A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health

Health Psychology Review

Volumn 15, Issue 2, 2021, Pages 214-244

  Ntoumanis, Nikos ^a,b   Ng, Johan Y Y ^c   Prestwich, Andrew ^d   Quested, Eleanor ^a,b   Hancox, Jennie E ^e   Thøgersen Ntoumani, Cecilie ^a,b   Deci, Edward L ^f,g   Ryan, Richard M ^h   Lonsdale, Chris ^h   Williams, Geoffrey C ⁱ  

^a CURTIN UNIVERSITY   (Australia)

^b CURTIN UNIVERSITY   (Australia)

^c CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

^d UNIVERSITY OF LEEDS   (United Kingdom)

^e UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^f UNIVERSITY OF ROCHESTER   (United States)

^g UNIVERSITY OF SOUTH EASTERN NORWAY   (Norway)

^h AUSTRALIAN CATHOLIC UNIVERSITY   (Australia)

ⁱ UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

Author keywords

autonomous motivation; Need support; psychological needs; wellness

Indexed keywords

HEALTH BEHAVIOR; HEALTH PROMOTION; HUMAN; MENTAL HEALTH; META ANALYSIS; MOTIVATION; PERSONAL AUTONOMY;

HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; MENTAL HEALTH; MOTIVATION; PERSONAL AUTONOMY;

EID: 85078963314     PISSN: 17437199     EISSN: 17437202     Source Type: Journal    
DOI: 10.1080/17437199.2020.1718529     Document Type: Article

References (116)

