Toward systematic integration between self-determination theory and motivational interviewing as examples of top-down and bottom-up intervention development: autonomy or volition as a fundamental theoretical principle

Clinical interventions can be developed through two distinct pathways. In the first, which we call top-down, a well-articulated theory drives the development of the intervention, whereas in the case of a bottom-up approach, clinical experience, more so than a dedicated theoretical perspective, drives the intervention. Using this dialectic, this paper discusses Self-Determination Theory (SDT) [1,2] and Motivational Interviewing (MI) [3] as prototypical examples of a top-down and bottom-up approaches, respectively. We sketch the different starting points, foci and developmental processes of SDT and MI, but equally note the complementary character and the potential for systematic integration between both approaches. Nevertheless, for a deeper integration to take place, we contend that MI researchers might want to embrace autonomy as a fundamental basic process underlying therapeutic change and we discuss the advantages of doing so

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

Background: The National Institute for Health and Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the feasibility and impact of a Self Determination Theory-based (SDT) exercise referral consultation. Methods: An exploratory cluster randomised controlled trial comparing standard provision exercise referral with an exercise referral intervention grounded in Self Determination Theory. Individuals (N = 347) referred to an exercise referral scheme were recruited into the trial from 13 centres. Outcomes and processes of change measured at baseline, 3 and 6-months: Minutes of self-reported moderate or vigorous physical activity (PA) per week (primary outcome), health status, positive and negative indicators of emotional well-being, anxiety, depression, quality of life (QOL), vitality, and perceptions of autonomy support from the advisor, need satisfaction (3 and 6 months only), intentions to be active, and motivational regulations for exercise. Blood pressure and weight were assessed at baseline and 6 months.Results: Perceptions of the autonomy support provided by the health and fitness advisor (HFA) did not differ by arm. Between group changes over the 6-months revealed significant differences for reported anxiety only. Within arm contrasts revealed significant improvements in anxiety and most of the Dartmouth CO-OP domains in the SDT arm at 6 months, which were not seen in the standard exercise referral group. A process model depicting hypothesized relationships between advisor autonomy support, need satisfaction and more autonomous motivation, enhanced well being and PA engagement at follow up was supported. Conclusions: Significant gains in physical activity and improvements in quality of life and well-being outcomes emerged in both the standard provision exercise referral and the SDT-based intervention at programme end. At 6-months, observed between arm and within intervention arm differences for indicators of emotional health, and the results of the process model, were in line with SDT. The challenges in optimising recruitment and implementation of SDT-based training in the context of health and leisure services are discussed

Basic Psychological Needs, Suicidal Ideation, and Risk for Suicidal Behavior in Young Adults

Associations between the satisfaction of basic psychological needs of autonomy, competence, and relatedness with current suicidal ideation and risk for suicidal behavior were examined. Two logistic regressions were conducted with a cross-sectional database of 440 university students to examine the association of need satisfaction with suicidal ideation and risk for suicidal behavior, while controlling for demographics and depressive symptoms. Suicidal ideation was reported by 15% of participants and 18% were found to be at risk for suicidal behavior. A one standard deviation increase in need satisfaction reduced the odds of suicidal ideation by 53%, OR (95% CI) = 0.47 (0.33–0.67), and the odds of being at risk for suicidal behavior by 50%, OR (95% CI) = 0.50 (0.37–0.69). Young adults whose basic psychological needs are met may be less likely to consider suicide and engage in suicidal behavior. Prospective research is needed to confirm these associations

MEASURING SQUASH HITTING ACCURACY USING THE ‘HUNT SQUASH ACCURACY TEST’

The purpose of this study was to determine the reliability and validity of the Hunt Squash Accuracy Test (HSAT). Reliability: ten male squash players performed the HSAT twice within seven days. Each test consisted of 375 shots across 13 different types of squash strokes on both the forehand and backhand side. Reliability was measured using a typical error (TE) score from consecutive pairs of trials. The overall TE score for the test was 1.82%, demonstrating that the HSAT is very reliable at the 90% confidence limit. Validity: measured using a correlation analysis comparing the results of 8 individual’s HSAT scores against a round-robin tournament ranking where all 8 players played against each other, as well as coach rankings of player ability. Validity was considered high with correlation coefficients of 0.93 for both the round-robin and coach ranking

The Allen Telescope Array Twenty-centimeter Survey -- A 700-Square-Degree, Multi-Epoch Radio Dataset -- II: Individual Epoch Transient Statistics

We present our second paper on the Allen Telescope Array Twenty-centimeter Survey (ATATS), a multi-epoch, ~700 sq. deg. radio image and catalog at 1.4 GHz. The survey is designed to detect rare, bright transients as well as to commission the ATA's wide-field survey capabilities. ATATS explores the challenges of multi-epoch transient and variable source surveys in the domain of dynamic range limits and changing (u,v) coverage. Here we present images made using data from the individual epochs, as well as a revised image combining data from all ATATS epochs. The combined image has RMS noise 3.96 mJy / beam, with a circular beam of 150 arcsec FWHM. The catalog, generated using a false detection rate algorithm, contains 4984 sources, and is >90% complete to 37.9 mJy. The catalogs generated from snapshot images of the individual epochs contain between 1170 and 2019 sources over the 564 sq. deg. area in common to all epochs. The 90% completeness limits of the single epoch catalogs range from 98.6 to 232 mJy. We compare the catalog generated from the combined image to those from individual epochs, and from the NRAO VLA Sky Survey (NVSS), a legacy survey at the same frequency. We are able to place new constraints on the transient population: fewer than 6e-4 transients / sq. deg., for transients brighter than 350 mJy with characteristic timescales of minutes to days. This strongly rules out an astronomical origin for the ~1 Jy sources reported by Matsumura et al. (2009), based on their stated rate of 3.1e-3 / sq. deg.Comment: 28 pages, 12 figures, ApJ accepte

Introducing equating methodologies to compare test scores from two different self-regulation scales

Abstract Standardizing the measurement tools that researchers use to assess the effectiveness of interventions would strengthen our ability to compare results across studies. In practice, however, standardization is difficult to implement, in part, because researchers prefer to use measurement tools that focus specifically on the components of their interventions. This paper demonstrates the usefulness of item response modeling linking methodology in comparing groups of participants who were administered different scales intended to measure the same underlying constructs. The Treatment Self-Regulation Questionnaire (TSRQ) as it relates to diet improvement provided the empirical application to demonstrate how two different scales that measure the same construct can be compared. The results showed that two eight-item TSRQ scales can be linked if they have at least four items in common. As expected, varying the number of linking items did not affect the reliability of the results; however, it significantly affected the relative rating with respect to the 15-item scale. In health behavior and health education research, linking methodologies can be used to compare results across studies that use slightly different versions of a scale to measure the same construct