Carlo C Diclemente
Biographic Data
| ID | 1564006 |
|---|---|
| NAME | Carlo C Diclemente |
| GIVEN NAMES | Carlo C |
| FAMILY NAME | Diclemente |
| SIGNATURE | DICLEMENTE C C |
| AFFILIATIONS | University of Maryland, Baltimore County |
| ORCID | 0000-0001-9121-1417 |
| VERIFIED | Yes |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 477 |
| AUTHOR COUNT | 24 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1982 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 4 |
Pre-training SBIRT knowledge, attitudes, and behaviors of social work students and medical residents
Substance misuse is a major ongoing public health issue. SBIRT is a helpful tool for assessing and identifying at-risk substance use. Evaluation of SBIRT trainings demonstrate post- training changes, however, baseline differences in SBIRT knowledge, attitudes, and behaviors by different health professionals are relatively understudied. Baseline knowledge, attitudes, confidence, and behaviors were compared between medical residents (n = 466) and s…
Evaluation of interprofessional training to strengthen communication and coordination among providers working with expectant mothers and infants affected by substance use
The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors
This paper informs practice in community‐based home visiting workforce development by describing the development and evaluation of a university‐based training certificate program for home visitors and supervisors. The Interactive Systems Framework for Dissemination and Implementation ( ISF ; Wandersman et al., 2008) guides our conceptualization and paper organization. The ISF describes the components involved in translating research findings into…
SBIRT Training in Social Work Education
A grand challenge for social work is addressing widespread public health problems of alcohol misuse. MSW students (n = 83) received Screening, Brief Intervention, and Referral to Treatment (SBIRT) training through didactic sessions, role plays, and pre–post videotaped standardized patient (SP) interactions. SBIRT knowledge, self-reported practice behaviors, and confidence were assessed at pretest, 30 days, and 6 months posttest. Videos were coded…
Understanding self-reported staging of dietary behavior in low-income women
This study examined self-reported staging for the goal of eating a low-fat diet and several specific dietary consumption behaviors to understand better readiness for dieting. Self-assessed motivation, food frequency measures, and psychosocial variables were obtained from 2057 low-income women enrolled in the Maryland Food for Life Program. Results indicated that staging of specific dietary consumption behaviors was significantly related to stagin…
Latent Classes Among Recipients of a Brief Alcohol Intervention
The purpose of this study was to identify differential improvement in alcohol use among injured patients following brief intervention. Latent class analysis was conducted to identify patient profiles based on alcohol-related risk from two clinical trials (Texas: N = 737; Maryland: N = 250) conducted in Level-1 trauma centers. Drinking was analyzed to detect improvements at 6 and 12 months. The four classes that emerged from Maryland participants …
New Directions in Capacity Building
The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Fr…
Construct Validity of a Mammography Processes of Change Scale and Invariance by Stage of Change
The development and use of validated processes of change (POC) measures have received little attention in the literature despite their importance in the Transtheoretical Model. Using survey data ( N = 2909), we examined the construct validity of a 22-item mammography POC scale by testing for factorial validity and factorial invariance across stage of change. We also used MANOVA with Tukey post-hoc tests to confirm stage differences in POC use (co…
Readiness and Stages of Change in Addiction Treatment
Understanding the role of personal motivation in addiction treatment changed with the advent of the Transtheoretical Model of intentional behavior change, a better understanding of relapse, and a shift in focus from denial to readiness. Motivation is a complex concept that covers many diverse aspects of the process of intentional behavior change. This review examines current perspectives on readiness and the stages of change, criticisms and measu…
On a Roll
Changing people's behaviour
Health behavior change: a guide for practitioners. Stephen Rollnick, Pip Mason, Christopher Butler. Edinburgh: Churchill Livingstone (Harcourt Brace), 1999. ISBN 0443 058504. 225 pages. “You cannot get people to change in five minutes.” “Doctors do not feel that they have the expertise or training to help people change behaviours.” “Getting diabetics (smokers, drinkers, heart patients . . .) to change their diets (smoking, drinking, exercise . . …
The process of pregnancy smoking cessation
Pregnancy and the postpartum period provide a window of opportunity to promote smoking cessation and smoke free families. Understanding obstacles and pathways for pregnancy and postpartum smoking cessation can guide implementation of effective existing programs and development of new ones. Recommendations include promoting cessation before and at the beginning of pregnancy, increasing delivery of treatment early in pregnancy, helping spontaneous …
