Legacy of the Transtheoretical Modeland James O. Prochaska, Ph.D.

URI Graduate Commencement 2019: Behavior change pioneer to address graduate degree

recipients May 18, 2019KINGSTON, R.I. — April 23, 2019 — James O. Prochaska, Ph.D., world-renowned professor of clinical psychology and leading

expert on behavior change and population health, will address the University of Rhode Island’s Graduate Commencement on Saturday, May 18, at 9 a.m. at the Ryan Center.

Founder of the Cancer Prevention Research Center at URI, Prochaska is best known for the development of the Transtheoretical Model of Behavior Change, an evidence-based model used around the world. The model has been applied

across multiple scales from individuals trying to adopt healthy habits to the World Bank’s governance and accountability programs. The United States Agency for International Development has used the model to instill environmentally sustainable

habits as a component of programs in the less-developed world.

Prochaska’s research has demonstrated that integrating strategies from population health and individual health care produce more inclusive and effective approaches to overall health and well-being.

Prochaska has served as principal investigator on more than $80 million in research grants on the prevention of cancer and other chronic diseases, authored more than 400 publications on behavior change for health promotion and disease prevention, and published four books — “Systems of Psychotherapy,” “The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy,” “Changing for Good,” and 2016’s “Changing to Thrive,” which he wrote with his wife and fellow researcher, Janice.

Prochaska has won numerous awards, including the Top Five Most Cited Authors in Psychology from the Association for Psychological Science, an Innovator’s Award from the Robert Wood Johnson Foundation, and is the first psychologist to win a Medal of Honor for Clinical Research from the American Cancer Society. Recently, he has been recognized as one of world’s

Eminent Psychologists of the past 70 years.

“Professor Prochaska’s work has dramatically influenced the ways in which health care providers and employers have helped individuals and large groups of people stop smoking, eat healthier, exercise more, and in broad terms lead healthier lives overall,” said Donald H. DeHayes, provost and vice president for Academic Affairs. “While major pharmaceutical firms are

conducting pioneering research on drugs that could lead to more effective treatments for cancer, Alzheimer’s disease, heart disease, and other diseases, Dr. Prochaska has taught us that healthier lifestyles actually mitigate against these diseases. I

expect that our graduate students, faculty, families, and friends will be inspired to take steps to become healthier and to be leaders who promote Dr. Prochaska’s proven methods for a healthier society.”

QUADANGLESUniversity of Rhode Island Change Maker

2018

Providence Business News, December 1-7, 2017

Think Big We Do, 2009

Which Psychology papers, places, and People Have Made a Mark?Psychological Science, by David Pendlebury, 02/18/2016

Four books and over 400 Publications

Providence Business News, September 22, 2015Pro-change founder recognized as health-promotion

pioneer

An Incomplete List of Eminent Psychologists of the Modern EraPro-Change’s founder is in the Top 3 of eminent clinical psychologists

Archives of Scientific Psychology2014

September 26, 2013Outstanding Contributions to Health Psychology award from

Division 38 of the American Psychological Association

Newport Mercury newspaperChange 101

December 26, 2012

Dr. James Prochaska and First lady Mrs. Obama named SOPHE’s 2011 Honorary Fellow

September 9, 2011

March 16, 2011The first annual Elizabeth Hurlock Beckman Award

Columbia University

A Golden Age for Psychologist2011

Over 500 Major addresses

URI Campaign NewsURI’s behavior change couple donates $250,000 to maintain excellence at Cancer Prevention

Research Center2008

Medal of Honor Award for Clinical ResearchThe American Cancer Society

First Psychologist to be awarded this Medal2003

Medal of Honor Awardthe American Cancer Society

New England Division2002 Medal of Honor Award

March 25, 2003

‘Dr. Change’ Leads healthy revolutionFebruary 2003

American Cancer SocietyResearcher Focuses on the Process of Making healthy Choices

Winter 2002

Letter form Senator Lincoln ChafeeMay 18, 2000

The Providence Sunday JournalMarch 12, 2000

New Research Wing opens at Cancer Prevention research Center

April 2000

The University PACEROctober/November 1999

URI Awarded $1.4 million of program to curb drinking

Worksite HealthSpring 1997

the Stage of change Paradigm:De. James Prochaska discusses His Model

Pro-Change Behavior Systems, Inc.Founded 1997

“Tailored to individuals…scaled to populations…driven by science and technology”

Award winning programs

Based on Rigorous Research

Cardiology in General Practice1997

URI professor delineates plan for ‘changing for good’January 6, 1995

Horizons, Winter 1995Looking for Change

American Medical NewsJanuary 2, 1995

How People Change

CBS This morning carries URI’s teen smoking project to MillionsURI Pacer

December 1995

Medical InterfaceThe Journal for the Managed Health Care Industry

August 1995

The Providence Journal September 28, 1994The war on bad habits widens

URI President Robert L. Carothers invites you to attend a Press Conference

Announcing a multi million dollar grant to Cancer Prevention Research consortium from the National Cancer Institute

