Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients

Chen, Mei‐Fang; Chang, Ray-E; Tsai, Pi‐Ru; Hou, Ying-Hui

doi:10.1007/s11136-017-1714-2

Cited by 25 publications

(39 citation statements)

References 50 publications

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“…The results of the present study indicated that a perceived supportive environment was associated with need satisfaction. This is in line with numerous SDT studies conducted in various domains and in the health context, Chen et al (2017) showed that haemodialysis patients experienced greater basic need satisfaction and their healthrelated quality of life improved, due to the perception of a supportive environment, direction of improvement and clear guidelines provided by their physicians and nurses. Our study also highlighted that controlled competence and relatedness need were negatively associated with competence and relatedness need satisfaction, respectively.…”

Section: Discussionsupporting

confidence: 87%

“…Controlled socializers pressure individuals to act, think, or feel in prescribed ways and have cold interactions with them (Deci and Ryan, 2000). Several studies have shown that a need-supportive environment is linked to various positive outcomes for patients (Ng et al, 2012), such as better dental hygiene (Halvari et al, 2017), lower scores on depressive symptoms and apathy (Souesme et al, 2016), a better quality of life for haemodialysis patients (Chen et al, 2017), a greater responsibility in the management of diabetes and glycemic control (Lee et al, 2019) and a better persistence and adherence to rehabilitation programs (Scholz et al, 2006;Chan et al, 2009). However, need satisfaction does not only depend on a supportive environment.…”

Section: Introductionmentioning

confidence: 99%

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Causality Orientations and Supportive/Controlled Environment: Understanding Their Influence on Basic Needs, Motivation for Health and Emotions in French Hospitalized Older Adults

Souesme

Martinent

Akour³

et al. 2020

Front. Psychol.

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ObjectivesFrom a self-determination theory perspective, the purpose of this cross sectional study was to better understand how to motivate hospitalized older adults’ behaviors and test an integrative model of the role of causality orientations and a supportive/controlled environment on basic need satisfaction, motivation for health oriented physical activity, positive and negative affective states, depressive symptoms, apathy, and boredom.MethodsOlder adults (N = 146; Mage = 81.27 years, SD = 7.75, 74.7% female) in French hospital units completed self-report questionnaires and socio-demographic data were also collected.ResultsPartial least squares path modeling results showed that participants’ autonomy orientation positively associated with the perception of a supportive environment was related to need satisfaction, autonomous motivation for health-oriented physical activity, and high scores on positive affective states. Conversely, participants’ impersonal orientation positively associated with the perception of a controlled environment was related to undermining need satisfaction, controlled motivation for health-oriented physical activity, and amotivation, and high scores on both negative affective states, and boredom.ConclusionThe present results indicate that taking into account personality factors in hospital units can be useful and health professionals should take an interest both in the patients’ causality orientations and the supportive nature of the environment in order to understand better how to motivate patients’ behaviors. The present study points to the need to focus on all motivational dynamics which allow patients’ need satisfaction.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Causality Orientations and Supportive/Controlled Environment: Understanding Their Influence on Basic Needs, Motivation for Health and Emotions in French Hospitalized Older Adults

Souesme

Martinent

Akour³

et al. 2020

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…Furthermore, the programme created conditions for interacting with—relating to—fellow patients, family members and knowledgeable health‐care staff. Competence and relatedness can facilitate coping and promote patient autonomy . Some participating patients reported actual or anticipated changes in their patterns of health‐care utilization, expecting that they would refrain from going to the emergency room so quickly, due to the Learning Café experience.…”

Section: Discussionmentioning

confidence: 99%

Promoting a sense of security in everyday life—A case study of patients and professionals moving towards co‐production in an atrial fibrillation “learning café”

