Application of the Transtheoretical Model to substance abuse: historical development and future directions

As a growing literature has documented applications of the Transtheoretical Model (TTM) to substance abuse, the utility or futility of such an application has been debated widely. The purpose of this paper is to critically examine the TTM, and its conceptual and empirical applications to the field o...

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Bibliographic Details
Published in:Drug and alcohol review 2005-09, Vol.24 (5), p.437-448
Main Authors: Migneault, Jeffery P., Adams, Troy B., Read, Jennifer P.
Format: Article
Language:English
Subjects:
alcohol
Algorithms
Change
Changes
Decision Making
decisional balance
Disruptive, Impulse Control, and Conduct Disorders - epidemiology
Empowerment
Forecasting
Humans
processes of change
Reform
Self Efficacy
Selfefficacy
Social Change
stages of change
Substance Abuse
Substance-Related Disorders - epidemiology
Surveys and Questionnaires
Transtheoretical model
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Summary:As a growing literature has documented applications of the Transtheoretical Model (TTM) to substance abuse, the utility or futility of such an application has been debated widely. The purpose of this paper is to critically examine the TTM, and its conceptual and empirical applications to the field of substance abuse. This review focuses not only on the stage of change dimension of the TTM, but also the processes, decisional balance, and self-efficacy dimensions, which have received less attention in earlier reviews. Particular emphasis is placed on the measurement and conceptualization of the stage of change construct. Unanswered questions and directions for future research are identified. It is concluded that, to effectively determine the TTM's applicability to substance abuse, all dimensions must be more fully developed, validated and evaluated across a range of substance abuse problems. Further, prospective studies are needed to determine the predictive utility of the TTM, and evaluation of TTM-matched interventions will help to address the model's specificity. [Migneault JP, Adams TB, Read JP. Application of the Transtheoretical Model to substance abuse: historical development and future directions. Drug Alcohol Rev 2005;24:437-448]
ISSN:0959-5236
1465-3362
DOI:10.1080/09595230500290866