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Disclosure of HIV status is an important topic for youth living with HIV/AIDS, yet theoretical frameworks for understanding HIV disclosure motivations have been poorly applied. Self-determination theory (SDT) proposes that people are at optimal functioning when they are engaging in activities that are interesting and enlivening. This study utilized SDT to understand young adults’ motivations to disclose their HIV status. Interviews and observations were conducted with nine youth aged 17–19 and two adult staff. Results indicate that SDT is useful for understanding types of motivation (i.e., amotivation, controlled, and autonomous motivation) to disclose. Amotivation was the most common type of motivation, and came from two recursive sources: fear of stigma and previous experiences of others disclosing without their consent. Controlled motivation to disclose occurred when participants were motivated to disclose because of reasons related to other people, rather than internal or personal reasons, and included the reasons of wanting to gain a closer relationship, reciprocate a shared secret, for psychological or emotional relief, and for attention. Autonomous motivation included two themes: the life perspective that “Having HIV is just part of who I am,” and valuing educating others because education was perceived as important and beneficial to others. This study extends SDT into the domain of HIV disclosure in older adolescents. People providing guidance and support to older adolescents with HIV/AIDS can use SDT to understand different motivations to disclose.
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Baldwin, C. K., & Caldwell, L. L. (2003). Development of the free time motivation scale for adolescents. Journal of Leisure Research,35(2), 129–152.
Boiche, J. C. S., Sarrazin, P. G., Pelletier, L. G., Grouzet, F. M. E., & Chanal, J. P. (2008). Students’ motivational profiles and achievement outcomes in physical education: A self-determination perspective. Journal of Educational Psychology,100(3), 688–701. CrossRef
Brashers, D. E., Neidig, J. L., & Goldsmith, D. J. (2004). Social support and the management of uncertainty for people living with HIV or AIDS. Health Communication, 16(3), 305–331.
Deci, E. L., & Ryan, R. M. (1985). Intrinsic Motivation and Self-Determination in Human Development. New York, NY: Plenum. CrossRef
Deci, E. L., & Ryan, R. M. (2000). The ‘what’ and ‘why’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry,11(4), 227–269. CrossRef
Deci, E. L., & Ryan, R. M. (2008a). Facilitating optimal motivation and psychological well-being across life’s domains. Canadian Psychology/Psychologie canadienne,49(1), 14–23. CrossRef
Deci, E. L., & Ryan, R. M. (2008b). Self-determination theory: A macrotheory of human motivation, development, and health. Canadian Psychology/Psychologie canadienne. Special Issue: Social psychology and self-determination theory: A Canadian contribution, 49(3), 182–185.
Eustace, R. W., & Ilagan, P. R. (2010). HIV disclosure among HIV positive individuals: A concept analysis. Journal of Advanced Nursing,66(9), 2094–2103. PubMed
Fortier, M. S., & Farrell, R. J. (2009). Comparing self-determination and body image between excessive and healthy exercisers. Hellenic Journal of Psychology,6(2), 223–243.
Fortier, M. S., Kowal, J., Lemyre, L., & Orpana, H. M. (2009). Intentions and actual physical activity behavior change in a community-based sample of middle-aged women: Contributions from the Theory of Planned Behavior and Self-Determination Theory. International Journal of Sport and Exercise Psychology,7(1), 46–67. CrossRef
Gagne, M., & Deci, E. L. (2005). Self-determination theory and work motivation. Journal of Organizational Behavior,26(4), 331–362. CrossRef
Gegenfurtner, A., Festner, D., Gallenberger, W., Lehtinen, E., & Gruber, H. (2009). Predicting autonomous and controlled motivation to transfer training. International Journal of Training and Development,13(2), 124–138. CrossRef
Gillard, A., Witt, P. A., & Watts, C. E. (2010). An examination of staff-level stakeholders and organizational culture at a camp for youth with HIV/AIDS. Journal of Park and Recreation Administration,28(3), 61–78.
Gillard, A., Witt, P. A., & Watts, C. E. (2011). Outcomes and processes at a camp for youth with HIV/AIDS. Qualitative Health Research.
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York, NY: Simon and Schuster.
Hosek, S. G., Harper, G. W., & Domanico, R. (2000). Psychological and social difficulties of adolescents living with HIV: A qualitative analysis. Journal of Sex Education and Therapy,25(4), 269–276.
