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Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care
University of Helsinki, Finland / Folkhälsan Research Center, Finland.
University of Helsinki, Finland / Folkhälsan Research Center, Finland.
University of Helsinki, Finland / Folkhälsan Research Center, Finland.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Folkhälsan Research Center, Finland / University of Turku, Finland. (Fysisk aktivitet, IT och hälsa (FAITH), Physical Activity, IT and Health)
2015 (English)In: Health Psychology Open, ISSN 2055-1029, Vol. 2, no 1Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Sage Publications, 2015. Vol. 2, no 1
Keyword [en]
competence, diabetes, glycemic control, health-care climate, motivation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-13279DOI: 10.1177/2055102915579778OAI: oai:DiVA.org:his-13279DiVA: diva2:1061218
Available from: 2017-01-01 Created: 2017-01-01 Last updated: 2017-01-03Bibliographically approved

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Suominen, Sakari
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