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Scenes from the Cancer Prevention Research Center

Cocaine: Processes of Change

 

This questionnaire is designed to give us a better understanding of what strategies you are using in your treatment. Each statement describes a situation or thought that a person might try to help them not use cocaine. Please indicate how often you might make use of a particular situation or thought to help you at the present time.

 There are FIVE possible responses to each of the items in the questionnaire:

1 = NEVER
2 = SELDOM
3 = OCCASIONALLY
4 = FREQUENTLY
5 = REPEATEDLY

 

1.  I get upset when I think about my cocaine use.  box
2.  I stop to think about how my cocaine use is hurting people around me.  box
3.  I find that keeping myself busy reduces my craving for cocaine.  box
4.  I avoid people I've used cocaine with.  box
5.  When I am tempted to use cocaine, I try to distract myself by doing something else.  box
6.  I have someone who listens when I need to talk about my cocaine use.  box
7.  I see advertisements and/or news stories on T.V. about how society  box
8.  I spend time with people who reward me for not using cocaine.  box
9.  I am ashamed of some of my behaviors while using cocaine.  box
10.  Someone in my life tries to make me feel good when I do not use cocaine.  box
11.  I have strong feelings about how much my cocaine use has hurt the people I care about.  box
12.  I see some signs in public places encouraging people not to use cocaine.  box
13.  I have heard that cocaine may result in severe mood swings and depression.  box
14.  I stop and think that my cocaine use is causing problems for other people.  box
15.  I feel ashamed or disappointed in myself when I depend on cocaine.  box
16.  I am frightened by some of the situations I have found myself in as a result of my involvement with cocaine.  box
17.  I find it helpful to do something physically active to keep from using cocaine.  box
18.  I leave places where people are using cocaine.  box
19.  I have someone who tries to share their personal experiences of cocaine with me.  box
20.  Other people in my daily life try to make me feel good when I'm not using cocaine.  box
21.  Information from the media (magazines, newspaper, radio, T.V.) about cocaine seems to catch my eye.  box
22.  I make commitments to myself to not turn to cocaine at times when I am feeling anxious or unsure of myself.  box
23.  I feel frightened by the strength of my cravings for cocaine.  box
24.  I tell myself that if I try hard enough, I can keep from using cocaine.  box
25.  Dramatic portrayals of the dangers of cocaine affect me emotionally  box
26.  I stay away from places generally associated with my cocaine use.  box
27.  I notice that some people who are quitting cocaine are making known their desire not to be pressed into using.  box
28.  I have heard about serious medical problems which may result from cocaine use.  box
29.  I tell myself that I do not need cocaine to make me feel good about myself.  box
30.  I have someone I can count on when I'm having cocaine related problems.  box

 

Scoring

Process of Change 

Items 

Alpha 

Consciousness Raising 

13

21

28

.74 

Counterconditioning 

3

5

17

.78 

Dramatic Relief 

16

23

25

.70 

Environmental Reevaluation 

2

11

14

.84 

Helping Relationships 

6

19

30

.82 

Reinforcement Management 

8

10

20

.81 

Self Liberation 

22

24

29

.74 

Self Reevaluation 

1

9

15

.79 

Social Liberation 

7

12

27

.60 

Stimulus Control 

4

18

26

.85 

 

References

Martin, R.A., Rossi, J.S., Rosenbloom, D., Monti, P.M., & Rohsenow, D.J. (1992, November).  Stages and processes of change for quitting cocaine.  Paper presented at the 26th annual meeting of the Association for the Advancement of Behavior Therapy, Boston, MA.

Prochaska, J.O., Velicer, W.F., Rossi, J.S., Goldstein, M.G., Marcus, B.H., Rakowski, W., Fiore, C., Harlow, L., Redding, C.A., Rosenbloom, D., & Rossi, S.R. (in press). Stages of change and decisional balance for twelve problem behaviors. Health Psychology.

 Rosenbloom, D. (1991). A Transtheoretical Analysis of Change Among Cocaine Users. Unpublished dissertation, University of Rhode Island, Kingston, RI.

 Rossi, J.S. (1992, August). Common processes of change across nine problem behaviors. Paper presented at the 100th annual convention of the American Psychological Association, Washington, DC.

 

 

 

 

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