Igreja, I., Zuroff, D. C., Koestner, R., Saltaris, C., Brouillette, M.-J., & Lalonde, R. (2000). Applying Self-Determination Theory to the prediction of distress and well-being in gay men with HIV and AIDS. Journal of Applied Social Psychology,30(4), 686–707. CrossRef
Kennedy, S., Goggin, K., & Nollen, N. (2004). Adherence to HIV medications: Utility of the Theory of Self-Determination. Cognitive Therapy and Research,28(5), 611–629. CrossRef
LaGuardia, J. G., Ryan, R. M., Couchman, C. E., & Deci, E. L. (2000). Within-person variation in security of attachment: A Self-Determination Theory perspective on attachment, need fulfillment, and well-being. Journal of Personality and Social Psychology,79(3), 367–384. CrossRef
Mellor, D., Hayashi, Y., Stokes, M., Firth, L., Lake, L., Staples, M., et al. (2009). Volunteering and its relationship with personal and neighborhood well-being. Nonprofit and Voluntary Sector Quarterly,38(1), 144–159. CrossRef
Ntoumanis, N., & Standage, M. (2009). Morality in sport: A Self-Determination Theory perspective. Journal of Applied Sport Psychology,21(4), 365–380. CrossRef
Oliver, E., Markland, D., Hardy, J., & Petherick, C. (2008). The effects of autonomy-supportive versus controlling environments on self-talk. Motivation and Emotion,32(3), 200–212. CrossRef
Patton, M. Q. (2002). Qualitative Research and Evaluation Methods (3rd ed.). Newbury Park, CA: Sage.
Pelletier, L. G., Fortier, M. S., Vallerand, R. J., & Briere, N. M. (2001). Associations among perceived autonomy support, forms of self-regulation, and persistence: A prospective study. Motivation and Emotion,25(4), 279–306. CrossRef
Perlman, D., & Goc Karp, G. (2010). A self-determined perspective of the sport education model. Physical Education and Sport Pedagogy,15(4), 401–418. CrossRef
Roark, M. F., Ellis, G. D., Wells, M. S., & Gillard, A. (2010). Measuring relationships between camp staff and camper developmental outcomes: An application of Self-Determination Theory. Journal of Park and Recreation Administration,28(3), 79–94.
Roberts, K. J., & Mann, T. (2000). Barriers to antiretroviral medication adherence in HIV-infected women. AIDS Care, 12(4), 377–386. doi: 10.1080/09540120050123774.
Ryan, R. M., La Guardia, J. G., Solky-Butzel, J., Chirkov, V., & Kim, Y. (2005). On the interpersonal regulation of emotions: Emotional reliance across gender, relationships, and cultures. Personal Relationships,12(1), 145–163. CrossRef
Soenens, B., & Vansteenkiste, M. (2005). Antecedents and outcomes of self-determination in 3 life domains: The role of parents’ and teachers’ autonomy support. Journal of Youth and Adolescence,34(6), 589–604. CrossRef
Spray, C. M., Wang, C. K. J., Biddle, S. J. H., & Chatzisarantis, N. L. D. (2006). Understanding motivation in sport: An experimental test of achievement goal and self determination theories. European Journal of Sport Science,6(1), 43–52. CrossRef
Strauss, A., & Corbin, J. (1998). Basics of qualitative research (2nd ed.). Thousand Oaks, CA: Sage.
Sturdevant, M. S., Belzer, M., Weissman, G., Friedman, L. B., Sarr, M., & Muenz, L. R. (2001). The relationship of unsafe sexual behavior and the characteristics of sexual partners of HIV infected and HIV uninfected adolescent females. Journal of Adolescent Health, 29(3, Supplement 1), 64–71.
Travers, R., & Paoletti, D. (1999). Responding to the support needs of HIV positive lesbian, gay, and bisexual youth. Canadian Journal of Human Sexuality,8(4), 271–284.
Weinstein, N., & Ryan, R. M. (2010). When helping helps: Autonomous motivation for prosocial behavior and its influence on well-being for the helper and recipient. Journal of Personality & Social Psychology, 98(2), 222–244.
Williams, G. C., Rodin, G. C., Ryan, R. M., Grolnick, W. S., & Deci, E. L. (1998). Autonomous regulation and long-term medication adherence in adult outpatients. Health Psychology, 17(3), 269–276.
Yin, R. K. (2003). Case study research: Design and methods (3rd ed.). Thousand Oaks, CA: Sage.
- Older Adolescents’ Self-Determined Motivations to Disclose Their HIV Status
Mark F. Roark
- Springer US