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A meta-analysis of techniques to promote motivation for health behaviour change from a self-determination theory perspective.
Health Psychology Review ( IF 9.638 ) Pub Date : 2018-10-16 , DOI: 10.1080/17437199.2018.1534071
Fiona B Gillison 1 , Peter Rouse 1 , Martyn Standage 1 , Simon J Sebire 2 , Richard M Ryan 3
Affiliation  

A systematic review and meta-analysis was conducted of the techniques used to promote psychological need satisfaction and motivation within health interventions based on self-determination theory (SDT; Ryan & Deci, 2017. Self-determination theory: Basic psychological needs in motivation, development, and wellness. New York, NY: Guilford Press). Eight databases were searched from 1970 to 2017. Studies including a control group and reporting pre- and post-intervention ratings of SDT-related psychosocial mediators (namely perceived autonomy support, need satisfaction and motivation) with children or adults were included. Risk of bias was assessed using items from the Cochrane risk of bias tool. 2496 articles were identified of which 74 met inclusion criteria; 80% were RCTs or cluster RCTs. Techniques to promote need supportive environments were coded according to two established taxonomies (BCTv1 and MIT), and 21 SDT-specific techniques, and grouped into 18 SDT based strategies. Weighted mean effect sizes were computed using a random effects model; perceived autonomy support g = 0.84, autonomy g = 0.81, competence g = 0.63, relatedness g = 0.28, and motivation g = 0.41. One-to-one interventions resulted in greater competence satisfaction than group-based (g = 0.96 vs. 0.28), and competence satisfaction was greater for adults (g = 0.95) than children (g = 0.11). Meta-regression analysis showed that individual strategies had limited independent impact on outcomes, endorsing the suggestion that a need supportive environment requires the combination of multiple co-acting techniques.



中文翻译:

从自决理论角度对促进健康行为改变动机的技术进行荟萃分析。

对基于自我决定理论的健康干预中用于促进心理需求满意度和动机的技术进行了系统的回顾和荟萃分析(SDT; Ryan&Deci,2017。自我决定理论:动机,发展中的基本心理需求和健康。纽约,纽约:吉尔福德出版社)。从1970年至2017年,共检索了8个数据库。研究包括一个对照组,并报告了SDT相关的社会心理调解员对儿童或成人的干预前后的评估(即知觉的自治支持,需求满意度和动机)。使用Cochrane偏倚风险工具中的项目评估了偏倚风险。确定了2496篇文章,其中74篇符合纳入标准;80%是RCT或集群RCT。根据两个已建立的分类法(BCTv1和MIT)以及21种SDT特定技术,对促进需求支持环境的技术进行了编码,并分为18种基于SDT的策略。使用随机效应模型计算加权平均效应大小;感知自治支持g  = 0.84,自治g = 0.81,能力g  = 0.63,相关性g  = 0.28,动机g  = 0.41。一对一的干预所产生的能力满意度要高于基于小组的参与者(g  = 0.96 vs. 0.28),而成年人(g  = 0.95)比儿童(g  = 0.11)要高。荟萃回归分析表明,个体策略对结果的独立影响有限,支持以下观点:需要支持的环境需要结合多种协同作用技术。

更新日期:2018-10-16
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