Understanding physical activity in adults with type 2 diabetes after completing an exercise intervention trial: A mediation model of self-efficacy and autonomous motivation

Sweet, Shane N.; Fortier, Michelle S.; Guérin, Eva; Tulloch, Heather; Sigal, Ronald J.; Kenny, Glen P.; Reid, Robert D.

doi:10.1080/13548500903111806

Cited by 70Motivation and Self-Concept in SportsPhysical Activity and HealthBehavioral Health and Interventions

Understanding physical activity in adults with type 2 diabetes after completing an exercise intervention trial: A mediation model of self-efficacy and autonomous motivation

Sweet, Shane N., Fortier, Michelle S., Guérin, Eva, Tulloch, Heather, Sigal, Ronald J., Kenny, Glen P., Reid, Robert D.·2009·Psychology, Health & Medicine

DOI 10.1080/13548500903111806

Open this paper in CoChat — free account

Abstract

This study was set out to test if autonomous motivation mediated the relationship between self-efficacy and 12-month physical activity (PA) in adults with type 2 diabetes involved in a randomized exercise trial. Participants (n = 234) completed questionnaires measuring barrier self-efficacy at 3 months, autonomous motivation at 6 months, and PA at 12 months. A mediational analysis of longitudinal data revealed that autonomous motivation mediated the relationship between barrier-self-efficacy and PA. High barrier self-efficacy can therefore help predict 12-month PA in adults with type 2 diabetes, although this effect is attenuated by autonomous motivation. Hence, participating in PA for autonomous reasons such as by choice and/or for fun further explains PA at 12 months in this population. Results of this study extend our understanding of the motivational constructs involved in PA in the maintenance phase. This study has important theoretical implications in that it helps to organize and consolidate well-known correlates of PA by proposing a temporal relationship between them that could be tailored in interventions.

Integrity signals

Registry

Crossref · 10.1080/13548500903111806

Cites

57 of 57 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Three additional studies/samples showed significant associations only for identified regulation.
“Three additional studies/samples showed significant associations only for identified regulation [50,51,38].”
From Exercise, physical activity, and self-determination theory: A systematic review (2012) · cites this paper as [51]
Introjected regulation is the strongest predictor of exercise dependence.
“research examining the motivating forces behind exercise dependence, which is considered to be maladaptive, has found introjected regulation to be the strongest predictor of this type of dependence [51].”
From Exercise, physical activity, and self-determination theory: A systematic review (2012) · cites this paper as [51]

