Towards an integration of the health promotion models of self-determination theory and theory of planned behavior among people with chronic pain.

Brooks, Jessica; Huck, Garrett E.; Iwanaga, Kanako; Chan, Fong; Wu, Jia Rung; Finnicum, Cruz; Brinck, Emily A.; Estala-Gutierrez, Veronica Y.

doi:10.1037/rep0000245

Cited by 20 publications

(13 citation statements)

References 51 publications

(79 reference statements)

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“…Oppositely, the external regulation and introjected regulation, along with amotivation, have been related with negative consequences, such as boredom and unhappiness [15]. Moreover, more self-determined forms of motivation predict both the intention to be physically active, and the actual behaviour [16,17].…”

Section: Introductionmentioning

confidence: 99%

Need Satisfaction and Need Thwarting in Physical Education and Intention to be Physically Active

et al. 2020

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The aim of this study is to evaluate a theoretical model for analyzing the influence of need satisfaction, need thwarting, motivation, enjoyment, boredom, and exhaustion in physical education on the intention to be physically active. In addition, we examined the mediation effect of motivation between psychological basic needs and the intention to be physically active. The study was based on self-determination theory. To achieve this, 480 students between 12 and 18 years old filled out a questionnaire to measure the satisfaction and thwarting of basic psychological needs, motivation, enjoyment, boredom, exhaustion, and intention to be physically active. The results of path analysis showed the relevance of the satisfaction of the need for competence in physical education in order to increase self-determined motivation, enjoyment, and intention to be physically active. Additionally, intention was positively predicted by enjoyment and negatively predicted by exhaustion. Need thwarting directly predicted negative consequences, such as boredom and exhaustion. Motivation mediated the relationship between basic needs and intention to be physically active. These data highlight the importance of considering basic psychological need thwarting in studies on the promotion of physical activity.

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Section: Introductionmentioning

confidence: 99%

Need Satisfaction and Need Thwarting in Physical Education and Intention to be Physically Active

et al. 2020

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“…Additionally, a meta-analysis of SDT related to a broad range of health contexts demonstrated that it is a viable conceptual framework in which to study antecedents and outcomes of motivation for health-related behaviours [33]. Such findings suggest that SDT could become a foundation for the development of self-management interventions within health promotion and healthcare contexts, including those which promote PA [29,34]. Thus, efforts by healthcare professionals (GPs, Orthopaedic Consultants, Physiotherapists) to promote joint health, wellbeing and quality of life might benefit from including principles of SDT in delivering their messages.…”

Section: Discussionmentioning

confidence: 99%

Nobody says to you “come back in six months and we’ll see how you’re doing”: a qualitative interview study exploring young adults’ experiences of sport-related knee injury

Watkins

Young

Western

et al. 2020

BMC Musculoskelet Disord

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Background: Regular exercise is vital for overall health, and key to the maintenance of joint health. However, whilst people are encouraged to participate in sport and exercise, many are unaware that they could be at risk of developing post-traumatic osteoarthritis (PTOA) in the years following sport-related injury. Younger adults (< 40 years) with PTOA can experience declining quality of life, comorbid health conditions, and symptoms that place a chronic burden on health services. Conserving knee health through careful self-management in the latency period between injury and the onset of PTOA may help to delay disease progression. In this regard, the development of self-management interventions can be facilitated by understanding the post-injury experiences of young adults and their attitudes towards joint health. Methods: Semi-structured interviews were conducted with 13 young adults following a sport-related knee injury to explore their experiences of injury, and their attitudes and perceptions of self-managing knee health. The interviews were audio-recorded, transcribed and analysed systematically using an inductive approach. Results: Four themes pertaining to participants' experiences were identified: [1] perceptions of current care provision; [2] long-term impact of knee injury; [3] motivation to conserve knee health; and [4] opportunities for supplementary support. The expression "Nobody says to you 'come back in six months and we'll see how you're doing'" personifies the long-term impact of knee injury on young adults and a paucity of care provision. Conclusion: Participants did not perceive that they had adequate care in the aftermath of knee injury, leading to a sense of frustration and uncertainty. This had implications for continued participation in sport and exercise, negatively impacting their athletic identity and sense of wellbeing. Activity tracking, symptom monitoring, advice provision and peer support were identified as tools to enable individuals to self-manage knee health.

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“…Whilst there are still relatively few studies directly applying SDT to populations with COPD (McCullough et al, 2016 ; Richardson et al, 2014 ), research has reported the ability of the theory to predict behaviours relevant to COPD self-management, albeit in non-COPD populations (Ng et al, 2012 ; Ntoumanis et al, 2020 ; Ryan, Patrick, Deci, & Williams, 2008 ); including successfully predicting physical activity participation (Brooks et al, 2018 ; Rahman, Thøgersen-Ntoumani, Thatcher, & Doust, 2011 ; Rahman, Hudson, Thøgersen-Ntoumani, & Doust, 2015 ) and smoking cessation (Williams et al, 2006 ). Multiple studies have also found that higher levels of basic need satisfaction were associated with greater well-being and perceived health (Bartholomew et al, 2011b ; Chen, Chang, Tsai, & Hou, 2018 ; Rahman et al, 2011 ; Rahman et al, 2015 ).…”

Section: Main Textmentioning

confidence: 99%

Using self-determination theory to predict self-management and HRQoL in moderate-to-severe COPD

Knox

Norris

Rahman

2021

Health Psychology and Behavioral Medicine

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Objective: Chronic Obstructive Pulmonary Disease (COPD) is a long-term condition that detrimentally affects health-related quality of life (HRQoL), with self-management proposed as an effective treatment. Using self-determination theory (SDT), this research explored psychological need satisfaction, frustration, and behavioural regulation to explain indicators of self-management. Design and Main Outcome Measures: Cross-sectional, questionnaire-based methods in people on a pulmonary rehabilitation waiting-list. 72 participants completed SDT, HRQoL, and self-management knowledge questionnaires. Path analyses investigated the ability of SDT concepts to predict selfmanagement knowledge and HRQoL. Results: Chi-square tests found no significant differences (χ 2 (13, N=72) = 16.7, p > 0.05) between the justand over-identified models, and multiple measures suggested an acceptable fit to the data. Relatedness frustration positively predicted controlled regulation and autonomy and relatedness satisfaction positively predicted autonomous regulation. The associations between the other needs and the different regulation types were not statistically significant. Both regulation types strongly predicted HRQoL (35% variance explained) and self-management knowledge (22% variance explained). Conclusion: SDT concepts can predict more self-determined selfmanagement regulation, self-management knowledge, and HRQoL and provide a framework for researchers and healthcare professionals to develop future health interventions for people with COPD. Greater research is needed to understand basic psychological need frustration in health contexts.

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Towards an integration of the health promotion models of self-determination theory and theory of planned behavior among people with chronic pain.

Cited by 20 publications

References 51 publications

Need Satisfaction and Need Thwarting in Physical Education and Intention to be Physically Active

Need Satisfaction and Need Thwarting in Physical Education and Intention to be Physically Active

Nobody says to you “come back in six months and we’ll see how you’re doing”: a qualitative interview study exploring young adults’ experiences of sport-related knee injury

Using self-determination theory to predict self-management and HRQoL in moderate-to-severe COPD

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