Self‐determination Theory and Autonomy Support to Change Healthcare Behavior

Author(s):  
Martin S. Hagger ◽  
Cleo Protogerou
2010 ◽  
Vol 1 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Wendy H. Ducat ◽  
Melanie J. Zimmer-Gembeck

AbstractA new measure, Partner Behaviours as Social Context (PBSC), was developed and tested in two studies (N = 215, N = 316) and tested as a correlate of psychological wellbeing in a third (N = 157). Self-Determination Theory (Deci & Ryan, 2000) and related research has suggested that there are six important dimensions of partner behaviours, which should be associated with individual psychological need fulfilment, wellbeing and development. Three of these dimensions are positive, including warmth, or provision of love/affection; autonomy support, or supporting a partner's decisions; and structure, or being consistent and reliable. Three of these dimensions are negative, namely rejection, or ignoring/being hostile to a partner; coercion, or being controlling/demanding; and chaos, or unpredictability. Factor analysis supported the six-dimensional construct. The six PBSC dimensions, positive and negative subscales and total score had good distributional properties, high internal consistency, related as expected to other relationship quality measures, and diverged from most personality constructs. All PBSC scales were related to wellbeing, with some behaviours more related than others. For example, coercion was strongly associated with compromised wellbeing, while warmth showed weak, positive associations with positive functioning. The PBSC is expected to have utility in both research and clinical settings.


2019 ◽  
Vol 23 (3) ◽  
pp. 291-305
Author(s):  
Alexia Barrable

AbstractIn the present paper, I explore some of the concrete manifestation of autonomy support in natural childcare and early childhood education settings, under the organising framework of self-determination theory. More specifically, I present the ways in which early childhood educators shape the space of natural settings and use the affordances of the natural environment to promote autonomy in children aged 3–8 years. The practices presented are a result of direct observation in several Scotland-based outdoor settings, observations and organic conversations with educators in outdoor and forest kindergartens. Hopefully the practices and spaces presented in this paper can be of use by educators and setting managers who aim to support autonomous learning and intrinsic motivation in their pupils in outdoor natural early years’ settings.


2019 ◽  
pp. 135910531988459 ◽  
Author(s):  
Alessandra Caruso ◽  
Wendy Grolnick ◽  
Jonathan Rabner ◽  
Alyssa Lebel

This study examined parenting factors associated with children’s self-regulation and physician-rated treatment adherence using a self-determination theory framework in pediatric chronic headache. Participants were 58 children and adolescents (aged 10–17 years), who underwent initial and follow-up multidisciplinary evaluation at a headache clinic, and their mothers. Regression analyses showed that higher maternal autonomy support and structure were significantly related to children’s lower treatment-related reactance and higher adherence. Maternal controllingness had associations in the opposite directions. Children’s fear of pain was related to maternal controllingness. Results suggest the importance of parents’ provision of clear expectations and engaging children in treatment problem-solving and decision-making.


2015 ◽  
Vol 31 (2) ◽  
pp. 223-247 ◽  
Author(s):  
Haya Kaplan ◽  
Nir Madjar

AbstractPromoting pro-environmental behaviours (PEBs) among students is a major concern for educators. The present article presents an educational program based on a self-determination theory framework (SDT; Deci & Ryan, 2000) and a study demonstrating that working according to the theoretical principles presented in the program leads to the desired outcomes. The primary aim of the study was to test whether a hypothesised model in which autonomy support by students’ parents and moderators in a large-scale intervention program would be associated with autonomous motivation, which would in turn lead to PEBs, over and above the contributions of the students’ self-perceived competence and relatedness. The participants were 102 Bedouin high-school students (Grades 8 to 10) sampled from a cultural background characterised by a collectivist-hierarchical society in Israel. The results, based on structural equation modelling, indicated that moderators and parental autonomy support, as well as self-perceived relatedness and competence, were associated with students’ autonomous motivation, which in turn was associated with pro-environmental behaviours (including cleaning behaviours, activism, and preserving behaviours). The study supported the hypothesised model and demonstrated that SDT can be utilised as a theoretical framework for educational programs aimed at improving students’ self-determined PEBs.


2013 ◽  
Vol 16 ◽  
Author(s):  
Juan Antonio Moreno-Murcia ◽  
Elisa Huéscar Hernández

AbstractThis study was conducted toward the objective of analyzing certain factors that influence physical activity in Spanish adolescent students using self-determination theory (Deci & Ryan, 1985; 2000) as a framework. Participants included 698 physical education students whose perception of the autonomy support provided by their teachers was assessed in and out of the class context. Also assessed were social goals of responsibility and relationship with others, basic psychological needs, and intrinsic motivation, which is part of self-determination theory (SDT). Finally, the “intention” factor posited by the theory of planned behavior (TPB) and students’ rate of exercise in the last twelve months were considered. The results of structural equations modeling suggest autonomy education, autonomy support, and social goals positively predicted certain psychological mediators, which in turn positively predicted students’ intrinsic motivation, which was a positive predictor of intention, and that of rate of exercise. The results also highlight the benefit of promoting autonomy to enhance students’ physical exercise practice.


2016 ◽  
Vol 38 (4) ◽  
pp. 381-395 ◽  
Author(s):  
Simon J. Sebire ◽  
Mark J. Edwards ◽  
Kenneth R. Fox ◽  
Ben Davies ◽  
Kathryn Banfield ◽  
...  