Suutari

Josefsson

Kjellström

et al. 2019

Health Expectations

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BackgroundAn improvement initiative sought to improve care for atrial fibrillation (AF) patients; many felt insecure about how to cope with AF.ObjectiveTo reveal AF patients' and professionals' experiences of pilot‐testing a Learning Café group education programme, aimed at increasing the patients' sense of security in everyday life.DesignUsing an organizational case study design, we combined quantitative data (patients' sense of security) and qualitative data (project documentation; focus group interviews with five patients and five professionals) analysed using inductive qualitative content analysis.SettingAF patients and a multiprofessional team at a cardiac care unit in a Swedish district hospital.Improvement activitiesTwo registered nurses invited AF patients and partners to four 2.5‐hour Learning Café sessions. In the first session, they solicited participants' questions about life with AF. A physician, a registered nurse and a physiotherapist were invited to address these questions in the remaining sessions.ResultsAF patients reported gaining a greater sense of security in everyday life and anticipating a future shift from emergency care to planned care. Professionals reported enhanced professional development, learning more about person‐centredness and gaining greater control of their own work situation. The organization gained knowledge about patient and family involvement.ConclusionsThe Learning Café pilot test—exemplifying movement towards co‐production through patient‐professional collaboration—generated positive outcomes for patients (sense of security), professionals (work satisfaction; learning) and the organization (better care) in line with contemporary models for quality improvement and with Self‐Determination Theory. This approach merits further testing and evaluation in other contexts.

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“…Several studies have compared the impact of "autonomy supportive" healthcare climates on patients' need satisfaction [52]. Autonomy supportive healthcare professionals take on a patient-centered approach and promote partnership and collaboration with their patients by active listening and seeking patient input, exploring patients' values, cognitions and emotions, providing information on disease, treatment and selfmanagement in an understandable manner, and respecting patients' preference and choice, even if this does not correspond to professional recommendation [53][54][55].…”

Section: Implications For Treatmentmentioning

confidence: 99%

Psychological well-being in adults with spinal muscular atrophy: the contribution of participation and psychological needs

Fischer

Asselman

Reenen

et al. 2019

Disability and Rehabilitation

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Purpose: Patients with spinal muscular atrophy (SMA) suffer from slowly progressive weakness of axial, respiratory and proximal muscles, leading to restrictions in activity and participation. This study aims to investigate patients' level of psychological well-being, using the International Classification of Functioning model and self-determination theory as theoretical frameworks. Materials and methods: In this cross-sectional study, adults with SMA were invited to complete a questionnaire. Instruments to assess psychological well-being included the Satisfaction with Life Scale, the Rosenberg Self-Esteem Scale and the Positive and Negative Affect Scale. Hierarchical lineal regression analyses were performed to investigate the contribution of participation (International Classification of Functioning model) and satisfaction of the need for autonomy, competence and relatedness (self-determination theory) to well-being. Results: Ninety-two respondents (67%) returned the questionnaire. Levels of psychological well-being were comparable to that of healthy reference samples. Well-being was unrelated to sociodemographic variables or illness characteristics. By contrast, well-being was closely related to respondents' satisfaction with participation, and their sense of autonomy, competence and relatedness. Conclusions: This study illustrates the relevance of psychological needs for understanding well-being of individuals with SMA. Supporting patients in meeting their psychological needs should become an objective of person-centred care for this population. ä IMPLICATIONS FOR REHABILITATION Spinal muscular atrophy is a rare inherited disease, characterized by slowly progressive muscle weakness. Psychological well-being, including satisfaction with life, self-esteem and emotional functioning of adults with spinal muscular atrophy appears very comparable with that of healthy reference samples. In line with the International Classification of Functioning framework, well-being in adults with spinal muscular atrophy may be improved by increasing their (satisfaction with) participation. Moreover, clinical assessment and management should focus on optimizing patients' satisfaction with their basic psychological needs (autonomy, competence, relatedness), as this is strongly related to indices of psychological well-being.

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Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients

Abstract: Autonomy support from physicians and nurses contributes to improving HD patients' HRQOL through basic need satisfaction. This indicates that staff caring for patients with severe chronic diseases should offer considerable support for patient autonomy.

Cited by 25 publications

References 50 publications

Causality Orientations and Supportive/Controlled Environment: Understanding Their Influence on Basic Needs, Motivation for Health and Emotions in French Hospitalized Older Adults

Causality Orientations and Supportive/Controlled Environment: Understanding Their Influence on Basic Needs, Motivation for Health and Emotions in French Hospitalized Older Adults

Promoting a sense of security in everyday life—A case study of patients and professionals moving towards co‐production in an atrial fibrillation “learning café”

Psychological well-being in adults with spinal muscular atrophy: the contribution of participation and psychological needs

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