The URICA is a self-report measure that includes four subscales that measure the Stages of Change: Precontemplation, Contemplation, Action and Maintenance. Responses are given on a 5-point Likert scale ranging from (1=strong agreement to 5=strongly disagreement. The subscales can be combined arithmetically (C + A + M – PC) to yield a second order continuous score that can be used to assess readiness to change at entrance to treatment.
The URICA could be used to assess clinical process and motivational readiness for change as well as to measure process and outcome variables for a variety of health and addictive behaviors.
Target Population:
Adults
Administrative Issues:
Number
of items:
32 items with four 8-item subscales
24- item version available with four 6-item subscales
Mode
of administration:
Pencil and paper self-administered
Time
required to administer:
5-10 minutes
Staff
expertise required for administration:
None
Training
required for administration:
No training required for administration
Norms available:
Norms are available
for an adult, outpatient alcoholism treatment population
Psychometrics:
Reliability:
Internal Consistency
Factor Analysis
Validity:
Predictive
Copyright Information:
Instrument is
not copyrighted and available at no cost
University
of Rhode Island
Client ID#_________________
Change
Assessment Scale (URICA)
:
Date: ______/______/______
Alcohol
Version
Assessment
Point:
_____________
EACH STATEMENT BELOW
DESCRIBES A HOW A PERSON MIGHT FEEL WHEN STARTING THERAPY OR APPROACHING
Problems IN THEIR LIVES. Please
indicate the extent to which YOU TEND to agree or disagree with each
statement. In each case, make your
choice in terms of how you feel riGHt now, not what you have felt in the
past or would like to feel. For all
statements that refer to your “problem”, answer in terms of problems related to
your drinking. The
words “here” and “this place” refer to your treatment center.
There are five possible
responses to each of the items in the questionnaire:
1=Strongly
Disagree
2=Disagree
3=Undecided
4=Agree
5=Strongly
Agree
Circle
the number that best describes how much you agree or disagree with each
statement.
|
|
Strongly
Disagree |
Disagree |
Undecided |
Agree |
Strongly
Agree |
|
1)
As
far as I’m concerned, I don’t have any problems that need
changing. |
1 |
2 |
3 |
4 |
5 |
|
2)
I
think I might be ready for some self-improvement. |
1 |
2 |
3 |
4 |
5 |
|
3)
I
am doing something about the problems that had been bothering
me. |
1 |
2 |
3 |
4 |
5 |
|
4)
It
might be worthwhile to work on my problem. |
1 |
2 |
3 |
4 |
5 |
|
5)
I’m
not the problem one. It doesn’t make much sense for me to consider
changing. |
1 |
2 |
3 |
4 |
5 |
|
6)
It
worries me that I might slip back on a problem I have already changed, so
I am looking for help. |
1 |
2 |
3 |
4 |
5 |
|
7)
I
am finally doing some work on my problem. |
1 |
2 |
3 |
4 |
5 |
|
8)
I’ve
been thinking that I might want to change something about
myself. |
1 |
2 |
3 |
4 |
5 |
|
9)
I
have been successful in working on my problem but I’m not sure I can keep
up the effort on my own. |
1 |
2 |
3 |
4 |
5 |
|
|
Strongly
Disagree |
Disagree |
Undecided |
Agree |
Strongly
Agree | |
|
10) At
times my problem is difficult, but I’m working on it.
|
1 |
2 |
3 |
4 |
5 | |
|
11) Trying
to change is pretty much a waste of time for me because the problem
doesn’t have to do with me. |
1 |
2 |
3 |
4 |
5 | |
|
12) I’m
hoping that I will be able to understand myself
better. |
1 |
2 |
3 |
4 |
5 | |
|
13) I
guess I have faults, but there’s nothing that I really need to
change. |
1 |
2 |
3 |
4 |
5 | |
|
14) I
am really working hard to change. |
1 |
2 |
3 |
4 |
5 | |
|
15) I
have a problem and I really think I should work on
it. |
1 |
2 |
3 |
4 |
5 | |
|
16) I’m
not following though with what I had already changed as well as I had
hoped, and I want to prevent a relapse of the
problem. |
