title: Mastery and perceived autonomy support are correlates of Dutch diabetes patients' self-management and quality of life.
abstract: OBJECTIVE
  The aim of this study was to assess the associations between type 2 diabetes patients' mastery and perceived autonomy support and their self-management skills and health-related quality of life (HRQOL).
  
  
  METHODS
  A cross-sectional questionnaire survey was conducted among 3352 patients with type 2 diabetes. Key variables were assessed with validated questionnaires.
  
  
  RESULTS
  Patients' mastery and perceived autonomy support correlated positively with their self-management skills (r=0.34, p<0.001; r=0.37, p<0.001) and HRQOL (r=0.37, p<0.001; r=0.15, p<0.001). In the linear regression analysis, mastery and perceived autonomy support were positive correlates of self-management (β=0.23; p<0.001; β=0.25; p<0.001). Patients with more physical or psychological complications had significantly lower scores on mastery, perceived autonomy support, self-management and HRQOL.
  
  
  CONCLUSIONS
  Our results indicate the importance of mastery in relation to diabetes patients' perceived autonomy support, self-management skills and HRQOL.
  
  
  CONCLUSIONS
  Since a greater sense of mastery is likely to increase patients' autonomous motivation to cope with their disease, interventions can aim to influence patients' motivational regulation. In addition, we confirmed the need for autonomy support to improve patients' self-management skills. Professionals can be trained to be autonomy-supportive, which relates to person-centered approaches such as motivational interviewing (MI).
authors: Department of Health Promotion, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands. Electronic address: lieke.raaijmakers@maastrichtuniversity.nl.
authors: Lieke G M
authors: LG
authors: Raaijmakers
authors: ResCon, Research & Consultancy, Haarlem, The Netherlands.
authors: Marloes K
authors: MK
authors: Martens
authors: ResCon, Research & Consultancy, Haarlem, The Netherlands.
authors: Arlette E
authors: AE
authors: Hesselink
authors: Netherlands Diabetes Federation, Amersfoort, The Netherlands.
authors: Inge
authors: I
authors: de Weerdt
authors: Caphri, School for Primary Care and Public Health, Maastricht University Medical Centre+, Maastricht, The Netherlands.
authors: Nanne K
authors: NK
authors: de Vries
authors: Department of Health Promotion, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands.
authors: Stef P J
authors: SP
authors: Kremers
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology* / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands / Q000453:epidemiology; D010465:Perception; D026684:Personal Autonomy; D011788:Quality of Life; D012044:Regression Analysis; D012648:Self Care / Q000523:psychology; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D044465:White People / Q000523:psychology
keywords: Diabetes; Health-related quality of life; Mastery; Perceived autonomy support; Self-management