A self-determination process model of physical activity adoption in the context of a randomized controlled trial

Fortier, Michelle; Sweet, Shane N; O’Sullivan, Tracey; Williams, Geoffrey

doi:10.1016/j.psychsport.2006.10.006

Cited by 223 publications

(232 citation statements)

References 39 publications

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“…By supporting clients' fundamental needs, SDT-based interventions have been shown to increase vitality and intrinsic aspirations, which may represent a direct approach to increasing life-sustaining behavior (e.g., Niemiec, Ryan, Deci, & Williams, in press; Niemiec, Williams, & Patrick, in press). SDT-based interventions, for example, have been shown to reduce life-threatening behaviors, such as the use of tobacco , and increase life-enhancing behaviors such as exercise (Fortier, Sweet, O'sullivan, & Williams, 2007). Although CBT treatments for suicide prevention often provide clients with adaptive coping strategies, there is often insufficient guidance concerning how to create a therapeutic environment that enables clients to learn the strategies and make use of them (Joiner et al, 2003).…”

Section: Self-determination Theory (Sdt)mentioning

confidence: 99%

“…The clinical approach espoused in this paper is based on principles of MI and SDT that have been supported by large bodies of research with clients with substance use disorders and other problems (Fortier et al, 2007;Hettema et al, 2005;. Although data show that principles and tenets of MI (and perhaps SDT) appear to improve treatment engagement and outcome when it is added to CBT, there is no evidence that it does so for individuals who are thinking about suicide.…”

Section: Future Directionsmentioning

confidence: 99%

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Integrating Motivational Interviewing and Self-Determination Theory With Cognitive Behavioral Therapy to Prevent Suicide

Britton

Patrick

Wenzel

et al. 2011

Cognitive and Behavioral Practice

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Cognitive Behavioral Therapy (CBT) has been found to be effective in preventing suicide-related behavior. However, it is often difficult to engage patients who are at-risk in treatment. Motivational Interviewing (MI) has been shown to increase treatment engagement and improve treatment outcomes when it is used to complement other treatments. As a general theory of human motivation that is consistent with MI, Self-Determination Theory (SDT) provides a framework for understanding how MI may be added to CBT to increase treatment engagement and effectiveness. In this paper, we use SDT to explain how MI may complement CBT to reduce suicide-related behavior, provide a case example of using MI with a suicidal patient before CBT-based treatment, and explore future directions for research.In the United States, over 300,000 people died by suicide between 1995 and 2005, making suicide a major public health concern (Centers for Disease Control and Prevention, 2008). Although an estimated 90% of individuals who die from suicide suffer from one or more mental disorders, up to 65% never receive psychological or psychiatric treatment (Cavanagh, Carson, Sharpe, & Lawrie, 2003). Psychosocial interventions such as Cognitive Behavioral Therapy are effective in reducing suicide-related behaviors (CBT; Tarrier, Taylor, & Gooding, 2008); thus, it is important to use theoretically and empirically supported methods to ensure that at-risk clients receive effective mental health treatment. Motivational Interviewing (MI;Miller & Rollnick, 2002) has been shown to increase treatment engagement and improve treatment outcomes when it is used to complement other treatments (Hettema, Steele, & Miller, 2005). However, MI is a clinical approach that currently lacks an underlying theory to explain the mechanisms by which it functions. As a general theory of human motivation that is consistent with the underlying principles of MI, Self-Determination Theory (SDT; Deci & Ryan, 2002) provides a framework for understanding the manner in which MI can be integrated with CBT to increase treatment Correspondence concerning this article should be addressed to Peter C. Britton, Ph.D., Center of Excellence, Department of Veteran Affairs Medical Center, 14424. peter.britton@va.gov. U.S. Department of Veterans AffairsPublic Access Author manuscript Cogn Behav Pract. Author manuscript; available in PMC 2016 October 19. Cognitive Behavioral Therapy (CBT) to Reduce Suicidal BehaviorIn a recent meta-analysis of 28 randomized controlled trials (RCTs), CBT was found to reduce suicide-related behavior (i.e., death by suicide, suicide attempts, suicide intent and/or plans, and ideation) in the 3 months following treatment (Tarrier et al., 2008). The primary cognitive behavioral interventions that were represented in the study included Dialectical Behavioral Therapy (DBT), problem-solving therapy, and Cognitive Therapy (CT). Although the findings were promising, a review of the major studies suggested that attrition was a common problem. For example, in Brown's ...

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Section: Self-determination Theory (Sdt)mentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Integrating Motivational Interviewing and Self-Determination Theory With Cognitive Behavioral Therapy to Prevent Suicide

Britton

Patrick

Wenzel

et al. 2011

Cognitive and Behavioral Practice

Self Cite

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“…Further research with larger samples of observers and consultations provided in a wider variety of PA promotion contexts, such as interactions with GPs and patients (Fortier, Sweet, O'Sullivan, & Williams, 2007) is necessary to provide greater evidence regarding this observational instrument's utility. Despite the encouraging results stemming from the present work, it is noteworthy that the individuals trained to observe the consultations were post-graduate students.…”

Section: Practical Implicationsmentioning

confidence: 99%

The development and validation of the Interpersonal Support in Physical Activity Consultations Observational Tool

Rouse

Duda

Ntoumanis

et al. 2014

European Journal of Sport Science

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“…Intrinsic motivation, the most self-regulated type of motivation, is defined as, "engaging in an activity for itself and for the pleasure and satisfaction derived from participation" (p. 427, Vallerand, 2004, emphasis added). Interventions utilizing SDT to increase exercise behavior have demonstrated some success (e.g., Chatzisarantis & Hagger, 2009;Fortier et al, 2007;Vansteenkiste et al, 2004). However, Ryan et al (2008) acknowledged that "most healthIntrinsic Motivation and BDNF SNP 7 related behaviors, such as increasing physical activity, taking medications, or quitting smoking, are not intrinsically motivated or inherently enjoyable activities" (p. 3).…”

Section: Intrinsic Motivationmentioning

confidence: 99%

What keeps a body moving? The brain-derived neurotrophic factor val66met polymorphism and intrinsic motivation to exercise in humans

2014

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Hagger, M. S. (2014). What keeps a body moving? The brain-derived neurotrophic factor val66met polymorphism and intrinsic motivation to exercise in humans. Journal of Behavioral Medicine, 37, 1180Medicine, 37, -1192Medicine, 37, . doi:10.1007 Intrinsic Motivation and BDNF SNP 2 ABSTRACT Individuals who are intrinsically motivated to exercise are more likely to do so consistently. In previous research, those with at least one copy of the methionine (met) allele in the brain derived neurotrophic factor gene (BDNF; rs6265) had greater increases in positive mood and lower perceived exertion during exercise. This study examined whether genotype for BDNF is also related to intrinsic motivation, measured by self-report during a treadmill exercise session and a free-choice behavioral measure (continuing to exercise given the option to stop) among 89 regular exercisers (age M = 23.58, SD = 3.95).Those with at least one copy of the met allele reported greater increases in intrinsic motivation during exercise and were more likely to continue exercising when given the

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A self-determination process model of physical activity adoption in the context of a randomized controlled trial

Cited by 223 publications

References 39 publications

Integrating Motivational Interviewing and Self-Determination Theory With Cognitive Behavioral Therapy to Prevent Suicide

Integrating Motivational Interviewing and Self-Determination Theory With Cognitive Behavioral Therapy to Prevent Suicide

The development and validation of the Interpersonal Support in Physical Activity Consultations Observational Tool

What keeps a body moving? The brain-derived neurotrophic factor val66met polymorphism and intrinsic motivation to exercise in humans

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