1 |
2 |
3 |
4 |
5 | |
|
17) Even
though I’m not always successful in changing, I am at least working on my
problem. |
1 |
2 |
3 |
4 |
5 | |
|
18) I
thought once I had resolved the problem I would be free of it, but
sometimes I still find myself struggling with it. |
1 |
2 |
3 |
4 |
5 | |
|
19) I
wish I had more ideas on how to solve my problem. |
1 |
2 |
3 |
4 |
5 | |
|
20) I
have started working on my problem but I would like
help. |
1 |
2 |
3 |
4 |
5 | |
|
21) Maybe
someone or something will be able to help me. |
1 |
2 |
3 |
4 |
5 | |
|
22) I
may need a boost right now to help me maintain the changes I’ve already
made. |
1 |
2 |
3 |
4 |
5 | |
|
23) I
may be part of the problem, but I don’t really think I
am. |
1 |
2 |
3 |
4 |
5 | |
|
24) I
hope that someone will have some good advice for
me. |
1 |
2 |
3 |
4 |
5 | |
|
|
Strongly
Disagree |
Disagree |
Undecided |
Agree |
Strongly
Agree | |
|
25) Anyone
can talk about changing; I’m actually doing something about
it. |
1 |
2 |
3 |
4 |
5 | |
|
26) All
this talk about psychology is boring. Why can’t people just forget about
their problems? |
1 |
2 |
3 |
4 |
5 | |
|
27) I’m
struggling to prevent myself from having a relapse of my
problem. |
1 |
2 |
3 |
4 |
5 | |
|
28) It
is frustrating, but I feel I might be having a recurrence of a problem I
thought I had resolved. |
1 |
2 |
3 |
4 |
5 | |
|
29) I
have worries but so does the next guy. Why spend time thinking about
them? |
1 |
2 |
3 |
4 |
5 | |
|
30) I
am actively working on my problem. |
1 |
2 |
3 |
4 |
5 | |
|
31) I
would rather cope with my faults than try to change
them. |
1 |
2 |
3 |
4 |
5 | |
|
32) After
all I had done to try and change my problem, every now and then it comes
back to haunt me. |
1 |
2 |
3 |
4 |
5 | |
URICA – 32- item version
|
Precontemplation |
Contemplation |
Action |
Maintenance |
|
|
1 |
2 |
3 |
6 |
|
|
5 |
4 (omit) |
7 |
9 (omit) |
|
|
11 |
8 |
10 |
16 |
|
|
12 |
12 |
14 |
18 |
|
|
23 |
15 |
17 |
22 |
|
|
26 |
19 |
20 (omit) |
27 |
|
|
29 |
21 |
25 |
28 |
|
|
31 (omit) |
24 |
30 |
32 |
|
|
Total: |
||||
|
7 |
7 |
7 |
7 |
7 |
|
Mean: |
To obtain a Readiness to Change score, first sum items from each subscale
and divide by 7 to
get the mean for each subscale. Then sum the means from the Contemplation,
Action, and Maintenance subscales and subtract the Precontemplation mean
(C + A + M – PC = Readiness).
To obtain an individual’s Stage of Change profile, please circle the
number in each column corresponding to the total scale score and connect
with lines.
|
T-Scores |
PC |
C |
A |
M |
|
100 |
30-35 |
|||
|
95 |
29-30 |
|||
|
90 |
27-28 |
|||
|
85 |
25-26 |
|||
|
80 |
23-24 |
|||
|
75 |
21-22 |
|||
|
70 |
19-20 |
35 |
35 |
|
|
65 |
17-18 |
33-34 |
33-34 |
|
|
60 |
15-16 |
34-35 |
31-32 |
31-32 |
|
55 |
13-14 |
33 |
27-30 |
28-29-30 |
|
50 |
11-12 |
31-32 |
27-28 |
26-27 |
|
45 |
09-10 |
30 |
25-26 |
23-24-25 |
|
40 |
07-08 |
28-29 |
23-24 |
21-22 |
|
35 |
27 |
21-22 |
18-19-20 |
|
|
30 |
25-26 |
19-20 |
16-17 |
|
|
25 |
24 |
17-18 |
13-14-15 |
|
|
20 |
22-23 |
15-16 |
11-12 |
|
|
15 |
21 |
13-14 |
08-09-10 |
|
|
10 |
19-20 |
11-12 |
07 |
|
|
5 |
18 |
09-10 |
||
|
00 |
16-17 |
07-08 |
||
|
-05 |
15 |
|||
|
-10 |
13-14 |
|||
|
-15 |
07-12 |
(24
Item Version)
University
of Rhode Island
Client ID#_________________
Change
Assessment Scale (URICA)
:
Date: ______/______/______
Alcohol
Version
Assessment
Point:
_____________
EACH STATEMENT BELOW
DESCRIBES A HOW A PERSON MIGHT FEEL WHEN STARTING THERAPY OR APPROACHING
Problems IN THEIR LIVES. Please
indicate the extent to which YOU TEND to agree or disagree with each
statement. In each case, make your
choice in terms of how you feel riGHt now, not what you have felt in the
past or would like to feel. For all
statements that refer to your “problem”, answer in terms of problems related to
your drinking. The
words “here” and “this place” refer to your treatment center.