The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
Using multivariate statistics
Tabachnick, B. G., & Fidell, L. S. (1983) · Cited by 79,888 · see citing works
Self-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior
Deci, E. L., & Ryan, R. M. (2000) · Psychological Inquiry · doi:10.1207/s15327965pli1104_01 · Cited by 34,210 · see citing works
Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.
Ryan, R. M., & Deci, E. L. (2000) · American Psychologist · doi:10.1037//0003-066x.55.1.68 · Cited by 27,815 · see citing works
Intrinsic Motivation and Self-Determination in Human Behavior
Deci, E. L., & Ryan, R. M. (1985) · doi:10.1007/978-1-4899-2271-7 · Cited by 26,772 · see citing works
Self-efficacy: the exercise of control
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1826 · Cited by 24,409 · see citing works
Intrinsic Motivation and Self-Determination in Human Behavior
Miller, K. A. J., Deci, E. L., & Ryan, R. M. (1988) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2070638 · Cited by 15,361 · see citing works
Untitled work
(2007) · Cited by 10,092 · see citing works
Compendium of physical activities: an update of activity codes and MET intensities
AINSWORTH, B. E., HASKELL, W. L., WHITT, M. C., IRWIN, M. L., SWARTZ, A. M., STRATH, S. J., O???BRIEN, W. L., BASSETT, D. R., SCHMITZ, K. H., EMPLAINCOURT, P. O., et al. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009001-00009 · Cited by 8,497 · see citing works
-Handbook of Self-Determination Research by Edward L. Deci and Richard M. Ryan (Editors)
Paulson, D. S. (2002) · The Journal of mind and behavior · Cited by 5,171 · see citing works
Handbook of Self-Determination Research
Deci, E. L., & Ryan, R. M. (2004) · Cited by 4,528 · see citing works
Handbook of self-regulation: research, theory, and applications
(2005) · Choice Reviews Online · doi:10.5860/choice.42-3719 · Cited by 3,644 · see citing works
Correlates of adults??? participation in physical activity: review and update
TROST, S. G., OWEN, N., BAUMAN, A. E., SALLIS, J. F., & BROWN, W. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200212000-00020 · Cited by 3,040 · see citing works
Assessment of physical activity by self-report: Status, limitations, and future directions
Sallis, J. F., & Saelens, B. E. (2000) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2000.11082780 · Cited by 2,351 · see citing works
Effectiveness of Self-Management Training in Type 2 Diabetes
Norris, S. L., Engelgau, M. M., & Venkat Narayan, K. M. (2001) · Diabetes Care · doi:10.2337/diacare.24.3.561 · Cited by 1,846 · see citing works
Motivational predictors of weight loss and weight-loss maintenance.
Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.70.1.115 · Cited by 1,610 · see citing works
Age and gender differences in objectively measured physical activity in youth
Trost, S. G., PATE, R. R., Sallis, J. F., Freedson, P., Taylor, W. C., Dowda, M. C., & Sirard, J. R. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200202000-00025 · Cited by 1,451 · see citing works
Motivational predictors of weight loss and weight-loss maintenance.
Williams, G. C., Grow, V. M., Freedman, Z. R., et al. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.1.115 · Cited by 1,171 · see citing works
Using objective physical activity measures with youth: How many days of monitoring are needed?
Trost, S. G., Pate, R. R., Freedson, P. S., Sallis, J. F., & Taylor, W. C. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200002000-00025 · Cited by 1,136 · see citing works
Supporting Autonomy to Motivate Patients With Diabetes for Glucose Control
Williams, G. C., Freedman, Z. R., & Deci, E. L. (1998) · Diabetes Care · doi:10.2337/diacare.21.10.1644 · Cited by 1,129 · see citing works
Toward a better understanding of the influences on physical activity
Bauman, A. E., Sallis, J. F., Dzewaltowski, D. A., & Owen, N. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00469-5 · Cited by 1,041 · see citing works
Toward a theory-based analysis of behavioral maintenance
Rothman, A. J. (2000) · Health Psychology · doi:10.1037/0278-6133.19.suppl1.64 · Cited by 783 · cited 2× · see citing works
“A unique and novel element of the current study is that it addressed the lack of research on maintenance-phase PA (Rothman, 2000 ) using a chronically ill population.”
Background
Testing a Self-Determination Theory Process Model for Promoting Glycemic Control Through Diabetes Self-Management.
Williams, G. C., McGregor, H. A., Zeldman, A., Freedman, Z. R., & Deci, E. L. (2004) · Health Psychology · doi:10.1037/0278-6133.23.1.58 · Cited by 590 · see citing works
Intrinsic Motivation and Self-Determination in Exercise and Sport
Walker, B. (2008) · The Sport Psychologist · doi:10.1123/tsp.22.1.134 · Cited by 589 · see citing works
Physical activity behavior change: Issues in adoption and maintenance.
Marcus, B. H., Forsyth, L. H., Stone, E. J., Dubbert, P. M., McKenzie, T. L., Dunn, A. L., & Blair, S. N. (2000) · Health Psychology · doi:10.1037/0278-6133.19.suppl1.32 · Cited by 570 · see citing works
A graded conceptualisation of self-determination in the regulation of exercise behaviour: Development of a measure using confirmatory factor analytic procedures
Mullan, E., Markland, D. A., & Ingledew, D. K. (1997) · Personality and Individual Differences · doi:10.1016/s0191-8869(97)00107-4 · Cited by 556 · see citing works
The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults
McAuley, E. (1992) · Journal of Behavioral Medicine · doi:10.1007/bf00848378 · Cited by 522 · see citing works
Facilitating autonomous motivation for smoking cessation.
Williams, G., Gagné, M., Ryan, R. M., & Deci, E. L. (2002) · Health Psychology · doi:10.1037/0278-6133.21.1.40 · Cited by 462 · see citing works
The role of self-determined motivation in the understanding of exercise-related behaviours, cognitions and physical self-evaluations
Thøgersen-Ntoumani, C., & Ntoumanis, N. (2006) · Journal of Sports Sciences · doi:10.1080/02640410500131670 · Cited by 396 · see citing works
Adoption and maintenance of four health behaviors: Theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity
Schwarzer, R., Schüz, B., Ziegelmann, J. P., Lippke, S., Łuszczyńska, A., & Scholz, U. (2007) · Annals of Behavioral Medicine · doi:10.1007/bf02879897 · Cited by 360 · see citing works
Controlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes
Tudor-Locke, C., Bell, R. C., Myers, A. M., Harris, S. B., Ecclestone, N. A., Lauzon, N., & Rodger, N. W. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802485 · Cited by 321 · see citing works
Self-determination theory and the psychology of exercise