1. References marked with an asterisk indicate studies included in the meta-analysis.
2. *Arrogi, A., Schotte, A., Bogaerts, A., Boen, F., & Seghers, J., (2017). Short- and long-term effectiveness of a three-month individualized need-supportive physical activity counseling intervention at the workplace. BMC Public Health, 17, 52. doi: 10.1186/s12889-016-3965-1
3. *Babic, M. J., Smith, J. J., Morgan, P. J., Lonsdale, C., Plotnikoff, R. C., Eather, N., … Lubans, D. R., (2016). Intervention to reduce recreational screen-time in adolescents: Outcomes and mediators from the ‘switch-Off 4 healthy Minds’ (S4HM) cluster randomized controlled trial. Preventive Medicine, 91, 50–57. doi: 10.1016/j.ypmed.2016.07.014
4. *Badr, H., Smith, C. B., Goldstein, N. E., Gomez, J. E., & Redd, W. H., (2015). Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: Results of a randomized pilot trial. Cancer, 121, 150–158. doi: 10.1002/cncr.29009
5. Beauchamp, T. L., & Childress, J. F., (2009). Principles of biomedical ethics (6th ed). New York, NY: Oxford University Press.
6. Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R., (2011). Introduction to meta-analysis. Chichester, UK: Wiley.
7. *Borkoles, E., Carroll, S., Clough, P., & Polman, R. C., (2016). Effect of a non-dieting lifestyle randomised control trial on psychological health and weight management in morbidly obese pre-menopausal women. Maturitas, 83, 51–58. doi: 10.1016/j.maturitas.2015.09.010
8. *Carroll, S., Borkoles, E., & Polman, R., (2007). Short-term effects of a non-dieting lifestyle intervention program on weight management, fitness, metabolic risk, and psychological health in obese premenopausal females with the metabolic syndrome. Applied Physiology, Nutrition, and Metabolism, 32, 125–142. doi: 10.1139/h06-093
9. Catapano, A. L., Graham, I., De Backer, G., Wiklund, O., Chapman, M. J., Drexel, H., … Reiner, Ž. (2016). 2016 ESC/EAS guidelines for the management of dyslipidaemias. European Heart Journal, 37, 2999–3058. doi: 10.1093/eurheartj/ehw272
10. *Caudwell, K. M., Mullan, B. A., & Hagger, M. S., (2018). Testing an online, theory-based intervention to reduce pre-drinking alcohol consumption and alcohol-related harm in undergraduates: A randomized controlled trial. International Journal of Behavioral Medicine, 25, 592–604. doi: 10.1007/s12529-018-9736-x
11. Chanfreau, J., Lloyd, C., Byron, C., Roberts, C., Craig, R., De Feo, D., & McManus, S., (2008). Predicting well-being. London: Department of Health. Retrieved from http://natcen.ac.uk/media/205352/predictors-of-wellbeing.pdf
12. *Chatzisarantis, N. L., & Hagger, M. S., (2009). Effects of an intervention based on self-determination theory on self-reported leisure-time physical activity participation. Psychology & Health, 24, 29–48. doi: 10.1080/08870440701809533
13. *Chatzisarantis, N. L., Hagger, M. S., Kamarova, S., & Kawabata, M., (2012). When effects of the universal psychological need for autonomy on health behaviour extend to a large proportion of individuals: A field experiment. British Journal of Health Psychology, 17, 785–797. doi: 10.1111/j.2044-8287.2012.02073.x
14. Cohen, J., (1988). Statistical power analysis for the behavioral sciences (2nd ed). New Jersey: Lawrence Erlbaum Associates.
15. *Cossette, S., Belaid, H., Heppell, S., Mailhot, T., & Guertin, M. C., (2016). Feasibility and acceptability of a nursing intervention with family caregiver on self-care among heart failure patients: A randomized pilot trial. Pilot and Feasibility Studies, 2, 34. doi: 10.1186/s40814-016-0077-8
16. Deci, E. L., & Ryan, R. M., (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum Publishing Co.
17. Deci, E. L., & Ryan, R. M., (2012). Self-determination theory in health care and its relations to motivational interviewing: A few comments. International Journal of Behavioral Nutrition and Physical Activity, 9 (1), 24. doi: 10.1186/1479-5868-9-24
18. *Duda, J. L., Williams, G. C., Ntoumanis, N., Daley, A., Eves, F. F., Mutrie, N., … Jolly, K., (2014). Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: A cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 11, 10. doi: 10.1186/1479-5868-11-10
