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Using self-determination theory in research and evaluation in primary care.
Huayi Huang1, Harry H X Wang2, Eddie Donaghy1
1Usher Institute Centre for Population Health Sciences, University of Edinburgh, Edinburgh, UK.
Summary
Self-determination theory (SDT) offers a framework for developing and evaluating complex interventions for multimorbidity. This theory can guide the design of effective management strategies for patients with multiple chronic conditions.
Area of Science:
- Health Psychology
- Intervention Science
- Primary Care Research
Background:
- Multimorbidity, the presence of multiple long-term conditions, presents a significant management challenge due to a limited evidence base.
- Theoretical frameworks are crucial for designing and implementing complex interventions to address multimorbidity.
- Existing research on multimorbidity interventions often lacks theoretical grounding.
Purpose of the Study:
- To propose self-determination theory (SDT) as a suitable theoretical framework for the development and evaluation of interventions targeting multimorbidity.
- To explore the potential application of SDT in designing and assessing complex interventions for individuals with multiple chronic conditions.
- To bridge the gap between theoretical concepts and practical application in multimorbidity care.
Main Methods:
- An overview of self-determination theory (SDT) and its prior research applications is provided.
- The potential utility of SDT in complex interventions for multimorbidity is examined, referencing the new MRC framework.
- The application of SDT is illustrated using the CARE Plus intervention for multimorbidity in primary care settings.
Main Results:
- SDT-based interventions have primarily focused on health behavior change for disease prevention, with limited application in primary care and chronic condition management.
- Despite limited use, SDT shows promise as a guiding theory for complex intervention development and evaluation in multimorbidity.
- The CARE Plus intervention example demonstrates how SDT can inform multimorbidity interventions in primary care.
Conclusions:
- Self-determination theory (SDT) holds potential utility for both the design and evaluation phases of complex multimorbidity interventions.
- Further research is necessary to fully establish the usefulness and limitations of SDT compared to alternative theoretical frameworks in multimorbidity research.
- Patient and public involvement is integrated into the research program, ensuring lived experiences inform the study.
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