Testing a Self-Determination Theory Process Model for Promoting Glycemic Control Through Diabetes Self-Management.
Health PsychologyPublished 1 January 2004
Geoffrey C. Williams, Holly A. McGregor, Allan Zeldman, Zachary R. Freedman, Edward L. Deci
Citations576
SJR quartileQ1
SJR score1.28
SNIP1.20
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TL;DR
A longitudinal study tested the self-determination theory (SDT) process model of health behavior change for glycemic control within a randomized trial of patient activation versus passive education and found that self-management behaviors mediated the relation between change in perceived competence and change in gly glucose control.
Abstract
A longitudinal study tested the self-determination theory (SDT) process model of health behavior change for glycemic control within a randomized trial of patient activation versus passive education. Glycosylated hemoglobin for patients with Type 2 diabetes (n=159) was assessed at baseline, 6 months, and 12 months. Autonomous motivation and perceived competence were assessed at baseline and 6 months, and the autonomy supportiveness of clinical practitioners was assessed at 3 months. Perceptions of autonomy and competence were promoted by perceived autonomy support, and changes in perceptions of autonomy and competence, in turn, predicted change in glycemic control. Self-management behaviors mediated the relation between change in perceived competence and change in glycemic control. The self-determination process model fit the data well.
Keywords
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