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 survivors of stroke.
Design
Repeated-measures observational study involving 7 days of ambulatory monitoring; participants
completed ecological momentary assessment (EMA) surveys via smartphones 8 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 survivors of stroke (N=40).
Interventions
Not applicable.
Main Outcome Measures
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% confidence interval, 0.16-0.26;
P<.001), competence (B=0.10; 95% confidence interval, 0.02-0.19; P=.021), and relatedness (B=0.10; 95% confidence interval, 0.06-0.13; P<.001) were momentarily associated with higher autonomous motivation. Conversely,
increased autonomy (B=−0.19; 95% confidence interval, −0.27 to −0.10; P<.001) and competence (B=−0.09; 95% confidence interval, −0.17 to −0.01; P=.020) were momentarily associated with lower controlled motivation. Contrary to SDT,
increased relatedness was momentarily associated with higher controlled motivation
(B=0.10; 95% confidence interval, 0.05-0.14; P<.001). In lagged analyses, no momentary associations were detected between basic
psychological needs and motivation (Ps>.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 autonomous
motivation of survivors of stroke to enhance daily activity participation after 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
Published online: August 03, 2022
Accepted:
July 18,
2022
Received in revised form:
July 1,
2022
Received:
March 3,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Supported by the Program in Occupational Therapy Dissertation Fund, Washington University in St Louis.
Disclosures: none.
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