September 28, 1994

Changing for Good9 languages

The Providence Journal-bulletinSeptember 14, 1989

Ocean State College NewsNovember 1989

URI awarded $9 million research grant

URI researchers receive 1.8 million to investigate cigarette quitters’ behavior

Assistant professor 1969Salary $10,000

Behaviors & Problem AreasThrough the Decades

•Smoking Cessation*

•Smoking Prevention*

•Alcohol Abuse*

•Alcohol Abuse Prevention*

Addictive

*Pro-Change

•Diet*

•Exercise*

•Emotional Eating*

•TV Watching*

•Obese Pets

Energy Balance

*Pro-Change

•Stress*

•Depression*

•Anger

•Increasing Well-being*

•Pain Management*

Affect Regulation

*Pro-Change

•Anti-hypertensives*

•Cholesterol Medication*

•Glucose Self-Monitoring

•HPV Vaccinations

•Lupus Self Management*

•Interstitial Cystitis Management*

Adherence

*Pro-Change

•Sun Exposure

•Mammography Screening

Cancer Specific

•Condom Use

•HIV Management

HIV Related

•Organ Donation

•Blood Donation

Altruistic

•Bullying Prevention*

•Partner Abuse*

•Dating Violence Prevention*

Violence

*Pro-Change

•Alternative Transportation

•Reducing Risks from Severe Storms

Environmental Sustainability

•Health Disparities•Marriage Equality*•Advancing Women in Science*•Basic Access*:•Health Care•Healthy Food• Safe Environment• Finances

•Adoption Readiness*

Social Justice

*Pro-Change

• Prochaska, J.O., DiClemente, C.C., & Norcross, J.C. (1992). In search of how people change: Applications to the addictive behaviors. American Psychologist, 47, 1102-1114. First most cited article.

• Prochaska, J.O. & DiClemente, C.C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390-395. Second most cited article.

Of 10,000 articles on Tobacco: The Most Cited:

• DiClemente, C.C., Prochaska, J.O., Fairhurst, S., Velicer, W.F., Velasquez, M., & Rossi, J.S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation and preparation stages of change. Journal of Consulting and Clinical Psychology, 59, 259-304. Seventh Most Cited.

• Prochaska, J.O., Velicer, W.F., Rossi, J.S., Goldstein, M.G., Marcus, B.H., Rakowski, W., Fiore, C., Harlow, L., Redding, C.A., Rosenbloom, D., Rossi, S.R. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39-46. Fourteenth Most cited.

Of 10,000 articles on Tobacco: The Most Cited

• Prochaska, J.O., Velicer, W.F., Rossi, J.S., Goldstein, M.G., Marcus, B.H., Rakowski, W., Fiore, C., Harlow, L., Redding, C.A., Rosenbloom, D., Rossi, S.R. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39-46. Highest Impact.

• Prochaska, J.O., DiClemente, C.C., Velicer, W.F., & Rossi, J.S. (1993). Standardized, individualized, interactive and personalized self-help programs for smoking cessation. Health Psychology, 12, 399-405. Second Highest Impact.

Highest Impact Articles in APA’s Health Psychology Journal

• Prochaska, J.O. (1994). Strong and weak principles for progressing from Precontemplation to Action based on twelve problem behaviors. Health Psychology, 13, 47-51. Fourth Highest Impact.

• Velicer, W.F., Prochaska, J.O., Fava, J., Laforge, R. & Rossi, J. (1999). Interactive versus Non-interactive and dose response relationships for stage matched smoking cessation programs in a managed care setting. Health Psychology, 18, 21-28. Seventh Highest Impact

Highest Impact Articles in APA’s Health Psychology Journal

Most Cited Articles in Preventive Medicine

• Prochaska, J.O., Velicer, W.F, Redding, C.A., Rossi, J.S., Goldstein, M., DePue, J., Greene, G.W., Rossi, S.R., & Sun, X. (2005). Stage-based Expert Systems to Guide A Population of Primary Care Patients to Quit Smoking, Eat Healthier, Prevent Skin Cancer and Receive Regular Mammograms. Preventive Medicine, 41, 406-416.

Most cited in Past Five Years

• Johnson, S.S., Paiva, A., Cummins, C.O., Johnson, J.L., Dyment, S.J., Wright, J.A., Prochaska, J.O., Prochaska, J.M., & Sherman, K. (2008). Transtheoretical Model-based Multiple Behavior Intervention for Weight Management Effectiveness on a Population Basis. Preventive Medicine, 46, 238-246. (PMCID: PMC2327253)

One of the Most Cited in the Past Two Years

Transformational Contributions

Through the Decades

First Decade 1980’s

Transtheoretical Model (TTM)

•Stages of Change vs. Action Paradigm discovered•Process vs. Event•Population-based•Integration across theories•Dynamic principles and processes of change related to each stage

Second Decade 1990’s

Applications of (TTM)

•Computer Tailored Interventions developed•Individualized and Interactive Interventions for Entire Populations•Proactive Outreach to homes and schools•Impact (I) vs. Efficacy (E): (I = E x Reach)

Third Decade 2000’s

Applications of (TTM)

•Simultaneous Multiple Behavior Change offered

• New Impact Equation: I = (Reach x E x No. of Behaviors Changed)

• Applied to a wide variety of new behavior change challenges

Fourth Decade 2010’s

• Coaction discovered• Improved well-being by increasing productivity

and thriving• Clinical Dashboard developed• Tailored text messages offered

Fifth Decade Predictions

• Synergistic Multiple Behavior Change

• Synergistic Reduction in Multiple Risks and Increases in Multiple Domains of well-being

• A Unified Model of Multiple Behavior Change