ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2019
Diabetes self-management and glycemic control: The role of autonomy support from informal health supporters.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Peer Support Intervention Effect on Medication Adherence, Self-care and Knowledge Among Patients With Diabetes: A Randomized Control Trial
Effect of a Peer Support Intervention on Glycemic Control and Economic Burden Among Patients With Diabetes on Follow-up at a Tertiary Hospital: A Randomized Controlled Trial
Who cites it
51 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effectiveness of digital health technologies for patients with diabetes mellitus: A systematic review.Frontiers in clinical diabetes and healthcare · 2022Pooled it
- The effect of peer support in diabetes self-management education on glycemic control in patients with type 2 diabetes: a systematic review and meta-analysis.Epidemiology and health · 2021Pooled it
- Effect of a peer support group intervention on medication adherence, self- care practices, and diabetes knowledge among patients with diabetes in Northern Ethiopia: a randomized controlled trial.BMC primary care · 2026Trial
- Glycemic Control With Layperson-Delivered Telephone Calls vs Usual Care for Patients With Diabetes: A Randomized Clinical Trial.JAMA network open · 2024Trial
- HbA1c as a shared treatment goal in type 2 diabetes? A secondary analysis of the DEBATE trial.BMC primary care · 2023Trial
- Effectiveness of a Health Coaching Intervention for Patient-Family Dyads to Improve Outcomes Among Adults With Diabetes: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Effectiveness-implementation trial comparing a family model of diabetes self-management education and support with a standard model.Contemporary clinical trials · 2022Trial
- Relationship between adult and family supporter health literacy levels and supporter roles in diabetes management.Families, systems & health : the journal of collaborative family healthcare · 2021Trial
- Article
- Robustness of Joint Over Separate Models for Investigating Predictors of Blood Sugar Level and Time to First Remission Among Type I Diabetic Patients Under Treatment; a Retrospective Study Design.Health science reports · 2026Article
- Investigating the role of perceived autonomy support in moderating the association between diabetes stigma and psychological and diabetes self-management outcomes among adults with type 2 diabetes in Ghana.PLOS global public health · 2026Article
- Understanding Preferences for Weight Loss Diets Amongst Patients With a Diagnosis of Type 2 Diabetes.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Article
- Continuous glucose monitoring remote monitoring does not meet the needs of all adult users: A qualitative study of adults with type 1 diabetes who do not use remote monitoring.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Association of Social Support with Diabetes-Related Outcomes for Adults with and without Food Insecurity at an Urban Federally Qualified Health Center.Journal of hunger & environmental nutrition · 2025Article
- Time to achieve optimal glycemic control and its determinants among diabetes mellitus patients receiving treatment: a retrospective study.Scientific reports · 2025Article
- Article
- Health Literacy and Behaviors of Patients and Caregivers Related to Glycemic Control Among Individuals With Type 2 Diabetes in Chiang Mai Province, Thailand.Patient preference and adherence · 2025Article
- Impact of Antepartum Case-Based Learning on Glycemic Control and Self-Management Skills in Women with Gestational Diabetes: A Patient-Centered Non-Parallel Quasi-Experimental Study.Patient preference and adherence · 2025Article
- Determinants of Glycemic Control in Thai Adults with Insulin-Treated Type 2 Diabetes Mellitus: A Cross-Sectional Study.Patient preference and adherence · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveEffective diabetes self-management can prevent long-term health complications but is often complex and difficult to achieve. Health care professionals' support for patients' autonomy (autonomy support) in managing their diabetes contributes to better diabetes self-care and glycemic control. Most adults with diabetes also receive self-management support from informal health supporters. Yet, the role of autonomy support from these informal health supporters has not been explored. We examined patients' perceived autonomy support from their main health supporter (family member or friend) in relation to their diabetes distress, self-efficacy, self-monitoring of blood glucose (SMBG), medication adherence, and hemoglobin A1c (HbA1c).
methodThree hundred twenty-six veterans with Type 2 diabetes at high risk for complications, who identified a main health supporter, were surveyed using self-report measures of social support, diabetes distress, self-efficacy, and self-care. HbA1c and prescription fill data were extracted from VA electronic records for the 12-months before and after the survey. Linear regression and linear mixed models examined the associations of autonomy support with diabetes distress, self-efficacy, SMBG, medication adherence, and glycemic control, controlling for participant-supporter relationship characteristics and patient-factors.
resultsIn adjusted models, greater autonomy support was associated with lower diabetes distress (B = -.323, SE = .098, p = .001), greater self-efficacy (B = .819, SE = .148, p < .001), more frequent SMBG (B = .297, SE = .082, p < .001), and better subsequent 12-month glycemic control (B = .257, SE = .085, p = .003) but not with medication adherence (B = .001, SE = .020, p = .994).
conclusionsAutonomy support from main health supporters is significantly associated better diabetes related attitudes, self-care, and glycemic control after adjusting for relationship and patient characteristics. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.