The purpose of this paper was to empirically validate the Efficacy-Based Ch
ange Model as a theoretical model of change. The model suggests that as par
ticipants are involved in an innovation, they move through stages of implem
entation, in the process expressing different concerns that are related to
the efficacy process and are further influenced by ascribed attributions. D
ata analysis strongly supported the role of self-efficacy as it related to
expressed concerns (those with higher effcacy expressed concerns associated
with later stages). High efficacy was predicted by success attributions fo
r effort; regression analysis for outcome expectation and value also yielde
d significant models. (C) 1999 Elsevier Science Ltd. All rights reserved.