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The Predictive Validity of the URICA in a Sample of Patients in Substance Use Treatment

Bergly, Tone H. MSc; Stallvik, Marianne MSc; Nordahl, Hans M. PhD; Hagen, Roger PhD

Addictive Disorders & Their Treatment: December 2014 - Volume 13 - Issue 4 - p 170–178
doi: 10.1097/ADT.0000000000000041
Original Articles

Objectives: This study aimed to measure motivation for substance use treatment by using the University of Rhode Island Change Assessment (URICA). The composite URICA scores for Readiness To Change (RTC) and Committed Action (CA) were used to investigate their predictive validity regarding whether patients were still in substance use treatment 3 months after entering treatment.

Methods: The sample consisted of 95 patients from substance use disorder treatment facilities in Norway. The patients were interviewed and given a self-administered URICA at pretreatment and 3 months later.

Results and Conclusions: RTC and CA did not predict being in treatment 3 months later, and only minor associations were found with other investigated variables. The results indicate that the predictive validity of URICA for measuring motivation to change in substance use is low and URICA should be used with caution.

*Department of Research and Development, Drug and Alcohol Treatment Health Trust in Central Norway

Department of Psychology, Norwegian University of Science and Technology, Trondheim

Department of Psychiatry, Levanger Hospital HF, Levanger, Norway

Supported by the Liaison Committee between the Central Norway Regional Health Authority (RHA) and the Norwegian University of Science and Technology (NTNU).

The authors declare no conflict of interest.

Reprints: Tone H. Bergly, MSc, Department of Research and Development, Drug and Alcohol Treatment Health Trust in Central Norway, P.O. Box 654, Sentrum, Trondheim 7406, Norway (e-mail:

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