Hagger, M., & Chatzisarantis, N. (2008) · International Review of Sport and Exercise Psychology · doi:10.1080/17509840701827437 · Cited by 305 · see citing works
Predicting Physical Exercise in Cardiac Rehabilitation: The Role of Phase-Specific Self-Efficacy Beliefs
Scholz, U., Sniehotta, F. F., & Schwarzer, R. (2005) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.27.2.135 · Cited by 281 · see citing works
Maintenance of physical activity following an individualized motivationally tailored intervention
Bock, B. C., Marcus, B. H., Pinto, B. M., & Forsyth, L. H. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2302_2 · Cited by 275 · see citing works
A self-determination process model of physical activity adoption in the context of a randomized controlled trial
Fortier, M. S., Sweet, S. N., O’Sullivan, T. L., & Williams, G. C. (2007) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2006.10.006 · Cited by 271 · see citing works
Self-citation
Variations in Self-Determination Across the Stages of Change for Exercise in Adults
Mullan, E., & Markland, D. A. (1997) · Motivation and Emotion · doi:10.1023/a:1024436423492 · Cited by 241 · see citing works
Validation of a Counseling Strategy to Promote the Adoption and the Maintenance of Physical Activity by Type 2 Diabetic Subjects
Loreto, C. D., Fanelli, C. G., Lucidi, P., Murdolo, G., Cicco, A. D., Parlanti, N., Santeusanio, F., Brunetti, P., & Feo, P. D. (2003) · Diabetes Care · doi:10.2337/diacare.26.2.404 · Cited by 216 · see citing works
Motivation and dietary self-care in adults with diabetes: Are self-efficacy and autonomous self-regulation complementary or competing constructs?
Senécal, C. B., Nouwen, A., & White, D. (2000) · Health Psychology · doi:10.1037//0278-6133.19.5.452 · Cited by 214 · see citing works
Does Exercise Motivation Predict Engagement in Objectively Assessed Bouts of Moderate-Intensity Exercise?: A Self-Determination Theory Perspective
Standage, M., Sebire, S. J., & Loney, T. (2008) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.30.4.337 · Cited by 205 · see citing works
Exercise Motivation, Eating, and Body Image Variables as Predictors of Weight Control
TEIXEIRA, P. J., GOING, S. B., HOUTKOOPER, L. B., CUSSLER, E. C., METCALFE, L. L., BLEW, R. M., SARDINHA, L. B., & LOHMAN, T. G. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000180906.10445.8d · Cited by 200 · see citing works
Motivation and dietary self-care in adults with diabetes: Are self-efficacy and autonomous self-regulation complementary or competing constructs?
Senécal, C. B., Nouwen, A., & White, D. (2000) · Health Psychology · doi:10.1037/0278-6133.19.5.452 · Cited by 182 · see citing works
Relationships among self-care agency, self-efficacy, self-care, and glycemic control
Sousa, V. D., Zauszniewski, J. A., Musil, C. M., Price Lea, P. J., & Davis, S. A. (2005) · Research and theory for nursing practice · doi:10.1891/rtnp.2005.19.3.217 · Cited by 152 · see citing works
Self‐determination, stage of readiness to change for exercise, and frequency of physical activity in young people
Daley, A., & Duda, J. L. (2006) · European Journal of Sport Science · doi:10.1080/17461390601012637 · Cited by 129 · see citing works
‘Intention-to-treat’ meets ‘missing data’: implications of alternate strategies for analyzing clinical trials data
Nich, C., & Carroll, K. M. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00111-4 · Cited by 109 · see citing works
Exercise Behavior in a Community Sample With Diabetes: Understanding the Determinants of Exercise Behavioral Change
Plotnikoff, R. C., Brez, S. M., & Hotz, S. B. (2000) · The Science of Diabetes Self-Management and Care · doi:10.1177/014572170002600312 · Cited by 105 · see citing works
Determinants of physical activity and adherence to a 24‐week home‐based walking program in African American and Caucasian women
Wilbur, J., Miller, A. M., Chandler, P. J., & McDevitt, J. H. (2003) · Research in Nursing & Health · doi:10.1002/nur.10083 · Cited by 104 · see citing works
Predicting physical activity and outcome expectations in cancer survivors: an application of Self‐Determination Theory
Wilson, P. M., Blanchard, C. M., Nehl, E. J., & Baker, F. (2005) · Psycho-Oncology · doi:10.1002/pon.990 · Cited by 90 · see citing works
Explaining physical activity levels from a self-efficacy perspective: the physical activity counseling trial
Blanchard, C. M., Fortier, M., Sweet, S. N., O’Sullivan, T. L., Hogg, W., Reid, R. D., & Sigal, R. J. (2007) · Annals of Behavioral Medicine · doi:10.1007/bf02874557 · Cited by 77 · see citing works
Self-citation
Effects of Aerobic Training, Resistance Training, or Both on Glycemic Control in Type 2 Diabetes: A Randomized Trial
Sigal, R. J., Kenny, G. P., Boulé, N. G., Wells, G. A., Prud'homme, D., Fortier, M., Reid, R. D., Tulloch, H., Coyle, D., Phillips, P., et al. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-147-6-200709180-00005 · Cited by 48 · see citing works
Self-citation
A Model for Exercise Behavior Change Regulation in Patients with Heart Disease
D’Angelo, M. S., Reid, R. D., & Pelletier, L. G. (2007) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.29.2.208 · Cited by 47 · see citing works
Self-citation
Barrier self-efficacy and physical activity over a 12-month period in men and women who do and do not attend cardiac rehabilitation.
Blanchard, C. M., Reid, R. D., Morrin, L. I., Beaton, L. J., Pipe, A., Courneya, K. S., & Plotnikoff, R. C. (2007) · Rehabilitation Psychology · doi:10.1037/0090-5550.52.1.65 · Cited by 33 · see citing works
Self-citation
Agreement between participant-rated and compendium-coded intensity of daily activities in a triethnic sample of women ages 40 years ears and older
Wilcox, S., Irwin, M. L., Addy, C. L., Ainsworth, B. E., Stolarczyk, L. M., Whitt, M. C., & Tudor-Locke, C. E. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2304_4 · Cited by 25 · see citing works
Transition of Patients with Type 2 Diabetes from Specialist to Primary Care: A Survey of Primary Care Physicians on the Usefulness of Tools for Transition
Malcolm, J., Liddy, C. E., Rowan, M. S., Maranger, J., Keely, E., Harrison, C. A., Brez, S. M., Izzi, S., & Ooi, T. C. (2008) · Canadian Journal of Diabetes · doi:10.1016/s1499-2671(08)21009-9 · Cited by 23 · see citing works
Choosing and Using Theories in Diabetes Education Research
Anderson, R. M., Funnell, M. M., & Hernandez, C. A. (2005) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721705278947 · Cited by 22 · see citing works
PERSONAL AND ENVIRONMENTAL DETERMINANTS OF EXERCISE IN PATIENTS WITH CORONARY ARTERY DISEASE
Tulloch, H. E., Reid, R. D., & Fortier, M. (2007) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/01.hcr.0000291368.32193.14 · Cited by 3 · see citing works
Self-citation

