Motivations of Persons with Psychiatric Disabilities to Work in Mental Health Peer Services: A Qualitative Study Using Self-Determination Theory

2013 ◽  
Vol 24 (1) ◽  
pp. 32-41 ◽  
Author(s):  
Galia Sharon Moran ◽  
Zlatka Russinova ◽  
Jung Yeon Yim ◽  
Catherine Sprague
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Self Determination Theory ◽  
Self Determination ◽  
Psychiatric Disabilities ◽  
Persons With Psychiatric Disabilities

“It’s having something that you’ve done it for”: Applying Self-Determination Theory to participants’ motivations in a for-cause physical activity event

2020 ◽  
pp. 135910532094781
Author(s):  
John A Bernhart ◽  
Sara Wilcox ◽  
Lindsay Decker ◽  
Diane K Ehlers ◽  
Brooke W McKeever ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Self Determination Theory ◽  
Self Determination ◽  
Future Studies ◽  
Future Events

For-cause physical activity events reach many people. Little research has applied Self-Determination Theory to participants’ experiences in for-cause physical activity events. This qualitative study explored participants’ ( n = 18) experiences in 5K for-cause physical activity events and intention to complete future events. Interviews were recorded and transcribed verbatim. Emergent coding assessed responses for themes. Constructs of competence and relatedness were most prevalent and an altruistic desire to support the cause. Participants highlighted feelings of community supporting their intention to complete future events. Overall, experiences aligned with Self-Determination Theory. Future studies may include altruism to understand leveraging opportunities for promoting physical activity.

scholarly journals Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis (Preprint)

2020 ◽  
Author(s):  
Vanessa Wan Sze Cheng ◽  
Sarah E Piper ◽  
Antonia Ottavio ◽  
Tracey A Davenport ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Culturally Diverse ◽  
Information Technologies ◽  
Self Determination Theory ◽  
Self Determination ◽  
Health Information Technologies ◽  
Template Analysis ◽  
Diverse Groups

BACKGROUND Culturally diverse populations (including Aboriginal and Torres Strait Islander people, people of diverse genders and sexualities, and culturally and linguistically diverse people) in nonurban areas face compounded barriers to accessing mental health care. Health information technologies (HITs) show promising potential to overcome these barriers. OBJECTIVE This study aims to identify how best to improve a mental health and well-being HIT for culturally diverse Australians in nonurban areas. METHODS We conducted 10 co-design workshops (N=105 participants) in primary youth mental health services across predominantly nonurban areas of Australia and conducted template analysis on the workshop outputs. Owing to local (including service) demographics, the workshop participants naturalistically reflected culturally diverse groups. RESULTS We identified 4 main themes: control, usability, affirmation, and health service delivery factors. The first 3 themes overlap with the 3 basic needs postulated by self-determination theory (autonomy, competence, and relatedness) and describe participant recommendations on how to <i>design</i> an HIT. The final theme includes barriers to adopting HITs for mental health care and how HITs can be used to support care coordination and delivery. Hence, it describes participant recommendations on how to <i>use</i> an HIT. CONCLUSIONS Although culturally diverse groups have specific concerns, their expressed needs fall broadly within the relatively universal design principles identified in this study. The findings of this study provide further support for applying self-determination theory to the design of HITs and reflect the tension in designing technologies for complex problems that overlap multiple medical, regulatory, and social domains, such as mental health care. Finally, we synthesize the identified themes into general recommendations for designing HITs for mental health and provide concrete examples of design features recommended by participants. CLINICALTRIAL

scholarly journals Emotion Regulation in Times of COVID-19: A Person-Centered Approach Based on Self-Determination Theory

2021 ◽  
Author(s):  
Joachim Waterschoot ◽  
Sofie Morbée ◽  
Branko Vermote ◽  
Katrijn Brenning ◽  
Nele Flamant ◽  
...  
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Emotion Regulation ◽  
Sleep Quality ◽  
Well Being ◽  
Self Determination Theory ◽  
Self Determination ◽  
Future Research ◽  
The Face

