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Self-determination

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https://www.readbyqxmd.com/read/28104711/m%C3%A4-ori-patients-experiences-and-perspectives-of-chronic-kidney-disease-a-new-zealand-qualitative-interview-study
#1
Rachael C Walker, Shayne Walker, Rachael L Morton, Allison Tong, Kirsten Howard, Suetonia C Palmer
OBJECTIVES: To explore and describe Māori (the indigenous people of New Zealand) patients' experiences and perspectives of chronic kidney disease (CKD), as these are largely unknown for indigenous groups with CKD. DESIGN: Face-to-face, semistructured interviews with purposive sampling and thematic analysis. SETTING: 3 dialysis centres in New Zealand (NZ), all of which offered all forms of dialysis modalities. PARTICIPANTS: 13 Māori patients with CKD and who were either nearing the need for dialysis or had started dialysis within the previous 12 months...
January 19, 2017: BMJ Open
https://www.readbyqxmd.com/read/28100122/using-the-self-determination-theory-to-understand-chinese-adolescent-leisure-time-physical-activity
#2
Lijuan Wang
PURPOSES: This study applies the self-determination theory (SDT) to test the hypothesized relationships among perceived autonomy support from parents, physical education (PE) teachers, and peers, the fulfilment of psychological needs (i.e., autonomy, competence, and relatedness), autonomous motivation, and leisure-time physical activity of Chinese adolescents. METHOD: There are 255 grade six to eight student participants from four middle schools around Shanghai, China included in this study...
January 19, 2017: European Journal of Sport Science
https://www.readbyqxmd.com/read/28097493/service-users-perceptions-of-an-outreach-wellbeing-service-a-social-enterprise-for-promoting-mental-health
#3
Sandra Elaine Hartley
Inadequate provision and limited access to mental healthcare has been highlighted with the need to offer more contemporary ways to provide clinically effective interventions. This study aimed to present an insight into service users' perceptions of an outreach Wellbeing Service (WBS), providing psychological therapy in social settings. Descriptive and thematic analysis was undertaken of 50 returned surveys. Comparison of initial and final mental health measures demonstrated a significant improvement in all outcomes with 96% of participants reporting being helped by attending...
January 17, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28096034/twelve-months-effect-of-self-referral-to-inpatient-treatment-on-patient-activation-recovery-symptoms-and-functioning-a-randomized-controlled-study
#4
I E O Moljord, M L Lara-Cabrera, Ø Salvesen, M B Rise, D Bjørgen, D Ø Antonsen, T M Olsø, G H Evensen, C B Gudde, O M Linaker, A Steinsbekk, L Eriksen
OBJECTIVE: To investigate the effect of having a contract for self-referral to inpatient treatment (SRIT) in patients with severe mental disorders. METHODS: A randomized controlled trial with 53 adult patients; 26 participants received a SRIT contract, which they could use to refer themselves into a Community Mental Health Centre up to five days for each referral without contacting a doctor in advance. Outcomes were assessed after 12 months with the self-report questionnaires Patient Activation Measure (PAM-13), Recovery Assessment Scale (RAS), and the Behavior and Symptom Identification Scale (BASIS-32) and analyzed using linear mixed and regression models...
January 11, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28088208/stirring-the-motivational-soup-within-person-latent-profiles-of-motivation-in-exercise
#5
Magnus Lindwall, Andreas Ivarsson, Karin Weman-Josefsson, Linus Jonsson, Nikos Ntoumanis, Heather Patrick, Cecilie Thøgersen-Ntoumani, David Markland, Pedro Teixeira
BACKGROUND: The purpose of the present study was to use a person-oriented analytical approach to identify latent motivational profiles, based on the different behavioural regulations for exercise, and to examine differences in satisfaction of basic psychological needs (competence, autonomy and relatedness) and exercise behaviour across these motivational profiles. METHODS: Two samples, consisting of 1084 and 511 adults respectively, completed exercise-related measures of behavioural regulation and psychological need satisfaction as well as exercise behaviour...
January 14, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/28087100/-improving-prevention-integrative-model-and-recommendations-intended-for-public-health-professionals
#6
REVIEW
G Broc, A Edjolo
Public health policies aim to diminish people's exposure to negative factors, behaviors or determinants of health. Despite awareness-raising campaigns, health recommendations are still not sufficiently followed. First, the article wondered the reasons behind this observation. In order to do this, we present a theoretical model incorporating: (a) the motivational theories of communication processing; (b) the theories of motivation and volition; (c) self-regulation and self-determination theories. In a second part, the paper describes five principles for improving communication...