Flagged first, then by citations

Sorted by citations

Exercise, physical activity, and self-determination theory: A systematic review
Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-78 · Cited by 2,963 · see citing works
“IM and ID increased from preto post-exercise program BIV: IM (+), ID (+), INTR (n.s.), EXT (n.s.) Sweet et al., 2009 [102] Experimental (12mo) 234 (38) Inactive with type 2 diabetes (Mean 53 yr) on an exercise program Canada Exercise self-regulations (BREQ) MV: AutMot (+) Amount of PA…”
Method
Self-determination theory interventions for health behavior change: Meta-analysis and meta-analytic structural equation modeling of randomized controlled trials.
Sheeran, P., Wright, C. E., Avishai, A., Villegas, M. E., Lindemans, J. W., Klein, W. M. P., Rothman, A. J., Miles, E., & Ntoumanis, N. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000501 · Cited by 175 · see citing works
Testing and integrating self-determination theory and self-efficacy theory in a physical activity context.
Sweet, S. N., Fortier, M., Strachan, S. M., & Blanchard, C. M. (2012) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0030280 · Cited by 171 · see citing works
Self-citation
Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development
Huffman, J. C., DuBois, C. M., Millstein, R. A., Celano, C. M., & Wexler, D. (2015) · Journal of Diabetes Research · doi:10.1155/2015/428349 · Cited by 127 · see citing works
“I’ve made this my lifestyle now”: a prospective qualitative study of motivation for lifestyle change among people with newly diagnosed type two diabetes mellitus
Sebire, S. J., Toumpakari, Z., Turner, K. M., Cooper, A. R., Page, A. S., Malpass, A., & Andrews, R. C. (2018) · BMC Public Health · doi:10.1186/s12889-018-5114-5 · Cited by 94 · see citing works
Exercise Facilitators and Barriers from Adoption to Maintenance in the Diabetes Aerobic and Resistance Exercise Trial
Tulloch, H., Sweet, S. N., Fortier, M., Capstick, G., Kenny, G. P., & Sigal, R. J. (2013) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2013.09.002 · Cited by 74 · see citing works
Self-citation
Long term effects of self-determination theory and motivational interviewing in a web-based physical activity intervention: randomized controlled trial
Friederichs, S. A. H., Oenema, A., Bolman, C. A. W., & Lechner, L. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0262-9 · Cited by 74 · see citing works
I Move: systematic development of a web-based computer tailored physical activity intervention, based on motivational interviewing and self-determination theory
Friederichs, S. A. H., Oenema, A., Bolman, C. A. W., Guyaux, J., van Keulen, H. M., & Lechner, L. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-212 · Cited by 54 · see citing works
Rationale and development of the physical activity counselling intervention for a pragmatic TRial of Exercise and Depression in the UK (TREAD-UK)
Haase, A. M., Taylor, A. H., Fox, K. R., Thorp, H., & Lewis, G. (2010) · Mental health and physical activity · doi:10.1016/j.mhpa.2010.09.004 · Cited by 55 · see citing works
Determinants of physical activity among patients with type 2 diabetes: the role of perceived autonomy support, autonomous motivation and self-care competence
Koponen, A. M., Simonsen, N., & Suominen, S. (2016) · Psychology Health & Medicine · doi:10.1080/13548506.2016.1154179 · Cited by 52 · see citing works
Patterns of Motivation and Ongoing Exercise Activity in Cardiac Rehabilitation Settings: A 24-Month Exploration from the TEACH Study
Sweet, S. N., Tulloch, H. E., Fortier, M., Pipe, A., & Reid, R. D. (2011) · Annals of Behavioral Medicine · doi:10.1007/s12160-011-9264-2 · Cited by 50 · see citing works
Self-citation
Testing a longitudinal integrat ed self-efficacy and self-deter mination theory model for physical activity post-cardiac rehabilitation
Sweet, S. N., Fortier, M., Strachan, S. M., Blanchard, C. M., & Boulay, P. (2014) · Health Psychology Research · doi:10.4081/hpr.2014.1008 · Cited by 47 · see citing works
Self-citation
Students’ Tripartite Efficacy Beliefs in High School Physical Education: Within- and Cross-Domain Relations With Motivational Processes and Leisure-Time Physical Activity
Jackson, B., Whipp, P. R., Chua, K. L. P., Dimmock, J. A., & Hagger, M. S. (2013) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.35.1.72 · Cited by 45 · see citing works
Effects of Self-directed Exercise Programmes on Individuals with Type 2 Diabetes Mellitus: A Systematic Review Evaluating Their Effect on HbA1c and Other Metabolic Outcomes, Physical Characteristics, Cardiorespiratory Fitness and Functional Outcomes
Byrne, H., Caulfield, B., & VITO, G. D. (2016) · Sports Medicine · doi:10.1007/s40279-016-0593-y · Cited by 42 · see citing works
Understanding variations in exercise-identity strength through identity theory and self-determination theory
Strachan, S. M., Fortier, M., Perras, M. G. M., & Lugg, C. (2012) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2013.749005 · Cited by 42 · see citing works
Self-citation
Development of a Fully Automated, Web-Based, Tailored Intervention Promoting Regular Physical Activity Among Insufficiently Active Adults With Type 2 Diabetes: Integrating the I-Change Model, Self-Determination Theory, and Motivational Interviewing Components
Moreau, M., Gagnon, M.-P., & Boudreau, F. (2015) · JMIR Research Protocols · doi:10.2196/resprot.4099 · Cited by 41 · see citing works
“Research on PA adoption and maintenance increasingly shows the added value of autonomous motivation, an SDT and MI-related construct, to help individuals adopt and, more importantly, maintain regular PA [49-51].”
The unidimensional self-efficacy scale for MS (USE-MS): developing a patient based and patient reported outcome
Young, C., Mills, R. J., Woolmore, J., Hawkins, C., & Tennant, A. (2012) · Multiple Sclerosis Journal · doi:10.1177/1352458512436592 · Cited by 40 · see citing works
Motivation for diet and exercise management among adults with type 2 diabetes
Oftedal, B. F., Bru, E., & Karlsen, B. (2011) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2011.00884.x · Cited by 37 · see citing works
Motivational interviewing in a web-based physical activity intervention: questions and reflections
Friederichs, S. A. H., Oenema, A., Bolman, C. A. W., Guyaux, J., van Keulen, H. M., & Lechner, L. (2013) · Health Promotion International · doi:10.1093/heapro/dat069 · Cited by 36 · see citing works
Motivational Profiles for Physical Activity Practice in Adults with Type 2 Diabetes: A Self-Determination Theory Perspective
