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Self-Determination Theory – Autonomy Support and Improving Oral Health

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Oral Health Psychology

Part of the book series: Textbooks in Contemporary Dentistry ((TECD))

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Abstract

This chapter provides an overview of self-determination theory (SDT) used in oral healthcare practice and research. Interventions promoting autonomy-supportive dental competence, relative to standard care, yielded increase in autonomous motivation, perceived dental competence, and oral hygiene behaviours (e.g. brushing, flossing, more regular meals), decrease in dental plaque and improved oral health. Moreover, the interventions affected more frequent dental attendance and oral health-related quality of life. SDT provides a strong empirical basis that demonstrates the importance of operationalising the core principles of autonomy support, basic psychological needs and motivation to enhance patients’ oral health and oral health-related quality of life.

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References

  1. Deci E, Ryan R. Intrinsic motivation and self-determination in human behaviour. Rochester, New York: Springer; 1985.

    Google Scholar 

  2. Ryan RM, Deci EL. Self-determination theory: basic psychological needs in motivation, development, and wellness. NY: Guilford Publications; 2017.

    Google Scholar 

  3. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55(1):68.

    Article  Google Scholar 

  4. Niemiec CP, Ryan RM. Autonomy, competence, and relatedness in the classroom: applying self-determination theory to educational practice. Theory Res Educ. 2009;7(2):133–44.

    Article  Google Scholar 

  5. Rogers CR. On becoming a person: a therapist’s view of psychotherapy. Boston: Houghton Mifflin Company; 1961.

    Google Scholar 

  6. Ryan RM, Deci EL. Brick by brick: the origins, development, and future of self-determination theory. In: Elliot, A. (Ed.) Advances in motivation science. Vol. 6. Pp. 111–56. Cambridge: Elsevier, 2019.

    Google Scholar 

  7. Halvari AEM, Halvari H, Bjørnebekk G, Deci EL. Motivation and anxiety for dental treatment: testing a self-determination theory model of oral self-care behaviour and dental clinic attendance. Motiv Emot. 2010;34(1):15–33.

    Article  Google Scholar 

  8. Halvari AEM, Halvari H, Bjørnebekk G, Deci EL. Motivation for dental home care: testing a self-determination theory model 1. J Appl Soc Psychol. 2012;42(1):1–39.

    Article  Google Scholar 

  9. Halvari AEM, Halvari H, Bjørnebekk G, Deci EL. Oral health and dental well-being: testing a self-determination theory model. J Appl Soc Psychol. 2013;43(2):275–92.

    Article  Google Scholar 

  10. Halvari AEM, Halvari H, Deci EL. Dental anxiety, oral health-related quality of life, and general well-being: a self-determination theory perspective. J Appl Soc Psychol. 2019;49(5):295–306.

    Article  Google Scholar 

  11. Deci EL, Ryan RM. Self-determination theory in health care and its relations to motivational interviewing: a few comments. Int J Behav Nutr Phys Act. 2012;9(1):1–6.

    Article  Google Scholar 

  12. Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–36.

    Article  Google Scholar 

  13. Williams GC, Deci EL. Internalization of biopsychosocial values by medical students: a test of self-determination theory. J Pers Soc Psychol. 1996;70(4):767.

    Article  Google Scholar 

  14. Halvari AEM, Halvari H, Deci EL, Williams GC. Autonomy-supportive dental treatment, oral health-related eudaimonic well-being and oral health: a randomized clinical trial. Psychol Health. 2019;34(12):1421–36.

    Article  Google Scholar 

  15. Patrick H, Williams GC. Self-determination theory: its application to health behavior and complementarity with motivational interviewing. Int J Behav Nutr Phys Act. 2012;9(1):1–12.

    Article  Google Scholar 

  16. Beauchamp TL, Childress JF. Principles of biomedical ethics. New York: Oxford University Press; 2001.

    Google Scholar 

  17. Cassel CK, Hood V, Bauer W. A physician charter: the tenth anniversary. Ann Intern Med. 2012;21:290–91.

    Google Scholar 

  18. Woolf SH, Chan EC, Harris R, Sheridan SL, Braddock III CH, Kaplan RM, et al. Promoting informed choice: transforming health care to dispense knowledge for decision making. Ann Intern Med. 2005;143:293–300.

    Google Scholar 

  19. Ryan RM, Deci EL. Self-regulation and the problem of human autonomy: does psychology need choice, self-determination, and will? J Pers. 2006;74(6):1557–86.

    Article  Google Scholar 

  20. Ryan RM, Deci EL, Vansteenkiste M. Autonomy and autonomy disturbances in self-development and psychopathology: research on motivation, attachment, and clinical process. Dev Psychopathol. 2016;1:385–438.

    Google Scholar 

  21. Deci EL, Ryan RM. Handbook of self-determination research. Rochester, NY: University of Rochester Press; 2004.

    Google Scholar 

  22. Halvari AEM, Halvari H, Deci EL. The roles of patients’ authenticity and accepting external influence, and clinicians’ treatment styles in predicting patients’ dental anxiety and avoidance of dental appointments. Eur J Psychol. 2020;16(1):45.

    Article  Google Scholar 

  23. White RW. Motivation reconsidered: the concept of competence. Psychol Rev. 1959;66(5):297.

    Article  Google Scholar 

  24. Baumeister RF, Leary MR. The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychol Bull. 1995;117(3):497.

    Article  Google Scholar 

  25. Deci EL, Ryan RM. Facilitating optimal motivation and psychological well-being across life's domains. Can Psychol. 2008;49(1):14.

