title: Relationship between motivational style and glycemic control in Jordanian patients with type 2 diabetes mellitus.
abstract: BACKGROUND
  Although, there is increased recognition of the importance of blood glucose control and diabetes education in type 2 diabetes mellitus (T2DM), the relationship between motivation and long term outcomes, glycemic control, are lacking. The primary aims of the present study were to: (i) describe the motivational style of Jordanian patients with T2DM regarding self-care management, taking medications, and self-monitoring of blood glucose (SMBG), as well as following therapeutic dietary instructions and exercising regularly; and b) examine the significance of these factors in predicting glycemic control.
  
  
  METHODS
  A package including a treatment self-regulation questionnaire concerning diabetes, was administered to a convenience sample of 110 patients with T2DM. In addition, the most recent HbA1c results were extracted from the patients' medical records.
  
  
  RESULTS
  Fifty-eight patients (52.7 %) reported being intrinsically motivated with regard to taking medication and regular SMBG, whereas half the participants (50 %) were intrinsically motivated to follow therapeutic dietary instructions and regular exercise. Patients who were intrinsically motivated were 8.3-fold more likely (95 % confidence interval [CI] 1.44-47.86) to have glycemic control than those reporting extrinsic motivation. In addition, those who were intrinsically motivated to follow therapeutic dietary instructions and exercise regularly were 10.50-fold more likely (95 % CI 2.50-48.78) times more likely to report glycemic control than those reporting extrinsic motivation.
  
  
  CONCLUSIONS
  Interventional strategies should focus on promoting intrinsic motivation in order to enhance glycemic control.
authors: Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
authors: Mousa A
authors: MA
authors: Al-Hassan
authors: Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
authors: Nemeh A
authors: NA
authors: Al-Akour
authors: Coronary Care Unit, Jordan University Hospital, Amman, Jordan.
authors: Motaz Mohammad
authors: MM
authors: Aburas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D015190:Blood Glucose Self-Monitoring; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007597:Jordan; D008875:Middle Aged; D009042:Motivation; D055815:Young Adult
chemical_list: D001786:Blood Glucose
keywords: Jordan; glycemic control; motivational style; type 2 diabetes