Cited by 590Diabetes Management and EducationMotivation and Self-Concept in SportsBehavioral Health and Interventions

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Testing a Self-Determination Theory Process Model for Promoting Glycemic Control Through Diabetes Self-Management.

Williams, Geoffrey C., McGregor, Holly A., Zeldman, Allan, Freedman, Zachary R., Deci, Edward L.·2004·Health Psychology

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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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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)
ORCID: Williams, Geoffrey C.
McGregor, Holly A.
Deci, Edward L.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2004
Volume: 23
Issue: 1
Pages: 58-66
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.23.1.58
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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Testing a Self-Determination Theory Process Model for Promoting Glycemic Control Through Diabetes Self-Management.

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