Does readiness to change predict reduced crack use in human immunodeficiency virus prevention?

Allison V. Schlosser, Arbi Ben Abdallah, Catina L. Callahan, Susan Bradford, Linda B. Cottler

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


This study examines crack cocaine (crack) use, readiness to change, and gender in a sample of 923 men and women randomized to standard human immunodeficiency virus (HIV) education (standard intervention [SI]) or peer-delivered intervention (enhanced intervention [EI]). Four levels of crack use characterized frequency of use in the past 30 days; readiness was assessed on three levels (precontemplation, contemplation, and preparation/action). Differences between intervention groups on crack use and readiness by gender were examined from baseline to 3-month follow-up. Overall, participants reduced their crack use from baseline, with those in the EI showing greater improvement than those in the SI. A small proportion of participants improved readiness; those who improved were more likely to improve their crack use. No significant gender differences were found. These findings suggest that the readiness construct does not fully capture the dynamics of change among out-of-treatment crack users. Further research is needed to fully comprehend the dynamics of change among this group.

Original languageEnglish
Pages (from-to)28-35
Number of pages8
JournalJournal of Substance Abuse Treatment
Issue number1
StatePublished - Jul 2008


  • Community-based intervention
  • Crack cocaine use
  • Gender
  • HIV prevention
  • Peer-delivered intervention
  • Readiness to change
  • Transtheoretical Model


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