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EHP March 2008 draft4 (2008年3月有效马力draft4 )
original article
Facilitating health behaviour change and its maintenance: Interventions based on
Self-Determination Theory
1 1 1 1
Richard M. Ryan* , Heather Patrick , Edward L. Deci , and Geoffrey C. Williams
1 University of Rochester, USA
Despite many recent technical breakthroughs in
health care, human behaviour remains the largest
source of variance in health-related outcomes
(Schroeder, 2007). People’s health and well-being are
robustly affected by lifestyle factors such as smoking,
hygiene, diet, and physical activity, all of which
involve behaviours that are potentially controllable by
the individual. In addition, outside of acute care
settings, the effectiveness of most health care
interventions is highly dependent on the patient’s
adherence to self-care activities such as taking
medications, performing self-examinations, or
refraining from specific activities or habits. A
significant problem is the poor adherence to prescribed
changes or recommended behaviours over time. Richard Ryan
Professor of Psychology, Psychiatry, Education
In the perspective of self-determination theory Department of Clinical Social Psychology
(SDT: Deci Ryan, 2000; Ryan Deci, 2000), University of Rochester
recognition of these behavioural mediators of health Rochester, USA
outcomes suggests that we attend more carefully to the
patient’s experience
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