19. *Duncan, L. R., Hall, C. R., Wilson, P. M., & Rodgers, W. M., (2012). The use of a mental imagery intervention to enhance integrated regulation for exercise among women commencing an exercise program. Motivation and Emotion, 36, 452–464. doi: 10.1007/s11031-011-9271-4
20. *Edmunds, J., Ntoumanis, N., & Duda, J. L., (2008). Testing a self-determination theory-based teaching style intervention in the exercise domain. European Journal of Social Psychology, 38, 375–388. doi: 10.1002/ejsp.463
21. *Fortier, M. S., Wiseman, E., Sweet, S. N., O’Sullivan, T. L., Blanchard, C. M., Sigal, R. J., & Hogg, W., (2011). A moderated mediation of motivation on physical activity in the context of the physical activity counseling randomized control trial. Psychology of Sport and Exercise, 12, 71–78. doi: 10.1016/j.psychsport.2010.08.001
22. Fransen, K., Boen, F., Vansteenkiste, M., Mertens, N., & Vande Broek, G., (2017). The power of competence support: The impact of coaches and athlete leaders on intrinsic motivation and performance. Scandinavian Journal of Medicine and Science in Sports, 28, 725–745. doi: 10.1111/sms.12950
23. *Friederichs, S. A., Oenema, A., Bolman, C., & Lechner, L., (2015). Long term effects of self-determination theory and motivational interviewing in a web-based physical activity intervention: Randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 12, 101. doi: 10.1186/s12966-015-0262-9
24. Gillison, F. B., Rouse, P., Standage, M., Sebire, S. J., & Ryan, R. M., (2019). A meta-analysis of techniques to promote motivation for health behaviour change from a self-determination theory perspective. Health Psychology Review, 13, 110–130. doi: 10.1080/17437199.2018.1534071
25. *González-Cutre, D., Ferriz, R., Beltrán-Carrillo, V. J., Andrés-Fabra, J. A., Montero-Carretero, C., Cervelló, E., & Moreno-Murcia, J. A., (2013). Promotion of autonomy for participation in physical activity: A study based on the trans-contextual model of motivation. Educational Psychology, 34, 367–384. doi: 10.1080/01443410.2013.817325
26. Grundy, S. M., Stone, N. J., Bailey, A. L., Beam, C., Birtcher, K. K., Blumenthal, R. S., … Goldberg, R., (in press). 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA guideline on the management of blood cholesterol: A report of the American College of Cardiology/American heart association task force on clinical practice guidelines. Journal of the American College of Cardiology, 73 (24), 3168–3209. doi: 10.1016/j.jacc.2018.11.002
27. *Ha, A. S., Lonsdale, C., Lubans, D. R., & Ng, J. Y. Y., (2018). Increasing students’ physical activity during school physical education: Rationale and protocol for the SELF-FIT cluster randomized controlled trial. BMC Public Health, 18, 11. doi: 10.1186/s12889-017-4553-8
28. *Ha, A. S., Lonsdale, C., Ng, J. Y. Y., & Lubans, D. R., (2017). A school-based rope skipping program for adolescents: Results of a randomized trial. Preventive Medicine, 101, 188–194. doi: 10.1016/j.ypmed.2017.06.001
29. Hagger, M. S., Luszczynska, A., De Wit, J., Benyamini, Y., Burkert, S., Chamberland, P. E., … Gauchet, A., (2016). Implementation intention and planning interventions in health psychology: Recommendations from the synergy expert group for research and practice. Psychology & Health, 31, 814–839. doi: 10.1080/08870446.2016.1146719
30. *Halvari, A. E., & Halvari, H., (2006). Motivational predictors of change in oral health: An experimental test of self-determination theory. Motivation and Emotion, 30, 294–305. doi: 10.1007/s11031-006-9035-8
31. *Halvari, A. E., Halvari, H., Bjornebekk, G., & Deci, E. L., (2012). Self-determined motivational predictors of increases in dental behaviors, decreases in dental plaque, and improvement in oral health: A randomized clinical trial. Health Psychology, 31, 777–788. doi: 10.1037/a0027062
32. *Halvari, H., Healey, J., Olafsen, A. H., Byrkjeland, R., Deci, E. L., & Williams, G. C., (2017). Physical activity and motivational predictors of changes in health behavior and health among DM2 and CAD patients. Scandinavian Journal of Medicine & Science in Sports, 27, 1454–1469. doi: 10.1111/sms.12757
33. *Hankonen, N., Heino, M. T., Hynynen, S. T., Laine, H., Araujo-Soares, V., Sniehotta, F. F., … Haukkala, A., (2017). Randomised controlled feasibility study of a school-based multi-level intervention to increase physical activity and decrease sedentary behaviour among vocational school students. International Journal of Behavioral Nutrition and Physical Activity, 14, 37. doi: 10.1186/s12966-017-0484-0
