/bf01173362 · Cited by 46
Interactional psychotherapy: stages and strategies in behavioral change
Cashdan, S. (1973) · Medical Entomology and Zoology · Cited by 39
Kalsner, S. (1982) · Oxford University Press eBooks · Cited by 39
Herink, R., & Goleman, D. (1980) · New American Library eBooks · Cited by 37
Readiness for smoking change among middle-aged finnish men
Pallonen, U. E., Fava, J. L., Salonen, J. T., & Prochaska, J. O. (1992) · Addictive Behaviors · doi:10.1016/0306-4603(92)90002-d · Cited by 33
Self-citationPrescriptive matching in psychotherapy: An introduction.
Norcross, J. C. (1991) · Psychotherapy · doi:10.1037/0033-3204.28.3.439 · Cited by 23
Self-citation
Cited by
‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,493
The Transtheoretical Model of Health Behavior Change.
Prochaska, J. O., & Velicer, W. F. (1997) · American Journal of Health Promotion · doi:10.4278/0890-1171-12.1.38 · Cited by 7,782
Self-citationZimmerman, B. J. (2000) · Handbook of Self-Regulation · doi:10.1016/b978-012109890-2/50031-7 · Cited by 6,069
Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485
Kirk, J., MacDonald, A., Lavender, P., Dean, J., & Rubin, G. (2017) · Biomedicine Hub · doi:10.1159/000480347 · Cited by 3,887
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
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
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.