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

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.