Gourlan, M., Trouilloud, D. O., & Boiché, J. C. S. (2015) · Behavioral Medicine · doi:10.1080/08964289.2014.1001810 · Cited by 34 · see citing works
Ethnic differences in exercise and leisure time physical activity among midlife women
Lee, S. H., & Im, E. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05242.x · Cited by 33 · see citing works
Correlates of Physical Activity Among Adults With Type 2 Diabetes: A Systematic Literature Review
Silfee, V., & Petosa, R. L. (2014) · American Journal of Health Education · doi:10.1080/19325037.2014.933139 · Cited by 30 · see citing works
Testing mediator variables in a resistance training intervention for obese adults with type 2 diabetes
Lubans, D. R., Plotnikoff, R. C., Jung, M. E., Eves, N. D., & Sigal, R. J. (2011) · Psychology and Health · doi:10.1080/08870446.2011.613471 · Cited by 30 · see citing works
Self-citation
A Protection Motivation Theory Approach to Understanding How Fear of Falling Affects Physical Activity Determinants in Older Adults
Preissner, C. E., Kaushal, N., Charles, K., & Knaüper, B. (2022) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbac105 · Cited by 27 · see citing works
“It’s a Life Thing, Not a Few Months Thing”: Profiling Patterns of the Physical Activity Change Process and Associated Strategies of Women With Prediabetes Over 1 Year
Bean, C. N., Dineen, T. E., & Jung, M. E. (2020) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2020.09.001 · Cited by 24 · see citing works
What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda
Man, J. D., Wouters, E., Absetz, P., Daivadanam, M., Naggayi, G., Kasujja, F. X., Remmen, R., Guwatudde, D., & van Olmen, J. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00404 · Cited by 23 · see citing works
Self-determination theory interventions versus usual care in people with diabetes: a protocol for a systematic review with meta-analysis and trial sequential analysis
Mathiesen, A. S., Rothmann, M. J., Zoffmann, V., Jakobsen, J. C., Gluud, C. N., Lindschou, J., Due‐Christensen, M., Rasmussen, B., Marqvorsen, E. H. S., & Thomsen, T. (2021) · Systematic Reviews · doi:10.1186/s13643-020-01566-5 · Cited by 22 · see citing works
Physical Function and Pre‐Amputation Characteristics Explain Daily Step Count after Dysvascular Amputation
Miller, M. J., Cook, P. F., Kline, P. W., Anderson, C. B., Stevens‐Lapsley, J. E., & Christiansen, C. L. (2019) · PM&R · doi:10.1002/pmrj.12121 · Cited by 22 · see citing works
Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
Sarfo, J. O., Obeng, P., Kyereh, H. K., Ansah, E. W., & Attafuah, P. Y. A. (2023) · Journal of Diabetes Research · doi:10.1155/2023/5341656 · Cited by 27 · see citing works
An investigation and comparison of the effectiveness of different exercise programmes in improving glucose metabolism and pancreatic β cell function of type 2 diabetes patients
Lee, S. F., Pei, D., Chi, M., & Jeng, C. (2015) · International Journal of Clinical Practice · doi:10.1111/ijcp.12679 · Cited by 21 · see citing works
Exploring the working mechanisms of a web-based physical activity intervention, based on self-determination theory and motivational interviewing
Friederichs, S. A. H., Bolman, C. A. W., Oenema, A., Verboon, P., & Lechner, L. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.11.003 · Cited by 18 · see citing works
Motives for Participation in Physical Activity and Observance of Physical Activity Recommendations among Adults with Type 2 Diabetes
Miquelon, P., & Castonguay, A. (2016) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2016.02.009 · Cited by 18 · see citing works
Testing mediator variables in a physical activity intervention for women with type 2 diabetes
Plotnikoff, R. C., Lubans, D. R., Penfold, C. M., & Courneya, K. S. (2013) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2013.09.004 · Cited by 17 · see citing works
Motivational profiles, accelerometer-derived physical activity, and acute diabetes-related symptoms in adults with type 2 diabetes
Castonguay, A., & Miquelon, P. (2018) · BMC Public Health · doi:10.1186/s12889-018-5376-y · Cited by 16 · see citing works
Longitudinal trajectories of physical activity among employees participating in a worksite health promotion intervention: A latent class growth approach
Pedersen, C., Halvari, H., Solstad, B. E., & Bentzen, M. (2019) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2019.03.007 · Cited by 16 · see citing works
Relationships of Musculoskeletal Symptoms, Sociodemographics, and Body Mass Index With Leisure-Time Physical Activity Among Nurses
Nam, S., Song, M., & Lee, S. (2018) · Workplace Health & Safety · doi:10.1177/2165079918771987 · Cited by 14 · see citing works
Motivational and self‐efficacy reciprocal effects during a 12‐month' weight regain prevention program
Palmeira, A. L., Sánchez‐Oliva, D., Encantado, J., Marques, M. M., Santos, I., Duarte, C., Matos, M., Larsen, S. C., Horgan, G. W., Teixeira, P. J., et al. (2022) · British Journal of Health Psychology · doi:10.1111/bjhp.12635 · Cited by 13 · see citing works
Motivational profiles for physical activity among adults with type 2 diabetes and their relationships with physical activity behavior
Castonguay, A., & Miquelon, P. (2017) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2016.1272416 · Cited by 13 · see citing works
Is self-determined motivation a useful agent to overcome perceived exercise barriers in patients with type 2 diabetes mellitus?
Kang, H. J., Wang, J. C. K., Burns, S. F., & Leow, M. K.-S. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.627815 · Cited by 12 · see citing works
Steps towards permanently increasing physical activity in the population
Plotnikoff, R. C., & Karunamuni, N. D. (2011) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283438107 · Cited by 11 · see citing works
Körperliche Aktivität und Sport bei Typ-2-Diabetes
Niess, A. M., & Thiel, A. (2017) · Diabetologie und Stoffwechsel · doi:10.1055/s-0042-121407 · Cited by 9 · see citing works
How to measure motivation to change risk behaviours in the self-determination perspective? The Polish adaptation of the Treatment Self-Regulation Questionnaire (TSRQ) among patients with chronic diseases
Życińska, J., Januszek, M., Jurczyk, M., & Syska-Sumińska, J. (2012) · Polish Psychological Bulletin · doi:10.2478/v10059-012-0029-y · Cited by 10 · see citing works
Relationship between motivational style and glycemic control in Jordanian patients with type 2 diabetes mellitus
Al‐Hassan, M. A., Al‐Akour, N., & Ras, M. M. A. (2016) · Journal of Diabetes · doi:10.1111/1753-0407.12389 · Cited by 9 · see citing works
