Cited by 237Diabetes Management and EducationMobile Health and mHealth ApplicationsMotivation and Self-Concept in Sports

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Computer-assisted intervention improves patient-centered diabetes care by increasing autonomy support.

Williams, Geoffrey C., Lynch, Martin, Glasgow, Russell E.·2007·Health Psychology

DOI 10.1037/0278-6133.26.6.728

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Abstract

OBJECTIVE: To determine if a patient-centered, computer-assisted diabetes care intervention increased perceived autonomy support, perceived competence (from self-determination theory), and if these constructs mediated the effect of the intervention on ADA/NCQA recommended diabetes care outcomes. DESIGN: A randomized controlled trial of 866 adult type 2 diabetes patients in heterogeneous primary care settings in Colorado. MAIN OUTCOME MEASURES: Perceived autonomy support, perceived competence, patient satisfaction, glycemic control (HbA1c), ratio of total to HDL cholesterol, diabetes distress, and depressive symptoms. RESULTS: The computer-assisted intervention increased patient perception of autonomy support relative to a computer-based control condition ( p = .05). Change in perceived competence partially mediated the effects of increased autonomy support on the change in lipids, diabetes distress, and depressive symptoms. The construct of autonomy support was found to be separate from that of patient satisfaction. CONCLUSIONS: A patient-centered, computer-assisted intervention was effective in improving diabetes self-management outcomes, in part, because it increased patients' perception that their autonomy was supported which changed perceived competence. These findings support the self-determination model for health behavior change and the chronic care model and support the further study of the use of these technologies to motivate patients to improve their health outcomes.

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Authors: Williams, G. C., Lynch, M., & Glasgow, R. E.
Affiliations: University of Rochester Medicine (US)
University of South Florida Sarasota–Manatee (US)
Kaiser Permanente (US)
ORCID: Williams, Geoffrey C.
Lynch, Martin
Glasgow, Russell E.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2007-11
Volume: 26
Issue: 6
Pages: 728-734
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.26.6.728
OpenAlex: W2047333489
Cited by: 236
References: 29
Citations by year: 2025: 4 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 7 · 2020: 63 · 2019: 10 · 2018: 9 · 2017: 12 · 2016: 12 · 2015: 8 · 2014: 19 · 2013: 16 · 2012: 16
FWCI: 6.58
Type: journal article
Language: en
Open access: closed
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
UR Research (University of Rochester) (submittedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
Keywords: computer-based intervention, type 2 diabetes, autonomy support, perceived competence, self-determination theory, patient-centered care, diabetes self-management, glycemic control, HbA1c, diabetes distress, depressive symptoms, lipid ratios, patient satisfaction, Chronic Care Model, health behavior change
MeSH terms: Adult, Colorado, Diabetes Mellitus, Type 2, Humans, Middle Aged, Models, Psychological, Motivation, Regression Analysis, Self Care, Social Support, Therapy, Computer-Assisted, Treatment Outcome, Patient Satisfaction, Patient-Centered Care, Personal Autonomy

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Computer-assisted intervention improves patient-centered diabetes care by increasing autonomy support.

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