ArticleFrontiers in psychology2020
What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda.
Article in Frontiers in psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 22 citations in OpenAlex.
- Process evaluation of a pragmatic implementation trial to support self-management for the prevention and management of type 2 diabetes in Uganda, South Africa and Sweden in the SMART2D project.BMJ open diabetes research & care · 2022Trial
- Motivating Women with Gestational Diabetes: Are Healthcare Professionals Saying the Right Words?International journal of behavioral medicine · 2026Article
- Associations of internal/institutional motivation with physical activity among Chinese college students: exercise self-efficacy as a mediator.Frontiers in psychology · 2026Article
- Profiles of Health Behavior Motivation in a Chinese Population with Prediabetes and Its Association with Self-Management Ability: Based on Self-Determination Theory.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Glucose monitoring, support systems, and motivating factors among individuals newly diagnosed with type 2 diabetes: an explorative study in the Upper East Region, Ghana.BMC public health · 2025Article
- Mediating role of disease acceptance in the relationship between social support and adherence to treatment in patients with type 2 diabetes.Journal of behavioral medicine · 2025Article
- Barriers and facilitators of self-care in adults with pre-diabetes: a directed qualitative content analysis.BMC health services research · 2025Article
- Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review.Journal of diabetes research · 2023Article
- Psychosocial and diabetes risk factors among racially/ethnically diverse adults with prediabetes.Preventive medicine reports · 2022Article
- Effects of Leisure-Time Physical Activity on Cognitive Reserve Biomarkers and Leisure Motivation in the Pre-Diabetes Elderly.Healthcare (Basel, Switzerland) · 2022Article
- Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison.BMC public health · 2022Article
- Prevention and management of type 2 diabetes mellitus in Uganda and South Africa: Findings from the SMART2D pragmatic implementation trial.PLOS global public health · 2022Article
- Factors Related to Diabetes Self-Management Among Patients with Type 2 Diabetes: A Chinese Cross-Sectional Survey Based on Self-Determination Theory and Social Support Theory.Patient preference and adherence · 2022Article
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Authors and funding
9 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSub-Saharan Africa is experiencing a rapid growth of type 2 diabetes (T2D) and its related burden. Regular physical activity (PA) is a successful prevention strategy but is challenging to maintain. Self-determination theory (SDT) posits that more autonomous forms of motivation are associated with more sustainable behavior change. Evidence to support this claim is lacking in sub-Saharan Africa. This study aims to explore the relationships between latent constructs of autonomous and controlled motivation, perceived competence, perceived relatedness, PA behavior, and glycemic biomarkers.
methodsStructural equation modeling was applied to cross-sectional data from a rural Ugandan population (
resultsOur findings support SDT, but also suggest that different types of motivation regulate different domains and intensities of PA. Higher frequency of vigorous PA - which was linked to a lower HbA1C and FPG - was predicted by autonomous motivation (β = 0.24) but not by controlled motivation (β = -0.05). However, we found no association with moderate PA frequency nor with pedometer counts. Perceived competence and perceived relatedness predicted autonomous motivation. Autonomous motivation functioned as a mediator between those needs and PA behavior.
conclusionThis is the first study providing evidence for a SDT model explaining PA among people at risk of, or living with, T2D in a rural sub-Saharan African setting. Our findings suggest that individuals who experience genuine support from friends or family and who feel competent in doing vigorous PA can become motivated through identification of health benefits of PA as their own goals. This type of motivation resulted in a higher frequency of vigorous PA and better glycemic biomarkers. On the other hand, people who felt more motivated through pressure from others or through feelings of guilt or shame were not more engaged in PA. CLINICAL
trial registrationISRCTN 11913581. Registered January 10, 2017.
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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.