Use of the University of Rhode Island change assessment to measure motivational readiness to change in psychiatric and dually diagnosed individuals

Michael V. Pantalon, Arthur J. Swanson

Research output: Contribution to journalArticle

63 Scopus citations


In this report, the original 4-factor structure of the University of Rhode Island Change Assessment (URICA; C. C. DiClemente & S. O. Hughes, 1990) was replicated, and the scale's internal consistency was found to be acceptable in a sample of 120 psychiatric and dually diagnosed inpatient participants, who had participated in a randomized clinical trial comparing standard treatment (ST) and ST plus motivational interviewing. Contrary to the authors' hypotheses, participants classified as having low motivational readiness to change, based on their URICA scores, demonstrated greater treatment adherence than high-readiness participants, in that they attended a greater proportion of therapy groups while hospitalized (54% vs. 39%; p < .05) and clinic appointments during their 1 st month postdischarge (77% vs. 53%;p < .05). Low-readiness participants were also more likely to attend all of their scheduled clinic appointments (26%) than were high-readiness participants (10%; p < .05).

Original languageEnglish (US)
Pages (from-to)91-97
Number of pages7
JournalPsychology of Addictive Behaviors
Issue number2
Publication statusPublished - Jun 1 2003


ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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