Health Psychology Open (Apr 2015)

Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care

  • Anne M Koponen,
  • Nina Simonsen,
  • Ritva Laamanen,
  • Sakari Suominen

DOI
https://doi.org/10.1177/2055102915579778
Journal volume & issue
Vol. 2

Abstract

Read online

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.