A qualitative exploration of behaviour change and maintenance experience in people with overweight or obesity in a dietary intervention
Liu, K., Choi, T. S. T., Zhao, L., Teong, X. T., Hutchison, A. T., & Heilbronn, L. K. (2023) · Nutrition & Dietetics · doi:10.1111/1747-0080.12855 · Cited by 9 · see citing works
Psychometric Properties of the Portuguese Version of the Treatment Self-Regulation Questionnaire for Physical Activity (TSRQ - PA)
Marques, M. M., Gucht, V. D., Stan Maes, A., Gouveia, M. J., & Leal, I. M. P. (2012) · Psychology Community & Health · doi:10.5964/pch.v1i2.32 · Cited by 9 · see citing works
A brief adherence intervention that improved glycemic control: mediation by patterns of adherence
McClintock, H. F. D. V., Morales, K. H., Small, D. S., & Bogner, H. R. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-014-9576-3 · Cited by 8 · see citing works
Implementation of Resources to Support Patient Physical Activity Through Diabetes Centres in Atlantic Canada: The Effectiveness of Toolkit-Based Physical Activity Counselling
Fowles, J. R., Shields, C. A., Barron, B. J., McQuaid, S., & Dunbar, P. (2014) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2014.02.020 · Cited by 8 · see citing works
Motivation and Lifestyle-Related Changes among Participants in a Healthy Life Centre: A 12-Month Observational Study
Sevild, C. H., Niemiec, C. P., Dyrstad, S. M., & Bru, L. E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095167 · Cited by 7 · see citing works
Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes
Martiskainen, T., Lamidi, M., Venojärvi, M., Tikkanen, H. O., & Laatikainen, T. K. (2023) · BMC Endocrine Disorders · doi:10.1186/s12902-023-01428-w · Cited by 7 · see citing works
Exploring the feasibility and impact of positive psychology-motivational interviewing interventions to promote positive affect and physical activity in type 2 diabetes: design and methods from the BEHOLD-8 and BEHOLD-16 clinical trials
Zambrano, J., Celano, C. M., Chung, W., Massey, C. N., Feig, E. H., Millstein, R. A., Healy, B. C., Wexler, D. J., Park, E. R., Golden, J., et al. (2020) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2020.1815538 · Cited by 7 · see citing works
Comprendre l’activité physique dans la maladie chronique : proposition d’un cadre théorique d’analyse
Mino, J., & Perrin, C. (2021) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2021.03.002 · Cited by 6 · see citing works
Barriers and Facilitators to Physical Activity Adherence in People With Type 2 Diabetes: A Mixed-Methods Systematic Review Using the COM-B Model and Theoretical Domains Framework
Guo, X., Chen, H., Xin, R., Huang, J., Long, T., & Li, M. (2025) · International Journal of Behavioral Medicine · doi:10.1007/s12529-025-10400-y · Cited by 6 · see citing works
Effect of Theory-Based Individual Counseling on Physical Activity and Glycemic Control in Patients with Type 2 Diabetes Mellitus: A Quasi-Experimental Study
Farmanbar, R., Zeidi, I. M., & Afkar, A. (2018) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.64581 · Cited by 4 · see citing works
Adapted physical activity interventions and motivational levers: What benefits for type 2 diabetics? A systematic review
Maudet-Coulomb, E., Martin‐Krumm, C., Tarquinio, C., & Mino, J. (2024) · Health Science Reports · doi:10.1002/hsr2.1644 · Cited by 4 · see citing works
Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis
Eun-Soo, H. A. N., & Kweon, Y.-R. (2020) · Iranian Journal of Public Health · doi:10.18502/ijph.v49i9.4083 · Cited by 3 · see citing works
A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis
Kim, M. J., & Lee, E. N. (2022) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.21238 · Cited by 2 · see citing works
Psychological predictors of the combined adoption of physical exercise and dietary change among adults with hypercholesterolemia
Gomez, P., Boesen-Mariani, S., & Bruckert, É. (2018) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2018.01.134 · Cited by 2 · see citing works
Decreasing Glycosylated Hemoglobin with Nutrition, Exercise and Bi-Monthly Telephone Calls in Patients withType 2 Diabetes Mellitus
Hickson, S. V., Farrell, K., Orr, P. M., & Davenport, D. (2014) · OALib · doi:10.4236/oalib.1100560 · Cited by 1 · see citing works
Physical activity and depression among overweight women with type 2 diabetes mellitus
Moore, M. (2011) · Victoria University Research Repository (Victoria University) · doi:10.13140/rg.2.1.4916.8801 · Cited by 1 · see citing works
Promoting Physical Activity for the Management of Obesity
Morris, T., & Moore, M. (2014) · Wiley eBooks · doi:10.1002/9781118453940.ch5 · Cited by 1 · see citing works
Self-determination Theory and Self-efficacy Theory: Can They Work Together to Predict Physical Activity in Cardiac Rehabilitation?
Sweet, S. N. (2011) · Library and Archives Canada (Government of Canada) · doi:10.20381/ruor-4579 · Cited by 1 · see citing works
Self-citation
Developing a School‐Based Physical Activity Protocol for Those with Intellectual Disabilities
Fitzpatrick, B., Breslin, G., & Taggart, L. (2016) · doi:10.1002/9781394259625.ch20 · Cited by 1 · see citing works
Patterns of Adherence to Oral Hypoglycemic Agents: Patterns, Correlates, and Outcomes
McClintock, D. V., & Heather, F. (2014)
Do Changes In Affective Responses During Physical Activity Predict Future Physical Activity Behavior In Older Adults?
Speranzini, N. (2015) · uO Research (University of Ottawa) · doi:10.20381/ruor-5948
Social comparison processes as contributors to consistent physical activity.
Knight, H. (2016) · doi:10.18297/etd/2522
Psychometric analysis of the Treatment Self-Regulation Questionnaire-Persian (TSRQ-P) version: autonomous regulation appraisal among the Iranian type 2 diabetes patientsPreprint
Matin, H., Sarbakhsh, P., & Shaghaghi, A. (2022) · Research Square · doi:10.21203/rs.3.rs-2108615/v1
Körperliche Aktivität und Trainingstherapie bei Typ-2-Diabetes – ein Update
Niess, A. M., & Thiel, A. (2024) · Diabetologie und Stoffwechsel · doi:10.1055/a-1797-4949
Preference and value of physical activity among community-dwelling older adults with mild cognitive impairment: A qualitative study.
Shao, Z., & Hu, M.-Y. (2025) · Geriatric Nursing · doi:10.1016/j.gerinurse.2025.103407
Motivation till motion och utveckling av webbaserad hälsopromotion
Josefsson, K. A., & Ivarsson, A. (2010) · Hogskolan Ihalmstad (Halmstad University)
Leviers psychologiques de l'engagement et de la persistance dans la pratique de l'activité physique chez les patients diabétiques de type 2
Maudet-Coulomb, E. (2023) · theses.fr (ABES) · doi:10.70675/ec2b97c9z7e12z4a7ezb3efz5f83c2610eef