Understanding and intervening with the total population of smokers
In search of how people change
How people intentionally change addictive behaviors with and without treatment is not well understood by behavioral scientists. This article summarizes research on self-initiated and professionally facilitated change of addictive behaviors using the key trans-theoretical constructs of stages and processes of change. Modification of addictive behaviors involves progression through five stages--pre-contemplation, contemplation, preparation, action,…
The process of smoking cessation
Traditionally smoking cessation studies use smoker and nonsmoker categories almost exclusively to represent individuals quitting smoking. This study tested the transtheoretical model of change that posits a series of stages through which smokers move as they successfully change the smoking habit. Subjects in precontemplation (n = 166), contemplation (n = 794), and preparation (n = 506) stages of change were compared on smoking history, 10 process…
Patterns of Change
Patterns of change occurring in a combined cross-sectional and longitudinal (cross-sequential) analysis of 14 variables were investigated in a two-year study of self-change approaches to smoking cessation. Every six months for five rounds, subjects (N = 544) were assessed on 10 change processes, self-efficacy, temptations to smoke, and their decisions weighing the pros and cons of smoking. Subjects were also assessed on which of the following fou…
Relapse situations and self-efficacy
Debunking myths about self-quitting
This article examines data from 10 longterm prospective studies (N greater than 5,000) in relation to key issues about the self-quitting of smoking, especially those discussed by Schachter. When a single attempt to quit was evaluated, self-quitters' success rates were no better than those reported for formal treatment programs. Light smokers (20 or less cigarettes per day) were 2.2 times more likely to quit than heavy smokers. The cyclical nature…
Measuring processes of change
Subjects (N= 970) representing five stages of smoking cessation (precontemplation, contemplation, action, maintenance, and relapse) were given a 65-item test measuring 10 basic processes of change. Subjects recorded the last time they quit smoking, their current use, the frequency of occurrence, and the degree of item helpfulness. A 40-item questionnaire provided highly reliable measures of 10 processes of change, labeled (a) consciousness raisin…
Toward a Comprehensive Model of Change
Decisional balance measure for assessing and predicting smoking status
The Decisional Balance Sheet of Incentives has been proposed by Janis and Mann (1977)as a general schema for representing both the cognitive and motivational aspects of human decision making. In this study, a brief 24-item paper and pencil measure was constructed to study the decision-making process in smoking cessation. Two scales were identified and labeled the Pros of Smoking and the Cons of Smoking. These scales were successful in differentia…
Stages and processes of self-change of smoking
An integrative model of change was applied to the study of 872 Ss (mean age 40 yrs) who were changing their smoking habits on their own. Ss represented the following 5 stages of change: precontemplation, contemplation, action, maintenance, and relapse. 10 processes of change were expected to receive differential emphases during particular stages of change. Results indicate that Ss (a) used the fewest processes of change during precontemplation; (…
Self-change and therapy change of smoking behavior
Transtheoretical therapy
Transtheoretical therapy is presented as one alternative within the Zeitgeist seeking a synthesis for the increasing proliferation of therapeutic systems. From a comparative analysis of 18 leading systems, five basic processes of change were identified. Each process can be applied at either the level of the individual's experience or environment. In studying how individuals change on their own compared with change in formalized treatments, four s…
In search of how people change
How people intentionally change addictive behaviors with and without treatment is not well understood by behavioral scientists. This article summarizes research on self-initiated and professionally facilitated change of addictive behaviors using the key trans-theoretical constructs of stages and processes of change. Modification of addictive behaviors involves progression through five stages--pre-contemplation, contemplation, preparation, action,…
Decisional balance measure for assessing and predicting smoking status
The Decisional Balance Sheet of Incentives has been proposed by Janis and Mann (1977)as a general schema for representing both the cognitive and motivational aspects of human decision making. In this study, a brief 24-item paper and pencil measure was constructed to study the decision-making process in smoking cessation. Two scales were identified and labeled the Pros of Smoking and the Cons of Smoking. These scales were successful in differentia…
Debunking myths about self-quitting
