The importance of self-determination in CKD.

The Self-Determination Theory Motivation theorists study why people behave as they do. Motivation itself can derive from external factors like pressure from another person or fear of consequences, internal factors like a feeling of accomplishment, or both. When motivation is intrinsic, an individual does something because he or she wants to. People on dialysis who want to limit their fluids to acceptable levels or take their phosphate binders are far more likely to succeed in their self-management efforts. The Self-Determination Theory, developed by Richard M. Ryan and Edward L. Deci at the University of Rochester, synthesizes an understanding of motivation—and provides a practical understanding of how to mobilize others to act. The Self-Determination