Predicting termination and continuation status in psychotherapy using the transtheoretical model
Open accessAbstract
Measures from the transtheoretical model of change were compared to traditional client characteristic variables as predictors of termination and continuation status of clients entering psychotherapy. Client characteristics were not significant predictors but the transtheoretical variables of stages, processes of change, and decisional balance for therapy were excellent predictors. A discriminative function using the transtheoretical variables correctly classified 92% of the clients into two groups: (a) premature terminators and (b) appropriate terminators and therapy continuers. Discussion focused on the importance of matching therapy to client's stage of change in order to reduce the average rate of 40% of clients terminating therapy prematurely.
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Existing self-report motivation measures reliably predict dropout from CBT for anxiety but do not reliably predict treatment outcome.
“Existing measures reliably predict treatment dropout (e.g., Brogan, Prochaska, & Prochaska, 1999; Dozois, Westra, Collins, Fung, & Garry, 2004; Keijsers, Kampman, & Hoogduin, 2001) but not treatment outcome.”
From Comparing the predictive capacity of observed in-session resistance to self-reported motivation in cognitive behavioral therapy (2011) · cites this paper as Brogan, Prochaska, & Prochaska, 1999
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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 · see citing works
Self-citationThe 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 · see citing works
Self-citationTranstheoretical 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 · see citing works
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Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care
Collins, K. A., Westra, H. A., Dozois, D. J. A., & Burns, D. D. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.06.001 · Cited by 322 · see citing works
Dozois, D. J. A., Westra, H. A., Collins, K. A., Fung, T. S., & Garry, J. K. F. (2004) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(03)00193-1 · Cited by 163 · see citing works
Vogel, P. A., Hansen, B., Stiles, T. C., & Götestam, K. G. (2006) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2005.12.001 · Cited by 135 · see citing works
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Westra, H. A. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.11.007 · Cited by 62 · see citing works
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Development and validation of the Readiness for Therapy Questionnaire (RTQ)
Ghomi, M., Wrightman, M., Ghaemian, A., Grey, N., Pickup, T., & Richardson, T. (2021) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000764 · Cited by 18 · see citing works
Treatment dropout among veterans and their families: Quantitative and qualitative findings.
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- Authors
- Brogan, M. M., Prochaska, J. O., & Prochaska, J. M.
- ORCID
- Prochaska, James O.
- Venue
- Psychotherapy: Theory, Research, Practice, Training
- Published
- 1999
- Volume
- 36
- Issue
- 2
- Pages
- 105-113
- ISSN
- 0033-3204 (ISSN-L)
- 1939-1536
- OpenAlex
- W2079246724
- Cited by
- 182
- References
- 3
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 51 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 11 · 2014: 1 · 2013: 7 · 2012: 8
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- Psychotherapy (publishedVersion)
- Journal of Media Literacy Education (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- psychotherapy termination, early termination, transtheoretical model, stages of change, change processes, decisional balance, client characteristics, predictors of treatment outcome
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