Determinants of physical activity among patients with type 2 diabetes: the role of perceived autonomy support, autonomous motivation and self-care competence
Koponen, A. M., Simonsen, N., & Suominen, S. (2016) · Psychology Health & Medicine · doi:10.1080/13548506.2016.1154179 · Cited by 52 · see citing works
Relationship between self-efficacy and physical activity among patients with type 2 diabetes
Dutton, G. R., Tan, F., Provost, B. C., Sorenson, J. L., Allen, B., & Smith, D. (2009) · Journal of Behavioral Medicine · doi:10.1007/s10865-009-9200-0 · Cited by 111 · see citing works
Role of Autonomous Motivation in Increasing Physical Activity among Patients with Type 2 Diabetes Mellitus: A Systematic Review
Masters Program of Public Health, U. I., & Hasibuan, A. F. (2019) · Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes · doi:10.26911/the6thicph-fp.04.02 · Cited by 1 · see citing works
Success in increasing physical activity (PA) among patients with type 2 diabetes: a self-determination theory perspective
Koponen, A. M., Simonsen, N., & Suominen, S. (2018) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2018.1462707 · Cited by 22 · see citing works
Motivational profiles for physical activity among adults with type 2 diabetes and their relationships with physical activity behavior
Castonguay, A., & Miquelon, P. (2017) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2016.1272416 · Cited by 13 · see citing works