This article examines data from 10 longterm prospective studies (N greater than 5,000) in relation to key issues about the self-quitting of smoking, especially those discussed by Schachter. When a single attempt to quit was evaluated, self-quitters' success rates were no better than those reported for formal treatment programs. Light smokers (20 or less cigarettes per day) were 2.2 times more likely to quit than heavy smokers. The cyclical nature…
The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors
This paper informs practice in community‐based home visiting workforce development by describing the development and evaluation of a university‐based training certificate program for home visitors and supervisors. The Interactive Systems Framework for Dissemination and Implementation ( ISF ; Wandersman et al., 2008) guides our conceptualization and paper organization. The ISF describes the components involved in translating research findings into…
New Directions in Capacity Building
The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Fr…
Construct Validity of a Mammography Processes of Change Scale and Invariance by Stage of Change
The development and use of validated processes of change (POC) measures have received little attention in the literature despite their importance in the Transtheoretical Model. Using survey data ( N = 2909), we examined the construct validity of a 22-item mammography POC scale by testing for factorial validity and factorial invariance across stage of change. We also used MANOVA with Tukey post-hoc tests to confirm stage differences in POC use (co…
Self-change and therapy change of smoking behavior
Transtheoretical therapy
Transtheoretical therapy is presented as one alternative within the Zeitgeist seeking a synthesis for the increasing proliferation of therapeutic systems. From a comparative analysis of 18 leading systems, five basic processes of change were identified. Each process can be applied at either the level of the individual's experience or environment. In studying how individuals change on their own compared with change in formalized treatments, four s…
Stages and processes of self-change of smoking
An integrative model of change was applied to the study of 872 Ss (mean age 40 yrs) who were changing their smoking habits on their own. Ss represented the following 5 stages of change: precontemplation, contemplation, action, maintenance, and relapse. 10 processes of change were expected to receive differential emphases during particular stages of change. Results indicate that Ss (a) used the fewest processes of change during precontemplation; (…
Decisional balance measure for assessing and predicting smoking status
The Decisional Balance Sheet of Incentives has been proposed by Janis and Mann (1977)as a general schema for representing both the cognitive and motivational aspects of human decision making. In this study, a brief 24-item paper and pencil measure was constructed to study the decision-making process in smoking cessation. Two scales were identified and labeled the Pros of Smoking and the Cons of Smoking. These scales were successful in differentia…
Toward a Comprehensive Model of Change
Measuring processes of change
Subjects (N= 970) representing five stages of smoking cessation (precontemplation, contemplation, action, maintenance, and relapse) were given a 65-item test measuring 10 basic processes of change. Subjects recorded the last time they quit smoking, their current use, the frequency of occurrence, and the degree of item helpfulness. A 40-item questionnaire provided highly reliable measures of 10 processes of change, labeled (a) consciousness raisin…
Debunking myths about self-quitting
This article examines data from 10 longterm prospective studies (N greater than 5,000) in relation to key issues about the self-quitting of smoking, especially those discussed by Schachter. When a single attempt to quit was evaluated, self-quitters' success rates were no better than those reported for formal treatment programs. Light smokers (20 or less cigarettes per day) were 2.2 times more likely to quit than heavy smokers. The cyclical nature…
Relapse situations and self-efficacy
The process of smoking cessation
Traditionally smoking cessation studies use smoker and nonsmoker categories almost exclusively to represent individuals quitting smoking. This study tested the transtheoretical model of change that posits a series of stages through which smokers move as they successfully change the smoking habit. Subjects in precontemplation (n = 166), contemplation (n = 794), and preparation (n = 506) stages of change were compared on smoking history, 10 process…
Patterns of Change
Patterns of change occurring in a combined cross-sectional and longitudinal (cross-sequential) analysis of 14 variables were investigated in a two-year study of self-change approaches to smoking cessation. Every six months for five rounds, subjects (N = 544) were assessed on 10 change processes, self-efficacy, temptations to smoke, and their decisions weighing the pros and cons of smoking. Subjects were also assessed on which of the following fou…
In search of how people change
How people intentionally change addictive behaviors with and without treatment is not well understood by behavioral scientists. This article summarizes research on self-initiated and professionally facilitated change of addictive behaviors using the key trans-theoretical constructs of stages and processes of change. Modification of addictive behaviors involves progression through five stages--pre-contemplation, contemplation, preparation, action,…