34. *Hargreaves, E. A., Mutrie, N., & Fleming, J. D., (2016). A web-based intervention to encourage walking (StepWise): Pilot randomized controlled trial. JMIR Research Protocols, 5, e14. doi: 10.2196/resprot.4288
35. *Havenar, J., (2007). Adapted motivational interviewing for increasing physical activity: A 12 month clinical trial. (Doctor of Philosophy), Arizona State University.
36. Higgins, J. P. T., Altman, D. G., & Sterne, J. A. C., (2011). Chapter 8: Assessing risk of bias in included studies. In J. P. T., Higgins, & S., Green (Eds.), Cochrane handbook for systematic reviews of interventions (Vol. 5.1.0 [updated March 2011]). The Cochrane Collaboration.
37. *How, Y. M., & Wang, J. C. K., (2016). The effectiveness of an autonomy-supportive teaching structure in physical education. [Eficacia de la estructura de enseñanza con soporte de autonomía en educación física]. RICYDE. Revista Internacional de Ciencias del Deporte, 12, 5–28. doi: 10.5232/ricyde
38. *How, Y. M., Whipp, P., Dimmock, J., & Jackson, B., (2013). The effects of choice on autonomous motivation, perceived autonomy support, and physical activity levels in high school physical education. Journal of Teaching in Physical Education, 32, 131–148. doi: 10.1123/jtpe.32.2.131
39. *Hsu, Y.-T., Buckworth, J., Focht, B. C., & O’Connell, A. A., (2013). Feasibility of a self-determination theory-based exercise intervention promoting healthy at every size with sedentary overweight women: Project CHANGE. Psychology of Sport and Exercise, 14, 283–292. doi: 10.1016/j.psychsport.2012.11.007
40. Huffcutt, A. I., & Arthur, W., Jr. (1995). Development of a new outlier statistic for meta-analytic data. Journal of Applied Psychology, 80, 327–334.
41. *Husted, G. R., Thorsteinsson, B., Esbensen, B. A., Gluud, C., Winkel, P., Hommel, E., & Zoffmann, V., (2014). Effect of guided self-determination youth intervention integrated into outpatient visits versus treatment as usual on glycemic control and life skills: A randomized clinical trial in adolescents with type 1 diabetes. Trials, 15, 321. doi: 10.1186/1745-6215-15-321
42. *Jago, R., Edwards, M. J., Sebire, S. J., Tomkinson, K., Bird, E. L., Banfield, K., … Blair, P. S., (2015). Effect and cost of an after-school dance programme on the physical activity of 11-12 year old girls: The Bristol Girls Dance Project, a school-based cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 12, 128. doi: 10.1186/s12966-015-0289-y
43. *Jago, R., Sebire, S. J., Cooper, A. R., Haase, A. M., Powell, J., Davis, L., … Montgomery, A. A., (2012). Bristol Girls Dance Project feasibility trial: Outcome and process evaluation results. International Journal of Behavioral Nutrition and Physical Activity, 9, 83. doi: 10.1186/1479-5868-9-83
44. *Jago, R., Sebire, S. J., Davies, B., Wood, L., Edwards, M. J., Banfield, K., … Montgomery, A. A., (2014). Randomised feasibility trial of a teaching assistant led extracurricular physical activity intervention for 9 to 11 year olds: Action 3:30. International Journal of Behavioral Nutrition and Physical Activity, 11, 114. doi: 10.1186/s12966-014-0114-z
45. *Juul, L., Maindal, H. T., Zoffmann, V., Frydenberg, M., & Sandbaek, A., (2014). Effectiveness of a training course for general practice nurses in motivation support in type 2 diabetes care: A cluster-randomised trial. PLoS One, 9, e96683. doi: 10.1371/journal.pone.0096683
46. *Kim, H. R., & Kim, H. S., (2017). Autonomy-supportive, web-based lifestyle modification for cardiometabolic risk in postmenopausal women: Randomized trial. Nursing & Health Sciences, 19, 509–517. doi: 10.1111/nhs.12375
47. *Kinnafick, F. E., Thogersen-Ntoumani, C., & Duda, J., (2016). The effect of need supportive text messages on motivation and physical activity behaviour. Journal of Behavioral Medicine, 39, 574–586. doi: 10.1007/s10865-016-9722-1
48. Landis, J. R., & Koch, G. G., (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.
49. *Levy, S. S., & Cardinal, B. J., (2004). Effects of a self-determination theory-based mail-mediated intervention on adults’ exercise behavior. American Journal of Health Promotion, 18, 345–349. doi: 10.4278/0890-1171-18.5.345