Authors: Sweet, S. N., Fortier, M. S., Guérin, E., Tulloch, H., Sigal, R. J., Kenny, G. P., & Reid, R. D.
Affiliations: University of Ottawa (CA)
Ottawa Heart Institute (CA)
Corresponding author: Sweet, Shane N.
ORCID: Sweet, Shane N.
Fortier, Michelle S.
Guérin, Eva
Tulloch, Heather
Sigal, Ronald J.
Kenny, Glen P.
Reid, Robert D.
Venue: Psychology, Health & Medicine
Publisher: Informa UK Limited
Published: 2009-08
Volume: 14
Issue: 4
Pages: 419-429
ISSN: 1354-8506 (ISSN-L)
1465-3966
DOI: 10.1080/13548500903111806
OpenAlex: W2003499168
Cited by: 70
References: 56
Citations by year: 2025: 2 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 8 · 2013: 4 · 2012: 6
FWCI: 6.53
Type: journal article
Language: en
Open access: closed
Locations: Psychology Health & Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
Health Sciences › Medicine › Physiology › Physical Activity and Health
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: type 2 diabetes, physical activity, autonomous motivation, self-efficacy, barrier self-efficacy, exercise intervention, physical activity maintenance, mediation, exercise adherence
MeSH terms: Adult, Aged, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Models, Theoretical, Motivation, Surveys and Questionnaires, Exercise, Randomized Controlled Trials as Topic, Self Efficacy

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Understanding physical activity in adults with type 2 diabetes after completing an exercise intervention trial: A mediation model of self-efficacy and autonomous motivation

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks