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Implementation of a self-determination based clinical program to reduce cardiovascular disease risk
Nicole L Mayo1, Holly A Russell1, Kathleen Holt1
1University of Rochester School of Medicine and Dentistry, USA.
Journal of Health Psychology
|January 28, 2022
Summary
Self-Determination Theory (SDT) interventions improved cardiovascular health behaviors and motivation. Autonomous motivation was key to reducing cardiovascular risk in high-risk individuals.
Area of Science:
- Cardiology
- Behavioral Science
- Health Psychology
Background:
- Cardiovascular risk reduction relies heavily on health behavior change, which is difficult to achieve and sustain.
- Self-Determination Theory (SDT) offers a framework for promoting sustained behavior change, but its specific role in cardiovascular risk reduction requires clarification.
Purpose of the Study:
- To investigate the effectiveness of a Self-Determination Theory-based clinical intervention in improving cardiovascular risk factors.
- To explore the role of autonomous motivation in mediating the relationship between the intervention and cardiovascular risk reduction.
Main Methods:
- A multi-disciplinary clinical team provided counseling based on Self-Determination Theory to 294 individuals with high cardiovascular risk.
- Intervention components included promoting autonomous motivation and healthy lifestyle changes.
Main Results:
- Participants showed a significant reduction in cholesterol levels.
- Significant improvements were observed in healthy diet adherence and motivation measures.
- Autonomous motivation emerged as a critical factor in the observed cardiovascular risk reduction.
Conclusions:
- A team-based clinical intervention utilizing Self-Determination Theory can effectively promote cardiovascular risk reduction.
- Fostering autonomous motivation is a crucial mechanism for achieving positive health behavior changes and improving cardiovascular outcomes.
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