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.
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.
Forty community-dwelling stroke survivors.
Main Outcome Measure
EMA measures of basic psychological needs (autonomy, competence, relatedness) and
motivation (autonomous motivation, controlled motivation).
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
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