The Validity of the Stages of Change Model in the Adoption of the Self-Management Approach in Chronic Pain

Arie Dijkstra

35 citations0/0 files storedClinical Journal of Pain

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Behavioral Health and Interventions Substance Abuse Treatment and Outcomes Musculoskeletal pain and rehabilitation

Abstract

In attempts to decrease chronic pain and the negative impact of chronic pain on broader functioning, patients can be stimulated to adopt self-management skills. However, not all patients are motivated to do so. Insight into the causes of motivation and the process of behavior change could increase the practitioners' effectiveness in stimulating patients to use self-management skills. The stages of change construct is a psychologic construct that maps the process of behavior change. Patients in the Precontemplation stage are not motivated to adopt self-management skills, patients in the Contemplation stage think about it, patients in the Preparation stage are planning to change and are already trying some (parts) of the skills, patients in the Action stage are actively learning to engage in self-management, whereas patients in the Maintenance stage keep on working to stabilize the new behavior pattern. Although the stages of change model is intuitively plausible and has the potential to increase effectiveness of the practitioners' counseling, its validity should be proven before it is applied clinically. The present article reviews the 8 available publications in which the stages of change construct is studied in patients with chronic pain. The results show that the theory of the stages of change needs more articulation, that the operationalization should be more directly derived from the theory, and that the results from more appropriate tests of the theory should be used to change the theory when necessary to develop it. Recommendations are made with regard to the theory, the operationalizations, and the tests to be conducted to develop the theory and assess its validity.

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References

1994Stages of change and decisional balance for 12 problem behaviors.1992The Self-Regulation of Attitudes, Intentions, and Behavior 1996The illness perception questionnaire: A new method for assessing the cognitive representation of illness 1983Stages of change in psychotherapy: Measurement and sample profiles.1998Stage theories of health behavior: Conceptual and methodological issues.1989Stages of change in psychotherapy: A follow-up report.1999Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy 2000Understanding the adoption of arthritis self-management: stages of change profiles among arthritis patients

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2010The Use of Motivational Interviewing to Manage Behavioral Changes in Hand Injured Clients 2011The effect of message framing on self-management of chronic pain: A new perspective on intervention?2005Assessment of readiness to change in patients with osteoarthritis. Development and application of a new questionnaire

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