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

Chi Chung Chan, Che Hin Chan, Man Hong Andrew Siu, Peter K K Poon

Research output: Journal article publicationJournal articleAcademic researchpeer-review

16 Citations (Scopus)


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.
Original languageEnglish
Pages (from-to)103-112
Number of pages10
JournalRehabilitation Psychology
Issue number1
Publication statusPublished - 1 Feb 2007


  • Chinese version
  • Chronic diseases
  • Confirmatory factor analysis
  • Health behavior
  • Psychometric properties
  • Self-management
  • Stage of change
  • University of Rhode Island Change Assessment Scale

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Health Professions(all)
  • Clinical Psychology

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