McCallum, M. , Gray, C. M. , Hanlon, P. , O'Brien, R. and Mercer, S. W. (2021) Exploring the utility of self-determination theory in complex interventions in multimorbidity: a qualitative analysis of patient experiences of the CARE Plus intervention. Chronic Illness, 17(4), pp. 433-450. (doi: 10.1177/1742395319884106) (PMID:31674216)
|
Text
197645.pdf - Accepted Version 722kB |
Abstract
Objectives: CARE Plus is a primary-care-based complex intervention for patients with multimorbidity living in areas of high socioeconomic deprivation. This study explores patients’ experience of the intervention and whether self-determination theory is useful to understand reported impacts. Method: Thematic analysis of semistructured interviews of 14 participants conducted during a randomised controlled trial of CARE Plus. Improvement in wellbeing in daily lives following CARE Plus was estimated from participants’ accounts of their experiences of the intervention. Findings: Participants valued the CARE Plus consultations irrespective of perceived improvements. Six participants reported changes in wellbeing that improved daily life, three reported slight improvement (not impacting daily life) and five no improvement. Evidence of satisfaction of the three major self-determination theory psychological needs – relatedness, competence and autonomy – was prominent in the accounts of those experiencing improved wellbeing in daily life; this group also spoke in ways congruent with more self-determined motivational regulation. These changes were not evident in those with little or no improvement in wellbeing. Discussion: This study suggests self-determination theory has utility in understanding the impact of CARE Plus on patients and may be a useful theory to inform development of future interventions to improve outcomes for patients with multimorbidity.
Item Type: | Articles |
---|---|
Additional Information: | This work was funded by the Chief Scientist Office of Scottish Government Health Directorates [Applied Research Programme Grant ARPG/07/1]. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Gray, Professor Cindy and Hanlon, Dr Peter and O'Brien, Dr Rosaleen and Mercer, Professor Stewart and McCallum, Dr Marianne |
Authors: | McCallum, M., Gray, C. M., Hanlon, P., O'Brien, R., and Mercer, S. W. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Social Scientists working in Health and Wellbeing College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | Chronic Illness |
Publisher: | SAGE Publications |
ISSN: | 1742-3953 |
ISSN (Online): | 1745-9206 |
Published Online: | 01 November 2019 |
Copyright Holders: | Copyright © 2019 The Authors |
First Published: | First published in Chronic Illness 17(4): 433-450 |
Publisher Policy: | Reproduced in accordance with the publisher copyright policy |
University Staff: Request a correction | Enlighten Editors: Update this record