Stage of Change in Self-Management of Chronic Diseases: Psychometric Properties of the Chinese Version of the University of Rhode Island Change Assessment (C-URICA) Scale

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Abstract

Objective

The University of Rhode Island Change Assessment (URICA) Scale has been widely used to assess the readiness to change with regard to various health-related behaviors. The present study aimed to develop a Chinese version of the URICA (C-URICA) for measuring the readiness to change of Chinese participants with chronic diseases.

Participants

A group of participants (N = 101; 87 women and 14 men) in a chronic disease self-management program were asked to complete the C-URICA.

Method

The C-URICA was conducted at the baseline, middle, and end of the 6-week program. Changes in self-management behaviors were also measured.

Results

Factor analyses revealed a moderate item-to-subscale fit, indicating that structural validity was retained. Item analyses suggested a moderate item quality. The C-URICA subscales can differentially and effectively predict participants' gains in self-management behaviors at the completion of the intervention program.

Conclusion

The C-URICA is suitable for use among Chinese patients with chronic diseases. Further studies should explore the generalizability of the results to different diagnostic groups and subgroups among Chinese populations.

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