    Article  Google Scholar 

  26. Münster Halvari A, Halvari H, Deci E. Attending and avoiding dental appointments: do “bright” and “dark” motivational paths have a role? Int J Dent Hyg. 2018;16(2):286–97.

    Article  Google Scholar 

  27. DeCharms R. Personal causation: the internal affective determinants of behavior/R. Charms. New York: Academic Press; 1968.

    Google Scholar 

  28. Deci EL, Eghrari H, Patrick BC, Leone DR. Facilitating internalization: the self-determination theory perspective. J Pers. 1994;62(1):119–42.

    Article  Google Scholar 

  29. Vansteenkiste M, Niemiec CP, Soenens B. The development of the five mini-theories of self-determination theory: an historical overview, emerging trends, and future directions. In: Karabenick, S, & Urdan, T. C. (Eds.), The decade ahead: theoretical perspectives on motivation and achievement (Pp. 105–65). Bingley, UK: Emerald, 2010.

    Google Scholar 

  30. Kadam RA. Informed consent process: a step further towards making it meaningful! Perspect Clin Res. 2017;8(3):107.

    PubMed  PubMed Central  Google Scholar 

  31. Ryan RM, Patrick H, Deci EL, Williams GC. Facilitating health behaviour change and its maintenance: interventions based on self-determination theory. Eur Health Psychol. 2008;10(1):2–5.

    Google Scholar 

  32. Münster Halvari AE, Halvari H, Bjørnebekk G, Deci EL. Self-determined motivational predictors of increases in dental behaviors, decreases in dental plaque, and improvement in oral health: a randomized clinical trial. Health Psychol. 2012;31(6):777.

    Article  Google Scholar 

  33. Jang H, Reeve J, Deci EL. Engaging students in learning activities: it is not autonomy support or structure but autonomy support and structure. J Educ Psychol. 2010;102(3):588.

    Article  Google Scholar 

  34. Deci EL, Vallerand RJ, Pelletier LG, Ryan RM. Motivation and education: the self-determination perspective. Educ Psychol. 1991;26(3-4):325–46.

    Article  Google Scholar 

  35. Ryan RM, Lynch MF, Vansteenkiste M, Deci EL. Motivation and autonomy in counseling, psychotherapy, and behavior change: a look at theory and practice 1ψ7. Couns Psychol. 2011;39(2):193–260.

    Article  Google Scholar 

  36. Kranstad V, Søftestad S, Fredriksen TV, Willumsen T. Being considerate every step of the way: a qualitative study analysing trauma-sensitive dental treatment for childhood sexual abuse survivors. Eur J Oral Sci. 2019;127(6):539–46.

    Article  Google Scholar 

  37. Tessier D, Sarrazin P, Ntoumanis N. The effect of an intervention to improve newly qualified teachers’ interpersonal style, students motivation and psychological need satisfaction in sport-based physical education. Contemp Educ Psychol. 2010;35(4):242–53.

    Article  Google Scholar 

  38. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072–8.

    Article  Google Scholar 

  39. Taylor IM, Ntoumanis N. Teacher motivational strategies and student self-determination in physical education. J Educ Psychol. 2007;99(4):747.

    Article  Google Scholar 

  40. Van den Broeck A, Vansteenkiste M, De Witte H, Lens W. Explaining the relationships between job characteristics, burnout, and engagement: the role of basic psychological need satisfaction. Work Stress. 2008;22(3):277–94.

    Article  Google Scholar 

  41. Ryan RM, Deci EL, Grolnick WS, La Guardia JG. The significance of autonomy and autonomy support in psychological development and psychopathology. In: Cicchetti, D., & Cohen, D. J. (Eds.). The developmental psychopathology: Theory and method (pp. 795–849). Hoboken, NJ: Wiley, 2006.

    Google Scholar 

  42. Deci EL, Ryan RM. Self-determination theory: a macrotheory of human motivation, development, and health. Can Psychol. 2008;49(3):182.

    Article  Google Scholar 

  43. Ryan RM, Rigby S, King K. Two types of religious internalization and their relations to religious orientations and mental health. J Pers Soc Psychol. 1993;65(3):586.

    Article  Google Scholar 

  44. Pelletier LG, Dion S, Tuson K, Green-Demers I. Why do people fail to adopt environmental protective behaviors? Toward a taxonomy of environmental amotivation 1. J Appl Soc Psychol. 1999;29(12):2481–504.

    Article  Google Scholar 

  45. Deci EL, Ryan RM. The" what" and" why" of goal pursuits: human needs and the self-determination of behavior. Psychol Inq. 2000;11(4):227–68.

    Article  Google Scholar 

  46. Ryan RM, Connell JP. Perceived locus of causality and internalization: examining reasons for acting in two domains. J Pers Soc Psychol. 1989;57(5):749.

    Article  Google Scholar 

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Correspondence to Anne Elisabeth Münster Halvari .

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Halvari, A.E.M. (2022). Self-Determination Theory – Autonomy Support and Improving Oral Health. In: Willumsen, T., Lein, J.P.Å., Gorter, R.C., Myran, L. (eds) Oral Health Psychology. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-031-04248-5_8

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  • DOI: https://doi.org/10.1007/978-3-031-04248-5_8

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