Autonomous regulation and long-term medication adherence in adult outpatients

被引：397
作者：
Williams, GC
Rodin, GC
Ryan, RM
Grolnick, WS
Deci, EL
机构：
[1] Univ Rochester, Dept Clin & Social Sci Psychol, Rochester, NY 14627 USA
[2] Univ Rochester, Dept Med, Rochester, NY 14627 USA
[3] Genesee Hosp, Dept Internal Med, Rochester, NY USA
[4] Clark Univ, Dept Psychol, Worcester, MA 01610 USA
来源：
HEALTH PSYCHOLOGY | 1998年 / 17卷 / 03期
关键词：
medication adherence; patient autonomous motivation; physician autonomy support; self-determination theory;
D O I：
10.1037/0278-6133.17.3.269
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Self-determination theory was applied to explore the motivational basis of adherence to long-term medication prescriptions. Adult outpatients with various diagnoses who had been on a medication for at least 1 month and expected to continue (a) completed questionnaires that assessed their autonomous regulation, other motivation variables, and perceptions of their physicians' support of their autonomy by hearing their concerns and offering choice; (b) provided subjective ratings of their adherence and a 2-day retrospective pill count during an interview with a clinical psychologist; and (c) provided a 14-day prospective pill count during a subsequent, brief telephone survey. LISREL analyses supported the self-determination model for adherence by confirming that patients' autonomous motivation for adherence did mediate the relation between patients' perceptions of their physicians' autonomy support and their own medication adherence.
引用
收藏
页码：269 / 276
页数：8
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