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Modelling the Associations Between the Physician–Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.

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Title: Modelling the Associations Between the Physician–Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.
Authors: Eigeland, Jessica A. (AUTHOR), Moffitt, Robyn L. (AUTHOR), Sheeran, Nicola (AUTHOR), Loxton, Natalie (AUTHOR), Jones, Liz (AUTHOR)
Source: International Journal of Behavioral Medicine. Aug2026, Vol. 33 Issue 4, p542-552. 11p.
Subjects: Chronic disease treatment, Mathematical variables, Self-evaluation, Patient compliance, Patient autonomy, Mental health, Health status indicators, Disease management, Evaluation of medical care, Path analysis (Statistics), Structural equation modeling, Psychology, Motivation (Psychology), Need (Psychology), Frustration, Physician-patient relations, Research, Theory, Factor analysis, Patient satisfaction, Self-perception
Geographic Terms: Australia
Abstract: Background: The aim of this study was to model the associations between the physician–patient relationship and patient outcomes, considering the mediating role of Self-Determination Theory variables. Method: The current study comprised a sample (N = 226) of Australians with a diagnosed chronic health condition. Path analysis via structural equation modelling was used to model the relationships between patients' self-reported perception of the physician–patient relationship, motivation (autonomous and controlled), basic psychological needs (satisfaction and frustration), and patient outcomes (treatment adherence, mental health, and physical health). Results: Stronger physician–patient relationships indirectly predicted better physical and mental health, as well as greater adherence to treatment. This occurred through serial mediation, whereby stronger physician–patient relationships directly predicted need satisfaction, which in turn predicted autonomous motivation. Conversely, weaker physician–patient relationships indirectly predicted poorer mental health and lower adherence to treatment. This occurred through serial mediation where weaker physician–patient relationships predicted need frustration, which in turn predicted controlled motivation. Weaker physician–patient relationships also directly predicted controlled motivation. Conclusion: Satisfaction of basic psychological needs plays an important role in predicting patient motivation and outcomes. The current findings provide evidence that the physician–patient relationship plays a direct role in facilitating satisfaction and frustration of psychological needs, as well as patient motivation. Attention should be placed on interventions aimed at improving the physician–patient relationship as a means through which to increase need satisfaction, autonomous motivation, and, consequently, patient adherence and outcomes. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Modelling the Associations Between the Physician–Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.
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  Data: Background: The aim of this study was to model the associations between the physician–patient relationship and patient outcomes, considering the mediating role of Self-Determination Theory variables. Method: The current study comprised a sample (N = 226) of Australians with a diagnosed chronic health condition. Path analysis via structural equation modelling was used to model the relationships between patients' self-reported perception of the physician–patient relationship, motivation (autonomous and controlled), basic psychological needs (satisfaction and frustration), and patient outcomes (treatment adherence, mental health, and physical health). Results: Stronger physician–patient relationships indirectly predicted better physical and mental health, as well as greater adherence to treatment. This occurred through serial mediation, whereby stronger physician–patient relationships directly predicted need satisfaction, which in turn predicted autonomous motivation. Conversely, weaker physician–patient relationships indirectly predicted poorer mental health and lower adherence to treatment. This occurred through serial mediation where weaker physician–patient relationships predicted need frustration, which in turn predicted controlled motivation. Weaker physician–patient relationships also directly predicted controlled motivation. Conclusion: Satisfaction of basic psychological needs plays an important role in predicting patient motivation and outcomes. The current findings provide evidence that the physician–patient relationship plays a direct role in facilitating satisfaction and frustration of psychological needs, as well as patient motivation. Attention should be placed on interventions aimed at improving the physician–patient relationship as a means through which to increase need satisfaction, autonomous motivation, and, consequently, patient adherence and outcomes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s12529-025-10371-0
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 542
    Subjects:
      – SubjectFull: Chronic disease treatment
        Type: general
      – SubjectFull: Mathematical variables
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Patient autonomy
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Health status indicators
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      – SubjectFull: Disease management
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      – SubjectFull: Evaluation of medical care
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      – SubjectFull: Path analysis (Statistics)
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      – SubjectFull: Structural equation modeling
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      – SubjectFull: Psychology
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      – SubjectFull: Motivation (Psychology)
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      – SubjectFull: Need (Psychology)
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      – SubjectFull: Frustration
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      – SubjectFull: Physician-patient relations
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      – SubjectFull: Patient satisfaction
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      – SubjectFull: Self-perception
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      – SubjectFull: Australia
        Type: general
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      – TitleFull: Modelling the Associations Between the Physician–Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.
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              Text: Aug2026
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