Velicer W F, Hughes S L, Fava J L, Prochaska J O, DiClemente C C
University of Rhode Island, USA.
Addict Behav. 1995 May-Jun;20(3):299-320. doi: 10.1016/0306-4603(94)00069-b.
The transtheoretical model of behavior change postulates five distinct, well-defined stages of change: Precontemplation, Contemplation, Preparation, Action, and Maintenance. Each stage has been regarded as reflecting a motivational posture and treated as if it is homogenous with respect to membership. This paper reports the results of four cluster analytic studies, one within each of the first four stages of change. The cluster analysis was based on three constructs of the model. Four distinct subtypes were found within Contemplation, Preparation, and Action, and three subtypes were found within Precontemplation. External validation for the clusters was provided using the 10 Processes of Change and 8 behavioral measures as dependent measures. At least one subtype corresponded to the existing stage definition but the other subtypes suggested alternative intervention strategies.
行为改变的跨理论模型假定了五个不同的、定义明确的改变阶段:前意向阶段、意向阶段、准备阶段、行动阶段和维持阶段。每个阶段都被视为反映一种动机态势,并且在成员构成方面被当作是同质的。本文报告了四项聚类分析研究的结果,每项研究针对前四个改变阶段中的一个阶段。聚类分析基于该模型的三个构念。在意向阶段、准备阶段和行动阶段中发现了四种不同的亚型,在前意向阶段中发现了三种亚型。使用十个改变过程和八项行为测量作为因变量对这些聚类进行了外部验证。至少有一种亚型与现有的阶段定义相对应,但其他亚型则提示了替代的干预策略。