Quality of primary health care and autonomous motivation for effective diabetes self-management among patients with type 2 diabetes

Anne M Koponen; Nina Simonsen; Sakari Suominen

doi:10.1177/2055102917707181

Quality of primary health care and autonomous motivation for effective diabetes self-management among patients with type 2 diabetes

Health Psychol Open. 2017 May 16;4(1):2055102917707181. doi: 10.1177/2055102917707181. eCollection 2017 Jan.

Authors

Anne M Koponen^{1

2}, Nina Simonsen^{1

2}, Sakari Suominen^{1

3

4}

Affiliations

¹ Folkhälsan Research Center, Finland.
² University of Helsinki, Finland.
³ University of Skövde, Sweden.
⁴ University of Turku, Finland.

Abstract

This study showed, in line with self-determination theory, that of the six central quality dimensions of primary health care (access to care, continuity of care, diabetes counseling, autonomy support from one's physician, trust, patient-centered care), autonomy support from one's physician was most strongly associated with autonomous motivation (self-regulation) for effective diabetes self-management among patients with type 2 diabetes (n = 2866). However, overall support for diabetes care received from friends, family members, other patients with diabetes, and health care professionals may even play a greater role.

Keywords: diabetes; health care quality; motivation; primary care; self-management.