Self-determination Theory: A Framework for Enhancing Patient-centered Care

•Self-determination theory principles can increase the quality of patient-centered care within the Army.•Satisfying autonomy, competence, and relatedness needs may improve health outcomes.•Providing rationales, feedback, and active listening may enhance patient care.

The purpose of this report is to highlight the relevance of self-determination theory (SDT) as a framework for conceiving of and implementing patient-centered care within the United States Army Medical Department (AMEDD). Traditionally, patient-practitioner communication within AMEDD settings has involved directive and hierarchical presentation of information. Consequently, the aim of this report is to examine research suggesting the value of SDT constructs in promoting patient-centered care in AMEDD settings. We have included a brief review of research on patient-centered care and health outcomes and a discussion of SDT principles and SDT-based strategies for promoting patient-centered care.