Self-Determination Theory Applied to Health Contexts
Top Cited Papers
- 29 June 2012
- journal article
- review article
- Published by SAGE Publications in Perspectives on Psychological Science
- Vol. 7 (4), 325-340
- https://doi.org/10.1177/1745691612447309
Abstract
Behavior change is more effective and lasting when patients are autonomously motivated. To examine this idea, we identified 184 independent data sets from studies that utilized self-determination theory (SDT; Deci & Ryan, 2000) in health care and health promotion contexts. A meta-analysis evaluated relations between the SDT-based constructs of practitioner support for patient autonomy and patients’ experience of psychological need satisfaction, as well as relations between these SDT constructs and indices of mental and physical health. Results showed the expected relations among the SDT variables, as well as positive relations of psychological need satisfaction and autonomous motivation to beneficial health outcomes. Several variables (e.g., participants’ age, study design) were tested as potential moderators when effect sizes were heterogeneous. Finally, we used path analyses of the meta-analyzed correlations to test the interrelations among the SDT variables. Results suggested that SDT is a viable conceptual framework to study antecedents and outcomes of motivation for health-related behaviors.Keywords
This publication has 41 references indexed in Scilit:
- Self-Determination Theory and Diminished FunctioningPersonality and Social Psychology Bulletin, 2011
- Motivation and anxiety for dental treatment: Testing a self-determination theory model of oral self-care behaviour and dental clinic attendanceMotivation and Emotion, 2010
- A self-determination process model of physical activity adoption in the context of a randomized controlled trialPsychology of Sport and Exercise, 2007
- Adherence and well-being in overweight and obese patients referred to an exercise on prescription scheme: A self-determination theory perspectivePsychology of Sport and Exercise, 2007
- Healthy Lifestyle Factors in the Primary Prevention of Coronary Heart Disease Among MenCirculation, 2006
- From Psychological Need Satisfaction to Intentional Behavior: Testing a Motivational Sequence in Two Behavioral ContextsPersonality and Social Psychology Bulletin, 2006
- Evaluating Goodness-of-Fit Indexes for Testing Measurement InvarianceStructural Equation Modeling: A Multidisciplinary Journal, 2002
- The "What" and "Why" of Goal Pursuits: Human Needs and the Self-Determination of BehaviorPsychological Inquiry, 2000
- The general causality orientations scale: Self-determination in personalityJournal of Research in Personality, 1985
- The Need for a New Medical Model: A Challenge for BiomedicineScience, 1977