title: Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care.
abstract: This study showed, in line with self-determination theory, that glycemic control among patients with type 2 diabetes (n= 2866) was strongly associated with perceived self-care competence, which in turn was associated with autonomous motivation and autonomy-supportive health-care climate. These associations remained after adjusting for the effect of important life-context factors. Autonomous motivation partially mediated the effect of health-care climate on perceived competence, which fully mediated the effect of autonomous motivation on glycemic control. The results of the study emphasize health-care personnel's important role in supporting patients' autonomous motivation and perceived self-care competence.
authors.affiliation: University of Helsinki, Finland; Folkhälsan Research Center, Finland.
authors.forename: Anne M
authors.initials: AM
authors.lastname: Koponen
authors.affiliation: University of Helsinki, Finland; Folkhälsan Research Center, Finland.
authors.forename: Nina
authors.initials: N
authors.lastname: Simonsen
authors.affiliation: University of Helsinki, Finland; Folkhälsan Research Center, Finland.
authors.forename: Ritva
authors.initials: R
authors.lastname: Laamanen
authors.affiliation: Folkhälsan Research Center, Finland; University of Skövde, Sweden; University of Turku, Finland.
authors.forename: Sakari
authors.initials: S
authors.lastname: Suominen
keywords: competence; diabetes; glycemic control; health-care climate; motivation