Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care

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 asso...

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Autores principales: Koponen, Anne M, Simonsen, Nina, Laamanen, Ritva, Suominen, Sakari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
Report of Empirical Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193304/
https://www.ncbi.nlm.nih.gov/pubmed/28070353
http://dx.doi.org/10.1177/2055102915579778
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author Koponen, Anne M
Simonsen, Nina
Laamanen, Ritva
Suominen, Sakari
author_facet Koponen, Anne M
Simonsen, Nina
Laamanen, Ritva
Suominen, Sakari
author_sort Koponen, Anne M
collection PubMed
description 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.
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spelling pubmed-51933042017-01-09 Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care Koponen, Anne M Simonsen, Nina Laamanen, Ritva Suominen, Sakari Health Psychol Open Report of Empirical Study 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. SAGE Publications 2015-04-08 /pmc/articles/PMC5193304/ /pubmed/28070353 http://dx.doi.org/10.1177/2055102915579778 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Report of Empirical Study
Koponen, Anne M
Simonsen, Nina
Laamanen, Ritva
Suominen, Sakari
Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
title Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
title_full Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
title_fullStr Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
title_full_unstemmed Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
title_short Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
title_sort health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
topic Report of Empirical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193304/
https://www.ncbi.nlm.nih.gov/pubmed/28070353
http://dx.doi.org/10.1177/2055102915579778
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