The implementation, fidelity, and receipt of a self-determination-theory-based after-school physical activity intervention (Action 3:30) delivered by teaching assistants (TAs) was examined using a mixed-methods process evaluation. Physical activity motivation and need satisfaction were reported by 539 participants at baseline, the end of intervention, and 4-month follow-up. Pupil- and TA-reported autonomy-support and teaching efficacy were collected alongside interviews with 18 TAs and focus groups with 60 participants. Among intervention boys there were small increases in identified, introjected, and external motivation and no differences in need satisfaction. Among girls, intrinsic and identified motivation and autonomy and relatedness were lower in the intervention group. Qualitative evidence for fidelity was moderate, and boys reported greater need satisfaction than girls. TAs provided greater structure than involvement or autonomy-support and felt least efficacious when facing school-based challenges. The findings highlight the refinements needed to enhance theoretical fidelity and intervention effectiveness for boys and girls.


2009 ◽  
Vol 7 (2) ◽  
pp. 253-262 ◽  
Author(s):  
Valery I. Chirkov

In this article I highlight recent (published after 2000) cross-cultural studies on the role of autonomous academic motivation and autonomy support in students' cognitive and psychological development. The self-determination theory (SDT) thesis of a universal beneficial role of autonomous motivation is supported by numerous empirical results from educational researchers from diverse educational settings around the world. These results are discussed in terms of the importance of recognizing students' basic needs for autonomy in learning environments, and the cultural deterministic models of socio-cultural differences that have obscured that need. Studies within the SDT provide strong psychological evidence to support a more interactive, multidimensional picture of human nature in various sociocultural contexts.


10.28945/2308 ◽  
2015 ◽  
Vol 10 ◽  
pp. 439-464 ◽  
Author(s):  
Christelle Devos ◽  
Nicolas Van der Linden ◽  
Gentiane Boudrenghien ◽  
Assaad Azzi ◽  
Mariane Frenay ◽  
...  

The purpose of the present study was twofold. First, we used the three types of support depicted in Self-Determination Theory (SDT) (structure, involvement and autonomy support) to examine supervision practices in the doctoral context. Conversely, we used this material to discuss the theory and suggest new developments to it. To this end, we conducted semi-structured interviews with 21 former PhD students (8 completers and 13 non-completers). The data were analyzed using deductive content analysis. The first aim led us to illustrate how supervisors offer structure, involvement, and autonomy support to the doctoral students, and to support the relevance of this theoretical framework in this particular context. The second aim led us to provide three avenues for reflection on SDT. First, a set of practices belongs both to structure and involvement and are therefore at risk of being overlooked in research. Second, there is a thin line between structure and control (and between autonomy support and chaos) and intentions to offer the first may easily turn into providing the second in practice. Finally, we developed the hypothesis that a necessary condition for supervisors to be able to offer positive support to their doctoral students is to consider them as trustworthy.


2018 ◽  
Vol 2 (93) ◽  
Author(s):  
Brigita Miežienė ◽  
Liuda Sinkariova ◽  
Rasa Jankauskienė

Background. The aim of this study is to provide an overview of the research examining the relationships between contextual factor – autonomy support – and motivational process to control diabetes using self-determination theory as a guiding framework. Methods. Overview of published literature of applying SDT examining motivation and behavior in patients with diabetes was performed. Sage, Medline and Google Scholar data basis were searched using “autonomy support and diabetes” and “self-determination and diabetes” words combinations. Literature review included cross-sectional, longitudinal research and experimental studies. Results. Research shows that autonomy support directly affects autonomous motivation, competence and patient satisfaction. Through the mediators in the behavior motivation model - autonomy and competence – autonomy support is associated with diabetes related behavior, physiological and psychological outcomes. Conclusions. It may be concluded that interrelationship between contextual social (relationship with health care specialists), inner psychological (motivation) and physiological (glycemic index) factors is crucial considering the content of educational programs of diabetes care. So, minimization of long-term diabetes complications, enhanced psychological health and quality of life could be expected if health professionals provide autonomy support for their  diabetes patients.Keywords: autonomous motivation, perceived competence, health-behavior.


2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Tierney Wisniewski ◽  
Chelanna White ◽  
Connell Green ◽  
Abbey Fiona Elder ◽  
Sana Sohel ◽  
...  

Self-determination theory (SDT) is a well-established theory of motivation that posits that we grow optimally to the degree to which we are afforded autonomy support, the collective term for the provision of opportunities to satisfy our needs for autonomy, relatedness, and competence. Although Ryan and Niemiec (2009) suggest that self-determination theory can be “critical and liberating,” I trouble their assertion, and propose that redefining the student role is an essential form of autonomy support if we wish to follow through on these possibilities. To that end, I undertook a narrative inquiry into five students’ experiences in a set of non-traditional university courses. Once these students redefined their roles, they engaged more agentically in other courses by expressing themselves more, taking more risks, and even standing up to miseducative instructors on their own and their peers’ behalves. They came to perceive themselves as agents of change in their institutions and in other arenas, following through on the critical and liberating potential of SDT that Ryan and Niemiec had envisioned. This study has broad implications for how we engage with students and structure our institutions, as well as how we conduct SDT research, if we wish to capitalise on this potential.


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