Linking Cardiac Psychology and Cardiovascular Medicine via Self-Determination Theory and Shared Decision-Making

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Jonathan A. Shaffer, Daniel D. Matlock, Jennifer Morozink Boylan, Katilyn M. Vagnini, Christina L. Rush, Rebecca Martin, Kevin S. Masters
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Abstract

Despite considerable progress in recent years, research in cardiac psychology is not widely translated into routine practice by clinical cardiologists or clinical health psychologists. Self-determination theory (SDT), which addresses how basic psychological needs of autonomy, competence, and relatedness contribute to the internalization of motivation, may help bridge this research–practice gap through its application to shared decision-making (SDM). This narrative review discusses the following: (a) brief background information on SDT and SDM, (b) the application of SDT to health behavior change and cardiology interventions, and (c) how SDT and SDM may be merged using a dissemination and implementation (D&I) framework. We address barriers to implementing SDM in cardiology, how SDM and SDT address the need for respect of patient autonomy, and how SDT can enhance D&I of SDM interventions through its focus on autonomy, competence, and relatedness and its consideration of other constructs that facilitate the internalization of motivation.

Abstract Image

通过自我决定理论和共同决策将心脏心理学和心血管医学联系起来
尽管近年来心脏心理学的研究取得了长足的进步,但临床心脏病专家或临床健康心理学家并没有将其广泛地转化为日常实践。自我决定理论(SDT)涉及自主性、能力和相关性等基本心理需求如何促进动机的内化,通过将其应用于共同决策(SDM),可能有助于弥合这一研究与实践之间的差距。本综述将讨论以下内容:(a) SDT 和 SDM 的简要背景信息,(b) SDT 在健康行为改变和心脏病学干预中的应用,以及 (c) 如何利用传播和实施(D&I)框架合并 SDT 和 SDM。我们将讨论在心脏病学中实施 SDM 的障碍,SDM 和 SDT 如何满足尊重患者自主性的需要,以及 SDT 如何通过其对自主性、能力和相关性的关注,以及对促进动机内化的其他结构的考虑,加强 SDM 干预的 D&I。
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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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