Self determination theory

Question 1

What is the critical part of the self determination theory?

Answer 1

developing a sense of autonomy and competence leads to internalization and integration so the person can better self-regulate their health behavior. You engage in behavior that is congruent or consistent with maintaining this sense of self (i.e., I am a vegetarian). Other theories don’t talk about autonomy.

Question 2

What is autonomy?

Answer 2

It is the sense that you are driving your own behaviours

Question 3

What is an autonomy supportive health care climate?

Answer 3

A treatment atmosphere that encourages individuals to engage in health conducive behaviours for their own reasons, facilitates success in dealing with barriers to change, and conveys feelings of acceptance and respect.
When a doctor or clinician is supportive it leads to more psychological need satisfaction.

Question 4

What is needed to be autonomy supportive?

Answer 4

Provide relevant information and meaningful rationales for change.
Support patients decisions and interests (they get to pick what they like)
Understanding patients perspective

Question 5

What is a controlling health care climate?

Answer 5

“A treatment atmosphere that controls people’s behaviours through means such as offering tangible rewards of externally pressuring them toward practitioner valued behaviours of outcomes”

Leads to psychological frustration

Question 6

Can controlling ever be useful?

Answer 6

It can be at the very beginning of the initiation but it needs to move towards autonomy. Try to avoid: Incentives, using authority, rewards and contingent approval.

Question 7

What is autonomous orientation? (personality differences in autonomy)

Answer 7

“an orientation reflective individual’s engagement in behaviours based on interest and personal values”

Question 8

What is impersonal orientation?

Answer 8

“an orientation in which individuals believe that attaining desired outcomes is beyond their control”

Question 9

What is controlled orientation?

Answer 9

“an orientation in which individuals engage in an activity focusing on external controls of directives”

Question 10

What is an intrinsic aspiration?

Answer 10

“personal goals related to one’s growth, community involvement, and meaningful relationships”

Question 11

What is an extrinsic goal?

Answer 11

“personal goals relating to wealth, fame and image”

Question 12

What are the 3 qualities of psychological needs?

Answer 12

1. Innate: born with them
2. Fundamental: can not be broken down into anything else
3. Essential nutrients: necessary for optimal psychological function

Question 13

What are the 3 psychological needs impacted by?

Answer 13

social environment, personality differences in autonomy, and life aspirations

Question 14

What are the 3 psychological needs?

Answer 14

Competence: feeling as though you can successfully complete optimally challenging tasks (for the individual)
Autonomy: Acting in accord with your own desires rather than through external or internal pressure; being true to yourself; fully integrating oneself
Relatedness: feeling a sense of belonging and meaningful to other people

Question 15

What do you target to change behaviour?

Answer 15

Try to enhance the satisfaction of psychological needs and reduce the frustration of needs

Question 16

How do you change psychological needs?

Answer 16

Change the social environment
Help people set intrinsic life aspirations (goals)
Help people internalize the behaviour and be more autonomous

Question 17

How do you change autonomy satisfaction?

Answer 17

It is tough bc health behaviours are not inherently fun. Most people start behaviour because of external pressure which can still be valued because it provides rationale for change. Provide a support agency, provide options, and ask for their perspective

Question 18

Changing competence satisfaction

Answer 18

Provide effectance-relevant feedback
Help them find the skills and tools for change
Do not over challenge a patient
Help patient feel mastery in small steps
Find behaviours they're good at

Question 19

Change relatedness satisfaction

Answer 19

Provide input and guidance to facilitate a good relationship with patient
Respect, understand, and care for patient
Enhance connection and trust.
Encourage activities with family and friends

Question 20

What is the evidence for self determination theory?

Answer 20

Results from a meta analysis:
184 studies testing SDT in health domain, Effect sizes were moderate in magnitude,Overall pattern of results supported theoretical model