OBJECTIVE: Test whether three mediating processes of Self-Determination Theory are involved in intervention effects on quality of life for breast cancer patients. METHODS: A randomized clinical trial recruited newly diagnosed breast cancer patients for 6 months of (1) Internet training and access, (2) access to an integrated eHealth system for breast cancer (CHESS), (3) a series of phone conversations with a Human Cancer Information Mentor, or (4) both (2) and (3). RESULTS: This paper reports results after the initial 6 weeks of intervention, at which point patients in the combined condition had higher quality of life scores than those in the other three conditions. All three Self-Determination Theory constructs (autonomy, competence, and relatedness) mediated that effect as hypothesized. In addition, the single-intervention groups were superior to the Internet-only group on relatedness, though perhaps this was too soon for that to carry through to quality of life as well. CONCLUSIONS: The SDT constructs do mediate these interventions' effects. PRACTICE IMPLICATIONS: Intervention design can profitably focus on enhancing autonomy, competence and relatedness.
RCT Entities:
OBJECTIVE: Test whether three mediating processes of Self-Determination Theory are involved in intervention effects on quality of life for breast cancerpatients. METHODS: A randomized clinical trial recruited newly diagnosed breast cancerpatients for 6 months of (1) Internet training and access, (2) access to an integrated eHealth system for breast cancer (CHESS), (3) a series of phone conversations with a HumanCancer Information Mentor, or (4) both (2) and (3). RESULTS: This paper reports results after the initial 6 weeks of intervention, at which point patients in the combined condition had higher quality of life scores than those in the other three conditions. All three Self-Determination Theory constructs (autonomy, competence, and relatedness) mediated that effect as hypothesized. In addition, the single-intervention groups were superior to the Internet-only group on relatedness, though perhaps this was too soon for that to carry through to quality of life as well. CONCLUSIONS: The SDT constructs do mediate these interventions' effects. PRACTICE IMPLICATIONS: Intervention design can profitably focus on enhancing autonomy, competence and relatedness.
Authors: D H Gustafson; R Hawkins; S Pingree; F McTavish; N K Arora; J Mendenhall; D F Cella; R C Serlin; F M Apantaku; J Stewart; A Salner Journal: J Gen Intern Med Date: 2001-07 Impact factor: 5.128
Authors: Anne Moyer; Matthew Goldenberg; Matthew A Hall; Sarah K Knapp-Oliver; Stephanie J Sohl; Elizabeth A Sarma; Stefan Schneider Journal: Behav Med Date: 2012 Impact factor: 3.104
Authors: Sojung Claire Kim; Bret R Shaw; Dhavan V Shah; Robert P Hawkins; Suzanne Pingree; Fiona M McTavish; David H Gustafson Journal: Health Commun Date: 2017-11-14
Authors: Woohyun Yoo; Kang Namkoong; Mina Choi; Dhavan V Shah; Stephanie Tsang; Yangsun Hong; Michael Aguilar; David H Gustafson Journal: Comput Human Behav Date: 2014-01
Authors: Maria Pérez; Julianne A Sefko; Deb Ksiazek; Balaji Golla; Chris Casey; Julie A Margenthaler; Graham Colditz; Matthew W Kreuter; Donna B Jeffe Journal: J Cancer Surviv Date: 2013-09-13 Impact factor: 4.442