Abstract
Objective
Grounded in the self-determination theory (SDT), this study aimed to examine the real-time
associations between basic psychological need satisfaction and motivation underpinning
daily activity participation among stroke survivors.
Design
Repeated-measures observational study involving seven days of ambulatory monitoring;
participants completed ecological momentary assessment (EMA) surveys via smartphones
eight times daily. Multilevel models were used to analyze EMA data for concurrent
(same survey) and lagged (next survey) associations.
Setting
General community.
Participants
Forty community-dwelling stroke survivors.
Interventions
Not applicable.
Main Outcome Measure
EMA measures of basic psychological needs (autonomy, competence, relatedness) and
motivation (autonomous motivation, controlled motivation).
Results
In concurrent analyses, increased autonomy (B=0.21, 95% CI 0.16 to 0.26, p<0.001),
competence (B=0.10, 95% CI 0.02 to 0.19, p=0.021), and relatedness (B=0.10, 95% CI
0.06 to 0.13, p<0.001) were momentarily associated with higher autonomous motivation.
Conversely, increased autonomy (B=-0.19, 95% CI -0.27 to -0.10, p<0.001) and competence
(B=-0.09, 95% CI -0.17 to -0.01, p=0.020) were momentarily associated with lower controlled
motivation. Contrary to SDT, increased relatedness was momentarily associated with
higher controlled motivation (B=0.10, 95% CI 0.05 to 0.14, p<0.001). In lagged analyses,
no momentary associations were detected between basic psychological needs and motivation
(ps>0.05).
Conclusions
Findings suggest that basic psychological need satisfaction is momentarily associated
with motivation for daily activity participation. Additional research is warranted
to examine the associations of different orientations of relatedness with autonomous
and controlled motivation. Supporting basic psychological needs may foster stroke
survivors’ autonomous motivation to enhance daily activity participation following
stroke.
Keywords
List of abbreviations:
EMA (Ecological momentary assessment), MLM (Multilevel modeling), SDT (Self-determination theory)To read this article in full you will need to make a payment
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Article Info
Publication History
Accepted:
July 18,
2022
Received in revised form:
July 1,
2022
Received:
March 3,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
