Using self-determination theory to predict self-management and HRQoL in moderate-to-severe COPD

Abstract

Objective: Chronic Obstructive Pulmonary Disease (COPD) is a long-term condition that detrimentally affects health-related quality of life (HRQoL), with self-management proposed as an effective treatment. Using self-determination theory (SDT), this research explored psychological need satisfaction, frustration, and behavioural regulation to explain indicators of self-management. Design and Main Outcome Measures: Cross-sectional, questionnaire-based methods in people on a pulmonary rehabilitation waiting-list. 72 participants completed SDT, HRQoL, and self-management knowledge questionnaires. Path analyses investigated the ability of SDT concepts to predict selfmanagement knowledge and HRQoL. Results: Chi-square tests found no significant differences (χ 2 (13, N=72) = 16.7, p > 0.05) between the justand over-identified models, and multiple measures suggested an acceptable fit to the data. Relatedness frustration positively predicted controlled regulation and autonomy and relatedness satisfaction positively predicted autonomous regulation. The associations between the other needs and the different regulation types were not statistically significant. Both regulation types strongly predicted HRQoL (35% variance explained) and self-management knowledge (22% variance explained). Conclusion: SDT concepts can predict more self-determined selfmanagement regulation, self-management knowledge, and HRQoL and provide a framework for researchers and healthcare professionals to develop future health interventions for people with COPD. Greater research is needed to understand basic psychological need frustration in health contexts.

Self‐management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

“…To explain and promote self-management in COPD patients, cognitive-behavioural theory (Williams et al, 2020), social cognitive theory (Aliakbari et al, 2020), self-determination theory (Knox et al, 2021) and Capability, Opportunity, Motivation, Behaviour (COM-B) model (Cheng et al, 2017) have been used. However, these models did not include all the knowledge, attitudes, social support and self-efficacy that are known to be related to self-management in COPD patients.…”

Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review

“…After undergoing 11 sessions over a period of 10 weeks, significant differences were observed between the intervention and control groups in terms of basic psychological needs, exercise-induced breathlessness, and functional status. Furthermore, Knox et al [24] conducted a cross-sectional survey using SDT, Health-Related Quality of Life, and self-management knowledge questionnaires on 72 moderate to severe COPD patients who had not participated in pulmonary rehabilitation. The results indicated that SDT concepts could be applied to predict controlled and autonomous regulation of self-management, self-management knowledge, and Health-Related Quality of Life in moderate to severe COPD patients who had not participated in pulmonary rehabilitation.…”

The Self-Concept of Street Children’s Mothers in Understanding the Meaning of Life: A Phenomenological Study in Indonesia

“…Meanwhile, a mother with negative self-concept always believed that she was born unlucky with a weak physical condition, thus, she felt that for evermore, she will be poor and sick. This kind of self-perception which revolves around the belief that she is an unlucky person will also influence her mental health as well as arise a feeling of inferiority and inability to control herself from being ill continuously (Knox, Norris, Lewis, & Rahman, 2021). It is caused by the power of mind which constantly affects herself (Williams, J. M. G., & Kuyken, 2012).…”