50. *Leyton, M., Batista, M., Lobato, S., Aspano, M. I., & Jimenez, R., (2017). Application of two intervention programs in order to optimize motivation and to improve eating habits in adult and elderly women. Journal of Human Kinetics, 59, 131–142. doi: 10.1515/hukin-2017-0153
51. *Li, D. S., (2010). Patient centered care approach to adherence with cardiovascular medications: Self-determination theory integration. (Doctor of Philosophy), Old Dominion University.
52. Lin, L., Chu, H., Murad, M. H., Hong, C., Qu, Z., Cole, S. R., & Chen, Y., (2018). Empirical comparison of publication bias tests in meta-analysis. Journal of General Internal Medicine, 33, 1260–1267. doi: 10.1007/s11606-018-4425-7
53. *Lonsdale, C., Lester, A., Owen, K. B., White, R. L., Peralta, L., Kirwan, M., … Lubans, D. R., (2019). An internet-supported school physical activity intervention in low socioeconomic status communities: Results from the activity and motivation in physical education (AMPED) cluster randomised controlled trial. British Journal of Sports Medicine, 53, 341–347. doi: 10.1136/bjsports-2017-097904
54. *Lonsdale, C., Rosenkranz, R. R., Sanders, T., Peralta, L. R., Bennie, A., Jackson, B., … Lubans, D. R., (2013). A cluster randomized controlled trial of strategies to increase adolescents’ physical activity and motivation in physical education: Results of the motivating active learning in physical education (MALP) trial. Preventive Medicine, 57, 696–702. doi: 10.1016/j.ypmed.2013.09.003
55. Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S., (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28, 690–701. doi: 10.1037/a0016136
56. Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., … Wood, C. E., (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46, 81–95. doi: 10.1007/s12160-013-9486-6
57. Michie, S., Wood, C. E., Johnston, M., Abraham, C., Francis, J. J., & Hardeman, W., (2015). Behaviour change techniques: The development and evaluation of a taxonomic method for reporting and describing behaviour change interventions (a suite of five studies involving consensus methods, randomised controlled trials and analysis of qualitative data). Health Technology Assessment, 19, 1–188. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK327619/?report=reader.
58. *Mildestvedt, T., Meland, E., & Eide, G. E., (2008). How important are individual counselling, expectancy beliefs and autonomy for the maintenance of exercise after cardiac rehabilitation? Scandinavian Journal of Public Health, 36, 832–840. doi: 10.1177/1403494808090633
59. Miller, R. W., & Rollnick, S., (1991). Motivational Interviewing: Preparing people to change addictive behavior. New York: Guilford Press.
60. *Moreno-Murcia, J. A., & Sánchez-Latorre, F., (2016). The effects of autonomy support in physical education classes [Efectos del soporte de autonomía en clases de educación física]. RICYDE. Revista Internacional de Ciencias del Deporte, 12, 79–89. doi: 10.5232/ricyde
61. *Mouratidis, A., Vansteenkiste, M., Lens, W., & Sideridis, G., (2008). The motivating role of positive feedback in sport and physical education: Evidence for a motivational model. Journal of Sport and Exercise Psychology, 30, 240–268. doi: 10.1123/jsep.30.2.240
62. *Moustaka, F. C., Vlachopoulos, S. P., Kabitsis, C., & Theodorakis, Y., (2012). Effects of an autonomy-supportive exercise instructing style on exercise motivation, psychological well-being, and exercise attendance in middle-age women. Journal of Physical Activity and Health, 9, 138–150.
63. *Mouton, A., Gillet, N., Mouton, F., Van Kann, D., Bruyere, O., Cloes, M., & Buckinx, F., (2017). Effects of a giant exercising board game intervention on ambulatory physical activity among nursing home residents: A preliminary study. Clinical Interventions in Aging, 12, 847–858. doi: 10.2147/CIA.S134760
64. *Nansel, T. R., Laffel, L. M., Haynie, D. L., Mehta, S. N., Lipsky, L. M., Volkening, L. K., … Liu, A., (2015). Improving dietary quality in youth with type 1 diabetes: Randomized clinical trial of a family-based behavioral intervention. International Journal of Behavioral Nutrition and Physical Activity, 12, 58. doi: 10.1186/s12966-015-0214-4
