Summary
Research relating self-determination theory to health behaviours supports a consistent and interesting pattern of findings. When patients have their psychological needs for autonomy, competence, and relatedness supported in the process of their health care, they experience more volitional engagement in treatment and maintain outcomes better over time. This pattern of findings appears to hold for broad lifestyle changes such as smoking cessation or dietary regulation, as well as discrete behaviours such as the adherent use of medications. These findings call for additional research to more clearly elucidate the active components of autonomy, competence, and relatedness supports, the types of practitioner care that facilitate effective change. Health behaviour change research will move forward if such research includes assessment of theory-based mediators and outcomes that are assessed long enough after the end of treatment to reflect maintained change. Despite the complexities of modern health care, including advanced technologies and capacities for direct intervention, it remains the case that human behaviour plays a critical role in health outcomes and in the efficacy of most treatments. Given this, evidence based on SDT suggests that health care professionals can enhance their efficacy through support of patients’ psychological needs for autonomy, competence, and relatedness. Doing so not only enhances important patient outcomes but also approximates the ethical ideals of promoting patient autonomy and responsibility in health care decision-making and intervention
สรุปResearch relating self-determination theory to health behaviours supports a consistent and interesting pattern of findings. When patients have their psychological needs for autonomy, competence, and relatedness supported in the process of their health care, they experience more volitional engagement in treatment and maintain outcomes better over time. This pattern of findings appears to hold for broad lifestyle changes such as smoking cessation or dietary regulation, as well as discrete behaviours such as the adherent use of medications. These findings call for additional research to more clearly elucidate the active components of autonomy, competence, and relatedness supports, the types of practitioner care that facilitate effective change. Health behaviour change research will move forward if such research includes assessment of theory-based mediators and outcomes that are assessed long enough after the end of treatment to reflect maintained change. Despite the complexities of modern health care, including advanced technologies and capacities for direct intervention, it remains the case that human behaviour plays a critical role in health outcomes and in the efficacy of most treatments. Given this, evidence based on SDT suggests that health care professionals can enhance their efficacy through support of patients’ psychological needs for autonomy, competence, and relatedness. Doing so not only enhances important patient outcomes but also approximates the ethical ideals of promoting patient autonomy and responsibility in health care decision-making and intervention
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