title: Self-Determination Theory and Outpatient Follow-Up After Psychiatric Hospitalization.
abstract: The objective of this study was to assess whether the constructs of self-determination theory-autonomy, competence, and relatedness-are associated with adherence to outpatient follow-up appointments after psychiatric hospitalization. 242 individuals discharged from inpatient psychiatric treatment within the Veterans Health Administration completed surveys assessing self-determination theory constructs as well as measures of depression and barriers to treatment. Medical records were used to count the number of mental health visits and no-shows in the 14 weeks following discharge. Logistic regression models assessed the association between survey items assessing theory constructs and attendance at mental healthcare visits. In multivariate models, none of the self-determination theory factors predicted outpatient follow-up attendance. The constructs of self-determination theory as measured by a single self-report survey may not reliably predict adherence to post-hospital care. Need factors such as depression may be more strongly predictive of treatment adherence.
authors: VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), 2800 Plymouth Road Bldg 16, Ann Arbor, MI, 48109, USA. rekaufma@umich.edu.|VA Ann Arbor Health Care System, Ann Arbor, MI, USA. rekaufma@umich.edu.|Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. rekaufma@umich.edu.
authors: Rebecca K
authors: RK
authors: Sripada
authors: VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), 2800 Plymouth Road Bldg 16, Ann Arbor, MI, 48109, USA.|VA Ann Arbor Health Care System, Ann Arbor, MI, USA.|Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
authors: Nicholas W
authors: NW
authors: Bowersox
authors: VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), 2800 Plymouth Road Bldg 16, Ann Arbor, MI, 48109, USA.|VA Ann Arbor Health Care System, Ann Arbor, MI, USA.
authors: Dara
authors: D
authors: Ganoczy
authors: VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), 2800 Plymouth Road Bldg 16, Ann Arbor, MI, 48109, USA.|VA Ann Arbor Health Care System, Ann Arbor, MI, USA.|Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
authors: Marcia
authors: M
authors: Valenstein
authors: VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), 2800 Plymouth Road Bldg 16, Ann Arbor, MI, 48109, USA.|VA Ann Arbor Health Care System, Ann Arbor, MI, USA.|Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
authors: Paul N
authors: PN
authors: Pfeiffer
mesh_terms: D000359:Aftercare / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology* / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010351:Patient Discharge; D026684:Personal Autonomy; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011582:Psychological Theory
keywords: Aftercare; Discharge; Inpatient; Mental health; Motivation; Services