65. *Nation-Grainger, S., (2017). ‘It’s just PE’ till ‘It felt like a computer game’: Using technology to improve motivation in physical education. Research Papers in Education, 32, 463–480. doi: 10.1080/02671522.2017.1319590
66. Ng, J. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C., (2012). Self-determination theory applied to health contexts: A meta-analysis. Perspectives on Psychological Science, 7, 325–340. doi: 10.1177/1745691612447309
67. Ng, J. Y. Y., Ntoumanis, N., Thogersen-Ntoumani, C., Stott, K., & Hindle, L., (2013). Predicting psychological needs and well-being of individuals engaging in weight management. Applied Psychology: Health and Well-Being, 5, 291–310. doi: 10.1111/aphw.12011
68. *Niemiec, C. P., Manchester, R. A., Schultz, P. P., Rigby, C. S., & Williams, G. C., (2019). Randomized controlled trial of an electronic intervention for alcohol misuse informed by self-determination theory. Manuscript under preparation.
69. *Niemiec, C. P., Ryan, R. M., Deci, E. L., & Williams, G. C., (2009). Aspiring to physical health: The role of aspirations for physical health in facilitating long-term tobacco abstinence. Patient Education and Counseling, 74, 250–257. doi: 10.1016/j.pec.2008.08.015
70. *Ntoumanis, N., Thogersen-Ntoumani, C., Quested, E., & Hancox, J., (2017). The effects of training group exercise class instructors to adopt a motivationally adaptive communication style. Scandinavian Journal of Medicine & Science in Sports, 27, 1026–1034. doi: 10.1111/sms.12713
71. *Pardo, B. M., Bengoechea, E. G., Julian Clemente, J. A., & Lanaspa, E. G., (2014). Empowering adolescents to be physically active: Three-year results of the Sigue la Huella intervention. Preventive Medicine, 66, 6–11. doi: 10.1016/j.ypmed.2014.04.023
72. *Pedersen, C., Halvari, H., & Williams, G. C., (2018). Worksite intervention effects on motivation, physical activity, and health: A cluster randomized controlled trial. Psychology of Sport and Exercise, 35, 171–180. doi: 10.1016/j.psychsport.2017.11.004
73. *Pellegrini, C., Chang, R. W., Dunlop, D. D., Conroy, D., Lee, J., VanHorn, L., … Cameron, K., (2017). Preliminary comparison of patient-centered loss programs starting before versus after knee replacement [abstract]. Arthritis Rheumatology, 69.
74. Pelletier, L. G., Dion, S. C., Slovinec-D’Angelo, M., & Reid, R., (2004). Why do you regulate what you eat? Relationships between forms of regulation, eating behaviors, sustained dietary behavior change, and psychological adjustment. Motivation and Emotion, 28, 245–277. doi: 0146-7239/04/0900-0245/0
75. *Perlman, D., (2013). The influence of the social context on students in-class physical activity. Journal of Teaching in Physical Education, 32, 46–60. doi: 10.1123/jtpe.32.1.46
76. Pesis-Katz, I., Williams, G. C., Niemieic, C. P., & Fiscella, K., (2011). Cost-effectiveness of an intensive tobacco dependence intervention based on self-determination theory. American Journal of Managed Care, 17, e393–e398.
77. Prestwich, A., Kenworthy, J., & Conner, M., (2017). Health behavior change: Theories, methods and interventions. Abingdon: Routledge.
78. Prestwich, A., Sheeran, P., Webb, T. L., & Gollwitzer, P. M., (2015). Implementation intentions. In M., Conner, & P., Norman (Eds.), Predicting and changing health behaviour: Research and practice with social cognition models (3rd ed.; pp. 321–357). Maidenhead: Open University Press.
79. Project of the ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine. (2002). Medical professionalism in the new millennium: A physician charter. Annals of Internal Medicine, 136, 243–246. doi: 10.7326/0003-4819-136-3-200202050-00012
80. *Quaresma, A. M., Palmeira, A. L., Martins, S. S., Minderico, C. S., & Sardinha, L. B., (2014). Effect of a school-based intervention on physical activity and quality of life through serial mediation of social support and exercise motivation: The PESSOA program. Health Education Research, 29, 906–917. doi: 10.1093/her/cyu056
81. Quested, E., Ntoumanis, N., Thøgersen-Ntoumani, C., Hagger, M. S., & Hancox, J., (2017). Evaluating quality of implementation in physical activity interventions based on theories of motivation. International Review of Sport and Exercise Psychology, 10, 252–269. doi: 10.1080/1750984X.2016.1217342
