title: The URICA as a measure of motivation to change among treatment-seeking individuals with concurrent alcohol and cocaine problems.
abstract: 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 106 cocaine- and alcohol-dependent participants receiving either disulfiram or no medication in a psychotherapy trial. In addition, participants categorized as having high Committed Action (CA), a new URICA composite, had a significantly greater percentage of days abstinent from both alcohol and cocaine (85.6%) than low-CA participants (72.7%, p < .01). Furthermore, a significant Treatment x CA interaction emerged, suggesting that low-CA participants had better outcomes than those with high CA when assigned to medication, whereas high-CA participants fared equally well with or without medication.
authors.affiliation: Department of Psychiatry/Division of Substance Abuse, Yale University School of Medicine, CMHC/SAC-S209, 34 Park Street, New Haven, Connecticut 06519, USA. michael.pantalon@yale.edu
authors.forename: Michael V
authors.initials: MV
authors.lastname: Pantalon
authors.forename: Charla
authors.initials: C
authors.lastname: Nich
authors.forename: Tami
authors.initials: T
authors.lastname: Frankforter
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Carroll
mesh_terms: D000328:Adult; D000427:Alcohol Deterrents / Q000627:therapeutic use; D000437:Alcoholism / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D019970:Cocaine-Related Disorders / Q000150:complications / Q000188:drug therapy / Q000523:psychology* / Q000628:therapy*; D004221:Disulfiram / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D011569:Psychiatric Status Rating Scales / Q000592:standards* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D013695:Temperance; D016896:Treatment Outcome
chemical_list: D000427:Alcohol Deterrents; D004221:Disulfiram