January 10, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28074477/same-but-different-comparative-modes-of-information-processing-are-implicated-in-the-construction-of-perceptions-of-autonomy-support
#7
Rebecca Rachael Lee, Nikos L D Chatzisarantis
An implicit assumption behind tenets of self-determination theory is that perceptions of autonomy support are a function of absolute modes of information processing. In this study, we examined whether comparative modes of information processing were implicated in the construction of perceptions of autonomy support. In an experimental study, we demonstrated that participants employed comparative modes of information processing in evaluating receipt of small, but not large, amounts of autonomy support. In addition, we found that social comparison processes influenced a number of outcomes that are empirically related to perceived autonomy support such as sense of autonomy, positive affect, perceived usefulness, and effort...
January 11, 2017: British Journal of Psychology
https://www.readbyqxmd.com/read/28073287/psychological-growth-and-well-being-in-individuals-born-with-cleft-an-application-of-self-determination-theory
#8
Aidan Searle, Patricia Neville, Andrea Waylen
OBJECTIVE: Many studies of individuals born with cleft lip and/or palate (CLP) address the psychological impact of CLP in terms of stigma and/or 'resilience'. The present study challenges the usefulness of resilience in CLP research with the application of self-determination theory (SDT). It is proposed that SDT can serve to better understand how individuals born with CLP can achieve psychological growth and well-being. DESIGN: Interviews were conducted with 15 individuals born with CLP in the UK...
January 10, 2017: Psychology & Health
https://www.readbyqxmd.com/read/28065288/-towards-recovery-from-constraints-to-the-sharing-of-experience
#9
Élodie Gilliot, Pierrette Estingoy
The pathway towards recovery is littered with constraints and stages in an environment which has to be reinvented. While the constraints are related to legislation, the condition, or stigmatisation, the stages are based on hope, self-determination and on the patient's capacity to exist as a subject. A partnership between caregivers, patients and families is necessary to construct a positive care pathway towards recovery.
January 2017: Soins. Psychiatrie
https://www.readbyqxmd.com/read/28062971/cost-equivalence-and-pluralism-in-publicly-funded-health-care-systems
#10
Dominic Wilkinson, Julian Savulescu
Clinical guidelines summarise available evidence on medical treatment, and provide recommendations about the most effective and cost-effective options for patients with a given condition. However, sometimes patients do not desire the best available treatment. Should doctors in a publicly-funded healthcare system ever provide sub-optimal medical treatment? On one view, it would be wrong to do so, since this would violate the ethical principle of beneficence, and predictably lead to harm for patients. It would also, potentially, be a misuse of finite health resources...
January 6, 2017: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/28043018/dynamic-axes-of-informed-consent-in-japan
#11
Laura Specker Sullivan
Scholarship in cross-cultural bioethics routinely frames Japanese informed consent in contrast to informed consent in North America. This contrastive analysis foregrounds cancer diagnosis disclosure and physician paternalism as unique aspects of Japanese informed consent that deviate from American practices. Drawing on in-depth interviews with 15 Japanese medical professionals obtained during fieldwork in Japan from 2013 to 15, this article complicates the informed consent discourse beyond East-West comparisons premised on Anglo-American ethical frameworks...
December 23, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28039564/identity-processes-and-intrinsic-and-extrinsic-goal-pursuits-directionality-of-effects-in-college-students
#12
Koen Luyckx, Bart Duriez, Lindsey M Green, Oana Negru-Subtirica
Identity research has mainly focused on the degree to which adolescents and emerging adults engage in exploration and commitment to identity goals and strivings. Somewhat lacking from this research tradition is an explicit focus on the content of the identity goals that individuals deem important and pursue. The present manuscript describes two longitudinal studies sampling college students in which we examine how exploration and commitment processes relate to intrinsic and extrinsic goal pursuits as defined in Self-Determination Theory...
December 30, 2016: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/28035054/the-relationship-between-autonomous-motivation-and-autonomy-support-in-medical-students-academic-achievement
#13
Rose Feri, Diantha Soemantri, Anwar Jusuf
Objectives: This study applied self-determination theory (SDT) to investigate the relationship between students' autonomous motivation and tutors' autonomy support in medical students' academic achievement. Methods: This was a cross-sectional study. Out of 204 students in a fundamental medical science course, 199 participated in the study. Data was collected using two questionnaires: the Learning Self-Regulation and Learning Climate Questionnaires. The score of the course assessment was the measure of academic achievement...
December 29, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/28033022/students-motivational-profiles-in-the-physical-education-context
#14
John Ck Wang, Alexandre Js Morin, Richard M Ryan, W C Liu
The purpose of the current study is to test Self-Determination Theory (SDT) continuum hypothesis of motivation using Latent Profile Analysis (LPA). A total of 3220 school students took part in the study. We compared LPA solutions using the four motivation types versus the two higher-order dimensions to assess their degree of correspondence to SDT continuum hypothesis. To examine the concurrent validity of the profiles, we also verified their associations with three predictors (age, gender, perception of physical education teachers' autonomy-supportive behaviors) and two outcomes variables (perceived competence and intentions to be physically active)...