82. *Resnicow, K., Davis, R. E., Zhang, G., Konkel, J., Strecher, V. J., Shaikh, A. R., … Wiese, C., (2008). Tailoring a fruit and vegetable intervention on novel motivational constructs: Results of a randomized study. Annals of Behavioral Medicine, 35, 159–169. doi: 10.1007/s12160-008-9028-9
83. Rhodes, R. E., Boudreau, P., Josefsson, K. W., & Ivarsson, A., (in press). Mediators of physical activity behavior change interventions among adults: A systematic review and meta-analysis. Health Psychology Review, doi: 10.1080/17437199.2019.1706614
84. Rhodes, R. E., McEwan, D., & Rebar, A. L., (2019). Theories of physical activity behaviour change: A history and synthesis of approaches. Psychology of Sport and Exercise, 42, 100–109. doi: 0.1016/j.psychsport.2018.11.010
85. Ridker, P. M., Danielson, E., Fonseca, F. A., Genest, J., Gotto Jr, A. M., Kastelein, J. J., … Nordestgaard, B. G., (2008). Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. New England Journal of Medicine, 359, 2195–2207. doi: 10.1056/NEJMoa0807646
86. *Riiser, K., Londal, K., Ommundsen, Y., Smastuen, M. C., Misvaer, N., & Helseth, S., (2014). The outcomes of a 12-week Internet intervention aimed at improving fitness and health-related quality of life in overweight adolescents: The young & active controlled trial. PLoS One, 9, e114732. doi: 10.1371/journal.pone.0114732
87. *Robbins, L. B., Pfeiffer, K. A., Vermeesch, A., Resnicow, K., You, Z., An, L., & Wesolek, S. M., (2013). “Girls on the Move” intervention protocol for increasing physical activity among low-active underserved urban girls: A group randomized trial. BMC Public Health, 13, 474. doi: 10.1186/1471-2458-13-474
88. Rouse, P. C., Duda, J. L., Ntoumanis, N., Jolly, K., & Williams, G. C., (2016). The development and validation of the Interpersonal Support in Physical Activity Consultations Observational Tool. European Journal of Sport Science, 16, 106–114.
89. Ryan, R. M., & Deci, E. L., (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. New York: Guilford Publishing.
90. Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C., (2008). Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. European Health Psychologist, 10, 2–5.
91. *Shah, K. N., Majeed, Z., Yoruk, Y. B., Yang, H., Hilton, T. N., McMahon, J. M., … Ryan, R. M., (2016). Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial. Health Psychology, 35, 563–573. doi: 10.1037/hea0000311
92. *Silva, M. N., Markland, D., Minderico, C. S., Vieira, P. N., Castro, M. M., Coutinho, S. R., … Teixeira, P. J., (2008). A randomized controlled trial to evaluate self-determination theory for exercise adherence and weight control: Rationale and intervention description. BMC Public Health, 8, 234. doi: 10.1186/1471-2458-8-234
93. Slemp, G. R., Kern, M. L., Patrick, K. J., & Ryan, R. M., (2018). Leader autonomy support in the workplace: A meta-analytic review. Motivation and Emotion, 42, 706–724. doi: 10.1007/s11031-018-9698-y
94. *Smith, J. J., Morgan, P. J., Plotnikoff, R. C., Dally, K. A., Salmon, J., Okely, A. D., … Lubans, D. R., (2014). Smart-phone obesity prevention trial for adolescent boys in low-income communities: The ATLAS RCT. Pediatrics, 134, e723–e731. doi: 10.1542/peds.2014-1012
95. *Song, H. Y., & Nam, K. A., (2015). Effectiveness of a stroke risk self-management intervention for adults with prehypertension. Asian Nursing Research, 9, 328–335. doi: 10.1016/j.anr.2015.10.002
96. *Spruijt-Metz, D., Nguyen-Michel, S. T., Goran, M. I., Chou, C. P., & Huang, T. T., (2008). Reducing sedentary behavior in minority girls via a theory-based, tailored classroom media intervention. International Journal of Pediatric Obesity, 3, 240–248. doi: 10.1080/17477160802113415
97. StataCorp. (2017). Stata statistical software: Release 15. College Station, TX: StataCorp LLC.
98. Teixeira, P. J., Marques, M. M., Silva, M. N., Brunet, J., Duda, J., Haerens, L., … Hagger, M. S., (2019). Classification of techniques used in self-determination theory-based interventions in health contexts: An expert consensus study. PsyArXiv, doi: 10.31234/osf.io/z9wqu
99. *Thompson, D., Cantu, D., Ramirez, B., Cullen, K. W., Baranowski, T., Mendoza, J., … Liu, Y., (2016). Texting to increase adolescent physical activity: Feasibility assessment. American Journal of Health Behavior, 40, 472–483. doi: 10.5993/AJHB.40.4.9
