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Autonomy-supportive intervention: an evolutionary concept analysis.

John W Kayser1, Sylvie Cossette, Marie Alderson

  • 1Faculty of Nursing, University of Montreal, Quebec, Canada.

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Summary

Autonomy-supportive interventions enhance health behavior changes by increasing perceived autonomy support. This concept analysis identified key components and antecedents, highlighting its cross-disciplinary utility in healthcare.

Keywords:
autonomy-supportive interventionconcept analysisnursing interventionself-determination theory

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Area of Science:

  • Health behavior change
  • Psychology
  • Nursing
  • Medicine

Background:

  • Positive health behavior changes can prevent chronic illnesses.
  • Autonomy-supportive interventions aim to boost perceived autonomy support, leading to improved health behaviors.
  • Core components include choice, rationale, and empathy.

Purpose of the Study:

  • To analyze the concept of autonomy-supportive interventions.
  • To clarify antecedents, attributes, and consequences of these interventions.

Main Methods:

  • Concept analysis using Rodgers' evolutionary method.
  • Literature search of 63 papers from CINAHL, PsycINFO, and MEDLINE until July 2012.

Main Results:

  • Greater evolution of autonomy-supportive interventions observed in nursing and psychology compared to medicine.
  • Antecedents include pre-intervention assessment, provider beliefs, and skills training.
  • Attributes showed heterogeneity, with five components identified: choice, rationale, empathy, collaboration, and strengths.

Conclusions:

  • Autonomy-supportive interventions are valuable across healthcare disciplines.
  • Future research should focus on identifying the most effective attributes and components for enhancing perceived autonomy support.