Testing a self-determination theory process model for promoting glycemic control through diabetes self-management.
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.
Williams
Geoffrey C
GC
Department of Medicine, University of Rochester, Rochester, NY 14627, USA. geoffrey_williams@urmc.rochester.edu
McGregor
Holly A
HA
Zeldman
Allan
A
Freedman
Zachary R
ZR
Deci
Edward L
EL
D000328:Adult; D000368:Aged; D003710:Demography; D003920:Diabetes Mellitus / Q000188:drug therapy*; D005260:Female; D015438:Health Behavior; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*; D007003:Hypoglycemia / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D026684:Personal Autonomy; D011582:Psychological Theory; D012648:Self Care; D011795:Surveys and Questionnaires