W&M ScholarWorks Dissertations, Theses, and Masters Projects Theses, Dissertations, & Master Projects 1997 Applying the transtheoretical model of change to court-ordered/ DUI outpatient treatment clients Cynthia Munch Levy College of William & Mary - School of Education Follow this and additional works at: https://scholarworks.wm.edu/etd Part of the Clinical Psychology Commons, Criminology Commons, and the Student Counseling and Personnel Services Commons Recommended Citation Levy, Cynthia Munch, "Applying the transtheoretical model of change to court-ordered/DUI outpatient treatment clients" (1997). Dissertations, Theses, and Masters Projects. Paper 1539618478. https://dx.doi.org/doi:10.25774/w4-p1ce-hh13 This Dissertation is brought to you for free and open access by the Theses, Dissertations, & Master Projects at W&M ScholarWorks. It has been accepted for inclusion in Dissertations, Theses, and Masters Projects by an authorized administrator of W&M ScholarWorks. 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Reproduced with with permission permission of the of copyright the copyright owner. owner.Further reproductionFurther reproduction prohibited without prohibited permission. without permission. APPLYING THE TRANSTHEORETICAL MODEL OF CHANGE TO COURT ORDERED/DUI OUTPATIENT TREATMENT CLIENTS A Dissertation Presented to The Faculty of the School of Education The College of William and Mary in Virginia In Partial Fulfillment Of the Requirements for the Degree Doctor of Education by Cynthia M. Levy February 1997 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. UMI Number: 9722678 Copyright 1997 by Levy, Cynthia Munch All rights reserved. UMI Microform 9722678 Copyright 1997, by UMI Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. UMI 300 North Zeeb Road Ann Arbor, MI 48103 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. APPLYING THE TRANSTHEORETICAL MODEL OF CHANGE TO COURT ORDERED/DUI OUTPATIENT TREATMENT CLIENTS by Cynthia M. Levy Approved March 1997 Charles F. Gressard, Ph.D. Chair of Doctoral Committee Charles 0 . Matthews, Ph.D. Victoria A. Foster, Ed.D. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. DEDICATION To my family; my husband Fred, and my children Joshua and Elana for their unfailing love, support, and encouragement 111 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. TABLE OF CONTENTS Acknowledgements ........................................................................................................ vii List of Tables ..............................................................................................................viii List of Figures................................................................................................................. ix A bstract ............................................................................................................................. x Chapter 1: Introduction.....................................................................................................2 Statement of the Problem ....................................................................................... 2 Justification for the Study....................................................................................... 2 Theoretical Rationale ............................................................ 7 Definition of Terms ..............................................................................................15 Research Hypotheses ........................................................................................... 16 Sample Description and General Data Gathering Procedures..........................- 17 Limitations of the stu d y.........................................................................................18 Chapter 2: Review of the Literature.......................................................................... 19 Research using the Transtheoretical Model of Change ................................. 19 Interaction between stages of change and change processes .......................... 28 Interaction between stages of change and self-efficacy ................................. 35 Interaction between stages of change and decisional balance .......................... 40 Comparable Populations........................................................................................46 Chapter 3 Data Collection............................................................................................. 49 Population..............................................................................................................49 Treatment Procedures...........................................................................................49 Measurement Instruments..................................................................................... 53 Demographic Information S h e e t.................................................................. 53 URICA ...........................................................................................................53 Processes of Change Questionnaire .............................................................57 Alcohol Abstinence Self-Efficacy S cale....................................................... 59 iv Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Decisional Balance Measure for Alcohol................................................... 62 Measurement Instrument Completion Summary........................................ 64 Discharge Summary .................................................................................. 64 Research D e sig n ................................................................................................ 65 Data Analysis......................................................................................................65 Statistical (Null) Hypotheses.............................................................................67 Ethical Considerations........................................................................................68 Chapter 4: Results........................................................................................................ 70 Demographic Analysis.......................................................................................70 Agency and Counselor A nalysis....................................................................... 72 Research Hypothesis A nalysis..........................................................................74 Chapter 5: Discussion and Conclusions ..................................................................82 • Demographic Discussion and Conclusions.......................................................82 First Research Hypothesis ................................................................................85 Second Research Hypothesis.............................................................................86 Third Research Hypothesis................................................................................87 Fourth Research H ypothesis.............................................................................89 Fifth Research Hypothesis ................................................................................90 Summary of Treatment Implications ...............................................................93 Appendices: A. Profiles of Change in Alcoholism Treatment............................................... 95 B. Client Surveys................................................................................................96 C. Dissertation Data Sheet and Scoring Keys .............................................. 112 D. Demographic A nalysis................................................................................