@article{ref1,
title="Processes of change and nonsuicidal self-injury: a qualitative interview study with individuals at various stages of change",
journal="Global qualitative nursing research",
year="2019",
author="Kruzan, Kaylee Payne and Whitlock, Janis",
volume="6",
number="",
pages="e2333393619852935-e2333393619852935",
abstract="Nonsuicidal self-injury (NSSI) is a pervasive and potentially lethal behavior that affects many youth and adolescents. Effective treatment and prevention efforts are critical but often lack a nuanced understanding of the behavior change process. To address this gap, this research employs a stage of change model to identify and understand the most salient and widespread processes that facilitate NSSI behavior change. Thirty-one semi-structured interviews were conducted with individuals with current or past self-injury. Individuals were recruited to represent all stages of change including those who have not thought about changing behavior to those who have been NSSI-free for years. We employ a directed content analysis to code for dimensions derived from the model and an inductive approach to surface more nuanced change levers. Four organizing dimensions emerged: <i>relational, behavioral, self-knowledge</i>, and <i>barriers</i>. Common change levers of value in clinical practice or in intervention modalities are discussed.<p /> <p>Language: en</p>",
language="en",
issn="2333-3936",
doi="10.1177/2333393619852935",
url="http://dx.doi.org/10.1177/2333393619852935"
}