健康领域自我决定理论干预研究的荟萃分析:对动机、健康行为、身体和心理健康的影响。

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2021-06-01 Epub Date: 2020-02-03 DOI:10.1080/17437199.2020.1718529
Nikos Ntoumanis, Johan Y Y Ng, Andrew Prestwich, Eleanor Quested, Jennie E Hancox, Cecilie Thøgersen-Ntoumani, Edward L Deci, Richard M Ryan, Chris Lonsdale, Geoffrey C Williams
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引用次数: 351

摘要

目前还没有文献综述研究了以自我决定理论(SDT)为基础的健康领域干预措施对SDT结构和健康指数的影响。我们的目的是荟萃分析健康促进和疾病管理文献中的此类干预措施。如果研究使用了实验设计,测试了基于SDT的干预措施,测量了至少一个基于SDT的动机结构,以及至少一个健康行为、身体健康或心理健康指标,则研究符合条件。73项研究符合这些标准,并为审查的目的提供了足够的数据。随机效应荟萃分析模型显示,在干预期结束时,基于SDT的干预措施在大多数SDT结构中产生了中小型的变化,在干预期结束时和随访时,健康行为也发生了变化。在干预结束时,还观察到身体和心理健康结果的微小积极变化。需要支持和自主动机(但不包括受控动机或动机)的增加与健康行为的积极变化有关。综上所述,sdt知情干预措施对健康指数有积极影响;这些影响是适度的、异质性的,部分是由于自我决定的动机和社会行动者的支持的增加。
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A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health.

There are no literature reviews that have examined the impact of health-domain interventions, informed by self-determination theory (SDT), on SDT constructs and health indices. Our aim was to meta-analyse such interventions in the health promotion and disease management literatures. Studies were eligible if they used an experimental design, tested an intervention that was based on SDT, measured at least one SDT-based motivational construct, and at least one indicator of health behaviour, physical health, or psychological health. Seventy-three studies met these criteria and provided sufficient data for the purposes of the review. A random-effects meta-analytic model showed that SDT-based interventions produced small-to-medium changes in most SDT constructs at the end of the intervention period, and in health behaviours at the end of the intervention period and at the follow-up. Small positive changes in physical and psychological health outcomes were also observed at the end of the interventions. Increases in need support and autonomous motivation (but not controlled motivation or amotivation) were associated with positive changes in health behaviour. In conclusion, SDT-informed interventions positively affect indices of health; these effects are modest, heterogeneous, and partly due to increases in self-determined motivation and support from social agents.

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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