ArticleHeliyon2020
Determinants of glycaemic control among patients with type 2 diabetes: testing a process model based on self-determination theory.
Article in Heliyon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Motivating Women with Gestational Diabetes: Are Healthcare Professionals Saying the Right Words?International journal of behavioral medicine · 2026Article
- Article
- Cross-Cultural Adaptability and Psychometric Validation of the Treatment Self-Regulation Questionnaire (TSRQ) for Application on the Persian-Speaking Type 2 Diabetes Patients.Patient preference and adherence · 2025Article
- Determinants of diabetes self-care activities in patients with type 2 diabetes based on self-determination theory.Acta diabetologica · 2024Article
- Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo investigate a hypothesised process model based on self-determination theory (SDT) in a population of people with type 2 diabetes. The model suggests that autonomy support from healthcare professionals is an important determinant of autonomous motivation and perceived competence in diabetes, which correlate positively in turn with wellbeing and negatively with HbA1c.
methodsThis cross-sectional study used baseline questionnaire data and HbA1c levels from a randomised controlled trial investigating the effects of a person-centred consultation program. The questionnaire used validated scales and items assessing autonomy support, wellbeing, motivation, self-care activities, diabetes distress and perceived competence. Pearson correlations were calculated, and mediation analysis was conducted by multivariate linear regression analysis.
results116 participants completed the questionnaire. Autonomy support was significantly correlated with perceived competence and controlled motivation. Perceived competence correlated negatively with diabetes distress and positively with self-care activities. Diabetes distress correlated negatively with wellbeing. Controlled motivation correlated positively with autonomous motivation, which correlated positively with both wellbeing and self-care activities. Self-care activities correlated negatively with HbA1c.
conclusionAs suggested by the hypothesised SDT process model, autonomy support, autonomous motivation and perceived competence are associated with better wellbeing and improved HbA1c.
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