TY - JOUR
T1 - Attendance and outcome in a work site weight control program
T2 - Processes and stages of change as process and predictor variables
AU - Prochaska, James O.
AU - Norcross, John C.
AU - Fowler, Joanne L.
AU - Follick, Michael J.
AU - Abrams, David B.
N1 - Funding Information:
This research was supported in part by Grants CA2782 1 and CA50087 from the National Cancer Institute. Requests for reprints should be sent to James 0. Prochaska, Cancer Prevention Research Consortium, Department of Psychology, University of Rhode Island, Kingston, RI 0288 1.
PY - 1992
Y1 - 1992
N2 - This naturalistic study assessed client changes during treatment and identified salient predictors of therapy attendance and outcome. Subjects were assessed on processes and stages of change, self-efficacy, social support, weight history (including expectations, goals, and reasons for losing weight), and demographics at the beginning, middle, and end of a 10-week, behaviorally oriented work site program for weight control. Significant shifts from contemplation to action occured for clients remaining in treatment. There were also significant modifications in the use of change processes as a result of treatment: counterconditioning, contingency management, stimulus control, interpersonal control, and social liberation increased while medication use, wishful thinking, and minimizing threats decreased. Change processes employed during the early portion of the group treatment were the best predictors of treatment attendance and outcome, superior to self-efficacy, social support, weight history, and demographic variables. The results supported a transtheoretical model that emphasizes dynamic processes and stages as core dimensions for understanding how people change.
AB - This naturalistic study assessed client changes during treatment and identified salient predictors of therapy attendance and outcome. Subjects were assessed on processes and stages of change, self-efficacy, social support, weight history (including expectations, goals, and reasons for losing weight), and demographics at the beginning, middle, and end of a 10-week, behaviorally oriented work site program for weight control. Significant shifts from contemplation to action occured for clients remaining in treatment. There were also significant modifications in the use of change processes as a result of treatment: counterconditioning, contingency management, stimulus control, interpersonal control, and social liberation increased while medication use, wishful thinking, and minimizing threats decreased. Change processes employed during the early portion of the group treatment were the best predictors of treatment attendance and outcome, superior to self-efficacy, social support, weight history, and demographic variables. The results supported a transtheoretical model that emphasizes dynamic processes and stages as core dimensions for understanding how people change.
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U2 - 10.1016/0306-4603(92)90051-V
DO - 10.1016/0306-4603(92)90051-V
M3 - Article
C2 - 1595424
AN - SCOPUS:0026651301
SN - 0306-4603
VL - 17
SP - 35
EP - 45
JO - Addictive Behaviors
JF - Addictive Behaviors
IS - 1
ER -