Although the COVID-19 crisis is a worldwide threat to individuals’ physical health and psychological well-being, not all people are equally susceptible to increased ill-being. One potentially important factor in individuals’ vulnerability (versus resilience) to ill- being in the face of stress is emotion regulation. On the basis of Self-Determination Theory, this study examined the role of three emotion regulation styles in individuals’ mental health during the COVID-19 crisis, that is, integration, suppression, and dysregulation. Participants were 6584 adults (77 % female, M age = 45.16 years) who filled out well-validated measures of emotion regulation, depression, anxiety, life satisfaction, and sleep quality. To examine naturally occurring combinations of emotion regulation strategies, hierarchical k-means clustering was performed, yielding 3 profiles: (a) low scores on all strategies (indicating rather low overall levels of worry; 27%), (b) high scores on integration only (41%), and (c) high scores on suppression and dysregulation (33%). Participants in the profiles scoring high on suppression and dysregulation displayed a less favorable pattern of outcomes (high ill-being, low life satisfaction, and poorer sleep quality) compared to the other two groups. Between- cluster differences remained significant even when taking into account the corona- related worries experienced by people. Overall, the findings underscore the important role of emotion regulation in individuals’ mental health during mentally challenging periods such as the COVID-19 crisis. Practical implications and directions for future research are discussed.

scholarly journals Meaningful Activities and Recovery (MA&R): the effect of a novel rehabilitation intervention among persons with psychiatric disabilities on activity engagement—study protocol for a randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Siv Therese Bogevik Bjørkedal ◽  
Ulrika Bejerholm ◽  
Lene Falgaard Eplov ◽  
Tom Møller
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Controlled Trial ◽  
Mental Healthcare ◽  
Psychiatric Disabilities ◽  
Activity Engagement ◽  
Randomized Controlled ◽  
Persons With Psychiatric Disabilities

Abstract Background Engagement in activities meaningful to the individual may support the process of recovery in those with mental illness. Persons with psychiatric disabilities may reduce their engagement in meaningful activities to various degrees with possible fluctuations over time. We hypothesized that activity engagement can be altered when opportunities and support are offered at an individual and a group peer-based level. Evidence is lacking regarding mental health interventions that enable engagement in meaningful activities, and powered effect studies are warranted. Methods We propose an 8-month combined individual and group peer-based intervention, Meaningful Activities and Recovery (MA&R), and a study protocol for a multicentre two-armed parallel randomized controlled trial (RCT). The trial investigates the effects of MA&R in community mental health centres in Copenhagen and municipality services in Denmark. The trial will comprise 128 participants with psychiatric disabilities who will be randomized to one of two groups: (1) MA&R in addition to standard mental healthcare or (2) standard mental healthcare alone. The primary outcome is self-reported activity engagement, measured by Profiles of Engagement in People with Severe Mental Illness. Secondary outcomes are recovery, functioning and quality of life. Data will be collected at baseline and at follow-up at the end of the intervention. Discussion This study adds new knowledge to a field with limited evidence, i.e. the clinical effectiveness of rehabilitation interventions among people with psychiatric disabilities, directly targeting activity engagement. The pragmatic design, regarding in- and exclusion criteria and settings, may allow assessment of the intervention’s effect under real-life conditions. The randomization, adequate power and fidelity monitoring allow testing of the intervention’s efficacy. The multicentre study design increases the potential for implementation in various mental health settings if the findings are positive. As the nature of the intervention does not permit blinding of the participants or staff, it may increase the risk of expectancy and performance bias. This must be considered when interpreting the findings. Trial registration ClinicalTrials.gov NCT03963245. Registered on 29 May 2019

scholarly journals Self-determination theory: a framework for the recovery paradigm

2008 ◽  
Vol 14 (5) ◽  
pp. 358-365 ◽  
Author(s):  
Anthony D. Mancini
Keyword(s):  
Mental Health ◽  
Policy Making ◽  
Self Determination Theory ◽  
Self Determination ◽  
Services Research ◽  
Mental Health Services Research ◽  
Human Need ◽  
Empirical Framework ◽  
Health Programmes ◽  
Research And Policy

Recovery is an increasingly important concept in mental health services research and policy-making. However, despite burgeoning interest in the concept, no overarching theoretical or empirical framework has been offered to support its key ideas. Further, it is often unclear how recovery ideas translate into routine practices of mental health programmes and practitioners. In this article, a theoretical framework for recovery ideas is derived from self-determination theory, a widely researched and empirically validated theory of human need fulfilment. I discuss the conceptual overlap of self-determination theory and recovery ideas, and, using key motivational concepts, develop a typology of recovery-oriented practices for three hypothetical programme types (controlling, traditional/paternalistic and recovery oriented). I describe existing measures of recovery-oriented practice and consider the implications of self-determination theory for measurement of and research on recovery-oriented practice.

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