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已发表论文
自我决定理论在重返工作岗位干预措施中的应用：一项范围综述
Received 19 May 2025
Accepted for publication 4 November 2025
Published 19 November 2025 Volume 2025:18 Pages 7539—7550
DOI https://doi.org/10.2147/JMDH.S536760
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Brian Nyatanga
Kexin Chen,1,2,* Ling Yang,2,* Jiajia Tu2,*
1College of Medicine and Health Sciences, China Three Gorges University, YiChang, Hubei, 443000, People’s Republic of China; 2Department of Blood Purification, Yichang Second People’s Hospital, The Affiliated Yichang Hospital of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Ling Yang, Department of Blood Purification, Yichang Second People’s Hospital, The Affiliated Yichang Hospital of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China, Email 13972027722@163.com
Abstract: Self-Determination Theory (SDT) posits that satisfying the needs for autonomy, competence, and relatedness enhances motivation, which may influence return to work (RTW) outcomes. However, its specific impact on RTW remains unclear, warranting further investigation.Following PRISMA-ScR guidelines, we searched PubMed, Web of Science, Embase, Scopus, CINAHL and PsycINFO up to September 2025 for studies examining SDT constructs in RTW contexts. Eleven studies met with inclusion, covering diverse work disability populations. Evidence suggests that greater SDT need satisfaction is associated with higher quality motivation and more sustained RTW engagement, potentially reducing RTW duration and improving employment stability. SDT-informed interventions appear to promote need satisfaction and motivational internalization, with Motivational Interviewing and SDT-aligned tele-rehabilitation or organizational supports identified as common effective components. Our findings support SDT as a coherent framework for understanding RTW dynamics and imply that SDT-guided interventions may enhance vocational rehabilitation outcomes across populations. Future multidisciplinary work should develop explicit SDT-based theories, standardized measures, and integrated intervention pathways to optimize RTW trajectories and long-term employment outcomes.
Keywords: return to work, self-determination theory, occupational disability, vocational rehabilitation, motivational interviewing
1College of Medicine and Health Sciences, China Three Gorges University, YiChang, Hubei, 443000, People’s Republic of China; 2Department of Blood Purification, Yichang Second People’s Hospital, The Affiliated Yichang Hospital of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Ling Yang, Department of Blood Purification, Yichang Second People’s Hospital, The Affiliated Yichang Hospital of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China, Email 13972027722@163.com
Abstract: Self-Determination Theory (SDT) posits that satisfying the needs for autonomy, competence, and relatedness enhances motivation, which may influence return to work (RTW) outcomes. However, its specific impact on RTW remains unclear, warranting further investigation.Following PRISMA-ScR guidelines, we searched PubMed, Web of Science, Embase, Scopus, CINAHL and PsycINFO up to September 2025 for studies examining SDT constructs in RTW contexts. Eleven studies met with inclusion, covering diverse work disability populations. Evidence suggests that greater SDT need satisfaction is associated with higher quality motivation and more sustained RTW engagement, potentially reducing RTW duration and improving employment stability. SDT-informed interventions appear to promote need satisfaction and motivational internalization, with Motivational Interviewing and SDT-aligned tele-rehabilitation or organizational supports identified as common effective components. Our findings support SDT as a coherent framework for understanding RTW dynamics and imply that SDT-guided interventions may enhance vocational rehabilitation outcomes across populations. Future multidisciplinary work should develop explicit SDT-based theories, standardized measures, and integrated intervention pathways to optimize RTW trajectories and long-term employment outcomes.
Keywords: return to work, self-determination theory, occupational disability, vocational rehabilitation, motivational interviewing