December 29, 2016: Journal of Sport & Exercise Psychology
https://www.readbyqxmd.com/read/28032470/a-look-at-uganda-s-early-hiv-prevention-strategies-through-a-moderate-african-communitarian-lens
#15
Jane Wathuta
This paper seeks to highlight the benefits of prioritizing moderate African communitarian principles as partly demonstrated in the HIV prevention strategies implemented in Uganda in the late 1980s. Pertinent lessons could be drawn so as to achieve the HIV prevention targets envisioned in the post-2015 development era. Communitarianism emphasizes the importance of communities as part of healthy human existence. Its core ethical values include the virtues of generosity, compassion, and solidarity. Persuasion through communication, consensus through dialogue, and the awareness and commitment to responsibilities towards other members of the community, are chief practices relied upon to achieve appropriate social behaviour...
December 28, 2016: Developing World Bioethics
https://www.readbyqxmd.com/read/28031771/a-comparison-of-physical-education-students-motivation-using-polish-and-turkish-versions-of-the-academic-motivation-scale
#16
Agnieszka Ardeńska, Rajmund Tomik, Serkan Berber, Burak Düz, Barış Çivak, Uğur Çalişkan, Joanna Ogrodnik
Motivation is an important phenomenon in the realm of education, particularly in the university fields connected with physical education and sport, where it is necessary to accommodate and balance intellectual abilities and physical fitness. The present study tested motivation levels among university students in the fields connected with physical education and sport in Poland and Turkey. It was based on the Self-Determination Theory (Deci and Ryan, 1985), namely intrinsic motivation, extrinsic motivation and amotivation which impact human behaviour...
December 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28026704/moving-toward-holistic-wellness-empowerment-and-self-determination-for-indigenous-peoples-in-canada-can-traditional-indigenous-health-care-practices-increase-ownership-over-health-and-health-care-decisions
#17
Monique Auger, Teresa Howell, Tonya Gomes
OBJECTIVES: This study aimed to understand the role that traditional Indigenous health care practices can play in increasing individual-level self-determination over health care and improving health outcomes for urban Indigenous peoples in Canada. METHODS: This project took place in Vancouver, British Columbia and included the creation and delivery of holistic workshops to engage community members (n = 35) in learning about aspects of traditional health care practices...
December 27, 2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28019100/assessing-the-impact-of-autonomous-motivation-and-psychological-need-satisfaction-in-explaining-adherence-to-an-exercise-referral-scheme
#18
Michael John Eynon, Christopher O'Donnell, Lynn Williams
Given the mixed findings concerning self-determination theory in explaining adherence to exercise referral schemes (ERS), the present study attempted to examine whether autonomous motivation and psychological need satisfaction could predict ERS adherence. Participants referred to an 8-week ERS completed self-report measures grounded in self-determination theory and basic needs theory at baseline (N = 124), mid-scheme (N = 58), and at the end of the scheme (N = 40). Logistic regressions were used to analyse the data...
December 26, 2016: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28018537/contextualizing-the-physician-charter-on-professionalism-in-qatar-from-patient-autonomy-to-family-autonomy
#19
Ming-Jung Ho, Abdullatif Alkhal, Ara Tekian, Julie Shih, Kevin Shaw, Chung-Hsiang Wang, Khalid Alyafei, Lyuba Konopasek
BACKGROUND : The Physician Charter on medical professionalism has been endorsed by professional organizations worldwide, yet it is unclear if this Western framework of professionalism is applicable in non-Western countries. OBJECTIVE : This study examines how physicians practicing in a Middle Eastern context perceive the terms, principles, and commitments outlined in the charter. METHODS : In May 2013, the authors conducted 6 focus groups with 43 clinician-educators practicing at Hamad Medical Corporation in Doha, Qatar, to discuss the applicability of the Physician Charter in a local context...
December 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28017786/overprotective-social-support-leads-to-increased-cardiovascular-and-subjective-stress-reactivity
#20
Richard Zniva, Paul Pauli, Stefan M Schulz
OBJECTIVE: Self-determination theory suggests that autonomy-enhancing social support helps individuals to perceive stressors as challenging rather than stressing. Overprotective support may reduce stress in the short-run but undermines autonomy, thus hampering stress-coping in the long run, particularly when social support is terminated. METHOD: Heartrate, blood-pressure and ratings were examined in N=44 undergraduate students receiving autonomy support (calculation steps) or overprotection (solutions) from a close friend or no support for solving arithmetic tasks as well as during a subsequent stress-challenge (solving arithmetic tasks alone)...
December 23, 2016: Biological Psychology
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