An autonomy-supportive health-care climate and perceived self-care competence are strongly associated with better glycemic control in patients with type 2 diabetes.
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Self-care competence may mediate motivation-glycemic control links in type 2 diabetes; hypothesis-generating and should not yet change practice.
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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Koponen et al. (2015) studied this question.
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