Understanding and intervening with the total population of smokers
On a Roll
Changing people's behaviour
Health behavior change: a guide for practitioners. Stephen Rollnick, Pip Mason, Christopher Butler. Edinburgh: Churchill Livingstone (Harcourt Brace), 1999. ISBN 0443 058504. 225 pages. “You cannot get people to change in five minutes.” “Doctors do not feel that they have the expertise or training to help people change behaviours.” “Getting diabetics (smokers, drinkers, heart patients . . .) to change their diets (smoking, drinking, exercise . . …
The process of pregnancy smoking cessation
Pregnancy and the postpartum period provide a window of opportunity to promote smoking cessation and smoke free families. Understanding obstacles and pathways for pregnancy and postpartum smoking cessation can guide implementation of effective existing programs and development of new ones. Recommendations include promoting cessation before and at the beginning of pregnancy, increasing delivery of treatment early in pregnancy, helping spontaneous …
Readiness and Stages of Change in Addiction Treatment
Understanding the role of personal motivation in addiction treatment changed with the advent of the Transtheoretical Model of intentional behavior change, a better understanding of relapse, and a shift in focus from denial to readiness. Motivation is a complex concept that covers many diverse aspects of the process of intentional behavior change. This review examines current perspectives on readiness and the stages of change, criticisms and measu…
Construct Validity of a Mammography Processes of Change Scale and Invariance by Stage of Change
The development and use of validated processes of change (POC) measures have received little attention in the literature despite their importance in the Transtheoretical Model. Using survey data ( N = 2909), we examined the construct validity of a 22-item mammography POC scale by testing for factorial validity and factorial invariance across stage of change. We also used MANOVA with Tukey post-hoc tests to confirm stage differences in POC use (co…
New Directions in Capacity Building
The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Fr…
Latent Classes Among Recipients of a Brief Alcohol Intervention
The purpose of this study was to identify differential improvement in alcohol use among injured patients following brief intervention. Latent class analysis was conducted to identify patient profiles based on alcohol-related risk from two clinical trials (Texas: N = 737; Maryland: N = 250) conducted in Level-1 trauma centers. Drinking was analyzed to detect improvements at 6 and 12 months. The four classes that emerged from Maryland participants …
Understanding self-reported staging of dietary behavior in low-income women
This study examined self-reported staging for the goal of eating a low-fat diet and several specific dietary consumption behaviors to understand better readiness for dieting. Self-assessed motivation, food frequency measures, and psychosocial variables were obtained from 2057 low-income women enrolled in the Maryland Food for Life Program. Results indicated that staging of specific dietary consumption behaviors was significantly related to stagin…
SBIRT Training in Social Work Education
A grand challenge for social work is addressing widespread public health problems of alcohol misuse. MSW students (n = 83) received Screening, Brief Intervention, and Referral to Treatment (SBIRT) training through didactic sessions, role plays, and pre–post videotaped standardized patient (SP) interactions. SBIRT knowledge, self-reported practice behaviors, and confidence were assessed at pretest, 30 days, and 6 months posttest. Videos were coded…
The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors
This paper informs practice in community‐based home visiting workforce development by describing the development and evaluation of a university‐based training certificate program for home visitors and supervisors. The Interactive Systems Framework for Dissemination and Implementation ( ISF ; Wandersman et al., 2008) guides our conceptualization and paper organization. The ISF describes the components involved in translating research findings into…
Evaluation of interprofessional training to strengthen communication and coordination among providers working with expectant mothers and infants affected by substance use
Pre-training SBIRT knowledge, attitudes, and behaviors of social work students and medical residents
Substance misuse is a major ongoing public health issue. SBIRT is a helpful tool for assessing and identifying at-risk substance use. Evaluation of SBIRT trainings demonstrate post- training changes, however, baseline differences in SBIRT knowledge, attitudes, and behaviors by different health professionals are relatively understudied. Baseline knowledge, attitudes, confidence, and behaviors were compared between medical residents (n = 466) and s…
Psychology (22 works) · Medicine (16 works) · Social Psychology (13 works) · Behavior change (12 works) · Psychiatry (12 works) · Psychological intervention (9 works) · Psychotherapist (9 works) · Clinical Psychology (8 works) · Developmental psychology (7 works) · Transtheoretical model (7 works)