There are five possible
responses to each of the items in the questionnaire:
1=Strongly
Disagree
2=Disagree
3=Undecided
4=Agree
5=Strongly
Agree
Circle
the number that best describes how much you agree or disagree with each
statement.
|
|
Strongly
Disagree |
Disagree |
Undecided |
Agree |
Strongly
Agree | |
|
1)
I’m
not the problem one. It doesn’t make much sense for me to consider
changing. |
1 |
2 |
3 |
4 |
5 | |
|
2)
I
am finally doing some work on my problem. |
1 |
2 |
3 |
4 |
5 | |
|
3)
I’ve
been thinking that I might want to change something about
myself. |
1 |
2 |
3 |
4 |
5 | |
|
4)
At
times my problem is difficult, but I’m working on it.
|
1 |
2 |
3 |
4 |
5 | |
|
5)
Trying
to change is pretty much a waste of time for me because the problem
doesn’t have to do with me. |
1 |
2 |
3 |
4 |
5 | |
|
6)
I’m
hoping that I will be able to understand myself
better. |
1 |
2 |
3 |
4 |
5 | |
|
7)
I
guess I have faults, but there’s nothing that I really need to
change. |
1 |
2 |
3 |
4 |
5 | |
|
8)
I
am really working hard to change. |
1 |
2 |
3 |
4 |
5 | |
|
9)
I
have a problem and I really think I should work on
it. |
1 |
2 |
3 |
4 |
5 | |
|
10) I’m
not following though with what I had already changed as well as I had
hoped, and I want to prevent a relapse of the
problem. |
1 |
2 |
3 |
4 |
5 | |
|
|
Strongly
Disagree |
Disagree |
Undecided |
Agree |
Strongly
Agree | |
|
11) Even
though I’m not always successful in changing, I am at least working on my
problem. |
1 |
2 |
3 |
4 |
5 | |
|
12) I
thought once I had resolved the problem I would be free of it, but
sometimes I still find myself struggling with it. |
1 |
2 |
3 |
4 |
5 | |
|
13) I
wish I had more ideas on how to solve my problem. |
1 |
2 |
3 |
4 |
5 | |
|
14) Maybe
someone or something will be able to help me. |
1 |
2 |
3 |
4 |
5 | |
|
15) I
may need a boost right now to help me maintain the changes I’ve already
made. |
1 |
2 |
3 |
4 |
5 | |
|
16) I
may be part of the problem, but I don’t really think I
am. |
1 |
2 |
3 |
4 |
5 | |
|
17) I
hope that someone will have some good advice for
me. |
1 |
2 |
3 |
4 |
5 | |
|
18) Anyone
can talk about changing; I’m actually doing something about
it. |
1 |
2 |
3 |
4 |
5 | |
|
19) All
this talk about psychology is boring. Why can’t people just forget about
their problems? |
1 |
2 |
3 |
4 |
5 | |
|
20) I’m
struggling to prevent myself from having a relapse of my
problem. |
1 |
2 |
3 |
4 |
5 | |
|
21) It
is frustrating, but I feel I might be having a recurrence of a problem I
thought I had resolved. |
1 |
2 |
3 |
4 |
5 | |
|
22) I
have worries but so does the next guy. Why spend time thinking about
them? |
1 |
2 |
3 |
4 |
5 | |
|
23) I
am actively working on my problem. |
1 |
2 |
3 |
4 |
5 | |
|
24) After
all I had done to try and change my problem, every now and then it comes
back to haunt me. |
1 |
2 |
3 |
4 |
5 | |
URICA – 24- item version
| Precontemplation | Contemplation | Action | Maintenance | |
| 1 | 3 | 2 | 10 | |
| 5 | 6 | 4 | 12 | |
| 7 | 9 | 8 | 15 | |
| 16 | 13 | 11 | 20 | |
| 19 | 14 | 18 | 21 | |
| 22 | 17 | 23 | 24 | |
| Total: | ||||
| 6 | 6 | 6 | 6 | |
| Mean: |
In order to obtain a Readiness to Change score, first sum items from
each subscale and divide by 6 to get the mean for each subscale. Then sum
the means from the Contemplation, Action, and Maintenance subacalse and
subtract the Precontemplation mean (C + A + M – PC = Readiness).
Original/Source Reference:
DiClemente, C.C., and Hughes, S.O. (1990) Stages of change profiles in alcoholism treatment. Journal of Substance Abuse 2, 217-235.
Other Key References:
DiClemente, C.C. and Prochaska, J.O. (1998). Toward a comprehensive, transtheoretical model of change: Stages of change and addictive behaviors. In: Miller, W. R. and Heather, N., eds. Treating Addictive Behaviors. 2nd edition. New York: Plenum.
DiClemente, C.C. and Scott, C.W. (1997). Stages of Change: Interactions with treatment compliance and involvement. In: Onken, L.S., Baline, J.D., & Boren, J.J., eds. Beyond the Therapeutic Alliance: Keeping the Drug-Dependent Individual in Treatment. Rockville, MD: National Institute on Drug Abuse.
McConnaughy, E. A., DiClemente,
C. C., Prochaska, J. O. and Velicer, W.F. (1989). Stages of change
in psychotherapy: A follow-up report. Psychotherapy 26, 494-503.
McConnaughy, E. A., Prochaska,
J. O. and Velicer, W.F. (1983). Stages of change in psychotherapy:
Measurement and sample profiles. Psychotherapy: Theory, Research,
and Practice 20, 368-375.