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Success in Weight Management Among Patients with Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role?
Behav Med. 2018 Apr-Jun; 44(2):151-159.BM

Abstract

Based on self-determination theory (SDT), this study investigated whether the three central SDT variables-perceived autonomy support (from a physician), autonomous motivation and self-care competence-were associated with success in weight management (SWM) among primary care patients with type 2 diabetes when the effect of other important life-context factors was controlled for. Patients participated in a mail survey in 2011. Those who had tried to change their health behavior during the past two years in order to lose weight, either with or without success (n = 1433, mean age 63 years, 50% men), were included in this study. The successors were more autonomously motivated and energetic than the non-successors. Moreover, male gender, younger age, taking oral medication only, and receiving less social support in diabetes care predicted better success. Autonomous motivation predicted SWM; self-care competence also played a role by partly mediating the effect of autonomous motivation on SWM. These results support the idea of SDT that internalizing the value of weight management and its health benefits is necessary for long-term maintenance of health behavior change. Perceived autonomy support was not directly associated with SWM. However, physicians can promote patients' weight management by supporting their autonomous motivation and self-care competence.

Authors+Show Affiliations

a University of Helsinki. c Folkhälsan Research Center.a University of Helsinki. c Folkhälsan Research Center.b University of Turku. c Folkhälsan Research Center.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28323533

Citation

Koponen, Anne M., et al. "Success in Weight Management Among Patients With Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role?" Behavioral Medicine (Washington, D.C.), vol. 44, no. 2, 2018, pp. 151-159.
Koponen AM, Simonsen N, Suominen SB. Success in Weight Management Among Patients with Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role? Behav Med. 2018;44(2):151-159.
Koponen, A. M., Simonsen, N., & Suominen, S. B. (2018). Success in Weight Management Among Patients with Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role? Behavioral Medicine (Washington, D.C.), 44(2), 151-159. https://doi.org/10.1080/08964289.2017.1292997
Koponen AM, Simonsen N, Suominen SB. Success in Weight Management Among Patients With Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role. Behav Med. 2018 Apr-Jun;44(2):151-159. PubMed PMID: 28323533.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Success in Weight Management Among Patients with Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role? AU - Koponen,Anne M, AU - Simonsen,Nina, AU - Suominen,Sakari B, Y1 - 2017/03/21/ PY - 2017/3/23/pubmed PY - 2019/2/9/medline PY - 2017/3/22/entrez KW - autonomy support KW - diabetes KW - motivation KW - self-care competence KW - weight management SP - 151 EP - 159 JF - Behavioral medicine (Washington, D.C.) JO - Behav Med VL - 44 IS - 2 N2 - Based on self-determination theory (SDT), this study investigated whether the three central SDT variables-perceived autonomy support (from a physician), autonomous motivation and self-care competence-were associated with success in weight management (SWM) among primary care patients with type 2 diabetes when the effect of other important life-context factors was controlled for. Patients participated in a mail survey in 2011. Those who had tried to change their health behavior during the past two years in order to lose weight, either with or without success (n = 1433, mean age 63 years, 50% men), were included in this study. The successors were more autonomously motivated and energetic than the non-successors. Moreover, male gender, younger age, taking oral medication only, and receiving less social support in diabetes care predicted better success. Autonomous motivation predicted SWM; self-care competence also played a role by partly mediating the effect of autonomous motivation on SWM. These results support the idea of SDT that internalizing the value of weight management and its health benefits is necessary for long-term maintenance of health behavior change. Perceived autonomy support was not directly associated with SWM. However, physicians can promote patients' weight management by supporting their autonomous motivation and self-care competence. SN - 0896-4289 UR - https://www.unboundmedicine.com/medline/citation/28323533/Success_in_Weight_Management_Among_Patients_with_Type_2_Diabetes:_Do_Perceived_Autonomy_Support_Autonomous_Motivation_and_Self_Care_Competence_Play_a_Role L2 - https://www.tandfonline.com/doi/full/10.1080/08964289.2017.1292997 DB - PRIME DP - Unbound Medicine ER -