100. U.S. Department of Health and Human Services. (1990). The health benefits of smoking cessation. US Department of Health and Human Services. Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Atlanta, GA: U.S.
101. U.S. Department of Health and Human Services. (2014). The health consequences of smoking: 50 years of progress. A report of the surgeon general. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Atlanta, GA: U.S.
102. Vallerand, R. J., (1997). Toward a hierarchical model of intrinsic and extrinsic motivation. In M. P., Zanna (Ed.), Advances in experimental social psychology (Vol. 29, pp. 271–360). San Diego: Academic Press.
103. *Van Hoecke, A.-S., Delecluse, C., Opdenacker, J., & Boen, F., (2013). Year-round effectiveness of physical activity counseling on subjective well-being: A self-determination approach among flemish sedentary adults. Applied Research in Quality of Life, 9, 537–558. doi: 10.1007/s11482-013-9251-9
104. *Vanroy, J., Seghers, J., Bogaerts, A., Devloo, K., De Cock, S., & Boen, F., (2017). Short- and long-term effects of a need-supportive physical activity intervention among patients with type 2 diabetes mellitus: A randomized controlled pilot trial. PLoS One, 12, e0174805. doi: 10.1371/journal.pone.0174805
105. *Ward, J., Wilkinson, C., Graser, S. V., & Prusak, K. A., (2008). Effects of choice on student motivation and physical activity behavior in physical education. Journal of Teaching in Physical Education, 27, 385–398. doi: 10.1123/jtpe.27.3.385
106. *Weman-Josefsson, K., Fröberg, K., Karlsson, S., & Lindwall, M., (2015). Mechanisms in self-determined exercise motivation: Effects of a theory informed pilot intervention. Current Psychology, 36, 90–100. doi: 10.1007/s12144-015-9388-9
107. Williams, G. C., Freedman, Z. R., & Deci, E. L., (1998). Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care, 21, 1644–1651. doi: 10.2337/diacare.21.10.1644
108. *Williams, G. C., Cox, E. M., Kouides, R., & Deci, E. L., (1999). Presenting the facts about smoking to adolescents: Effects of an autonomy-supportive style. Archives of Pediatrics & Adolescent Medicine, 153, 959–964. doi: 10.1001/archpedi.153.9.959
109. *Williams, G. C., & Deci, E. L., (2001). Activating patients for smoking cessation through physician autonomy support. Medical Care, 39, 813–823.
110. *Williams, G. C., Lynch, M., & Glasgow, R. E., (2007). Computer-assisted intervention improves patient-centered diabetes care by increasing autonomy support. Health Psychology, 26, 728–734. doi: 10.1037/0278-6133.26.6.728
111. *Williams, G. C., Niemiec, C. P., Patrick, H., Ryan, R. M., & Deci, E. L., (2009). The importance of supporting autonomy and perceived competence in facilitating long-term tobacco abstinence. Annals of Behavioral Medicine, 37, 315–324. doi: 10.1007/s12160-009-9090-y
112. *Williams, G. C., Patrick, H., Niemiec, C. P., Ryan, R. M., Deci, E. L., & Lavigne, H. M., (2011). The smoker's health project: A self-determination theory intervention to facilitate maintenance of tobacco abstinence. Contemporary Clinical Trials, 32, 535–543. doi: 10.1016/j.cct.2011.03.002
113. Wilson, P. M., Rodgers, W. M., Blanchard, C. M., & Gessell, J., (2006). The relationship between psychological needs, self-determined motivation, exercise attitudes, and physical fitness. Journal of Applied Social Psychology, 33, 2373–2392. doi: 10.1111/j.1559-1816.2003.tb01890.x
114. *Wilson, D. K., Evans, A. E., Williams, J., Mixon, G., Sirard, J. R., & Pate, R., (2005). A preliminary test of a student-centered intervention on increasing physical activity in underserved adolescents. Annals of Behavioral Medicine, 30, 119–124. doi: 10.1207/s15324796abm3002_4
115. *Wilson, D. K., Van Horn, M. L., Kitzman-Ulrich, H., Saunders, R., Pate, R., Lawman, H. G., … Brown, P. V., (2011). Results of the “active by choice today” (ACT) randomized trial for increasing physical activity in low-income and minority adolescents. Health Psychology, 30, 463–471. doi: 10.1037/a0023390
116. World Health Organization. (2018). World health statistics 2018: Monitoring health for the sustainable development goals. Geneva: World Health Organization.