Testing a Self-Determination Theory Process Model for Promoting Glycemic Control Through Diabetes Self-Management.
Abstract
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.
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Improved self-control and motivation are key drivers in meeting type 2 diabetes-relevant health behavior goals.
“Improved self-control and motivation are key drivers in meeting T2D-relevant health behavior goals [39, 63].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [39]
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- Authors
- Williams, G. C., McGregor, H. A., Zeldman, A., Freedman, Z. R., & Deci, E. L.
- Affiliations
- University of Rochester Medicine (US)
- University of Rochester (US)
- Rochester General Hospital (US)
- Venue
- Health Psychology
- Published
- 2004
- Volume
- 23
- Issue
- 1
- Pages
- 58-66
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2088029025
- Cited by
- 590
- References
- 32
- Citations by year
- 2026: 9 · 2025: 23 · 2024: 15 · 2023: 24 · 2022: 23 · 2021: 31 · 2020: 28 · 2019: 37 · 2018: 27 · 2017: 40 · 2016: 27 · 2015: 33 · 2014: 35 · 2013: 35 · 2012: 34
- FWCI
- 11.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01dk050807-04)
- National Institute of Diabetes and Digestive and Kidney Diseases (1-R01-DK-50807)
- National Center for Research Resources (5-M01-RR-00044, M01RR000044)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- self-determination theory, process model, glycemic control, type 2 diabetes, diabetes self-management, patient activation, autonomous motivation, perceived competence, autonomy support, HbA1c, health behavior change, self-management behavior
- MeSH terms
- Adult, Aged, Demography, Diabetes Mellitus, Female, Humans, Hyperglycemia, Hypoglycemia, Male, Middle Aged, Psychological Theory, Surveys and Questionnaires, Self Care, Health Behavior, Personal Autonomy
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