TY - JOUR
T1 - Self-Determination Theory and Computer-Mediated Support
T2 - Modeling Effects on Breast Cancer Patient’s Quality-of-Life
AU - Hull, Shawnika J.
AU - Abril, Eulàlia P.
AU - Shah, Dhavan V.
AU - Choi, Mina
AU - Chih, Ming Yuan
AU - Kim, Sojung Claire
AU - Namkoong, Kang
AU - McTavish, Fiona
AU - Gustafson, David H.
N1 - Publisher Copyright:
© 2016 Taylor & Francis.
PY - 2016/10/2
Y1 - 2016/10/2
N2 - A breast cancer diagnosis typically results in dramatic and negative effects on an individual’s quality of life. Web-based interactive support systems such as the Comprehensive Health Enhancement Support System (CHESS) offer one avenue for mitigating these negative effects. While evidence supports the efficacy of such systems, evaluations typically fail to provide a true test of the theorized model of effects, treating self-determination theory’s constructs of competence, relatedness, and autonomy as outcomes rather than mediators. Using path analysis, this study tests the nature of the proposed mediated relationship between system engagement and quality-of-life indicators utilizing data collected from women (N = 90) who participated in the treatment condition of a CHESS randomized controlled trial. Findings support a latent model, indicating that system effects are mediated through an intertwined measure of autonomy, competence, and relatedness.
AB - A breast cancer diagnosis typically results in dramatic and negative effects on an individual’s quality of life. Web-based interactive support systems such as the Comprehensive Health Enhancement Support System (CHESS) offer one avenue for mitigating these negative effects. While evidence supports the efficacy of such systems, evaluations typically fail to provide a true test of the theorized model of effects, treating self-determination theory’s constructs of competence, relatedness, and autonomy as outcomes rather than mediators. Using path analysis, this study tests the nature of the proposed mediated relationship between system engagement and quality-of-life indicators utilizing data collected from women (N = 90) who participated in the treatment condition of a CHESS randomized controlled trial. Findings support a latent model, indicating that system effects are mediated through an intertwined measure of autonomy, competence, and relatedness.
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U2 - 10.1080/10410236.2015.1048422
DO - 10.1080/10410236.2015.1048422
M3 - Article
C2 - 26881789
AN - SCOPUS:84958547106
SN - 1041-0236
VL - 31
SP - 1205
EP - 1214
JO - Health Communication
JF - Health Communication
IS - 10
ER -
