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

Koponen, Anne M.; Simonsen-Rehn, Nina; Laamanen, Ritva; Suominen, Sakari

doi:10.1177/2055102915579778

Cited by 16 publications

(38 citation statements)

References 38 publications

(38 reference statements)

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“…These results were also found after two years of intervention (Silva et al, ). Similar findings were found in a study of type 2 diabetic patients in which autonomy support was associated with the ability of the person to manage their own care (Koponen, Simonsen, Laamanen, & Suominen, ).…”

Section: Introductionsupporting

confidence: 85%

“…Structure encompasses different sources of direction and guidance, enabling individuals to make progress, in providing (a) a presentation of clear goals and guidelines; (b) a concern for individuals' expectations or problems; and (c) positive constructive feedback (Reeve & Jang, 2006). In a well-structured environment, individuals have a clear sense of what actions they need to take to achieve their goals and what effort is required (Koponen et al, 2015;Patrick, Turner, Meyer, & Midgley, 2003). For Stroet et al (2013), structure allows the competence need to be satisfied.…”

Section: Introductionmentioning

confidence: 99%

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What is an autonomy supportive environment in geriatric care units? Focus group interviews with healthcare professionals

Souesme

Ferrand

2019

Int J Older People Nursing

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Objectives Grounded in Self‐Determination Theory (SDT), the aim of the study was to define an autonomy supportive environment through the perceptions of different healthcare professionals in three geriatric care units within French public and private hospitals. Study design Four focus groups were conducted with healthcare professionals. Each focus group was videotaped and audio‐recorded and transcribed verbatim. Methods An inductive approach was used, and data analysis was carried out using NVivo 10 software for Mac‐QSR International. Results Three themes were highlighted (a) building a relationship of trust with older people; (b) encouraging them to express themselves and (c) promoting progress. Conclusion The present study provides some information and a reflection for healthcare professionals who might be interested in using a more autonomy‐supportive motivating style in their practice.

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Section: Introductionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

What is an autonomy supportive environment in geriatric care units? Focus group interviews with healthcare professionals

Souesme

Ferrand

2019

Int J Older People Nursing

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“…Previous studies on SDT constructs among patients with T2D have focused primarily on their relationship with glycaemic control (i.e., Hemoglobin A1c levels) among patients with T2D by medication compliance and adherence to a healthy diet and exercise [14,15]. A recent study assessed the association between autonomous motivation, competence and healthcare support on fruits, vegetables and berries intake in Finland [16].…”

Section: Introductionmentioning

confidence: 99%

Can Self-Determination Explain Dietary Patterns Among Adults at Risk of or with Type 2 Diabetes? A Cross-Sectional Study in Socio-Economically Disadvantaged Areas in Stockholm

et al. 2020

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Type 2 Diabetes (T2D) is a major health concern in Sweden, where prevalence rates have been increasing in socioeconomically disadvantaged areas. Self-Determination Theory (SDT) is posited as an optimal framework to build interventions targeted to improve and maintain long-term healthy habits preventing and delaying the onset of T2D. However, research on SDT, T2D and diet has been widely overlooked in socio-economically disadvantaged populations. This study aims to identify the main dietary patterns of adults at risk of and with T2D from two socio-economically disadvantaged Stockholm areas and to determine the association between those patterns and selected SDT constructs (relatedness, autonomy motivation and competence). Cross-sectional data of 147 participants was collected via questionnaires. Exploratory Factor Analysis was used to identify participants’ main dietary patterns. Multiple linear regressions were conducted to assess associations between the SDT and diet behaviours, and path analysis was used to explore mediations. Two dietary patterns (healthy and unhealthy) were identified. Competence construct was most strongly associated with healthy diet. Autonomous motivation and competence mediated the effect of relatedness on diet behaviour. In conclusion, social surroundings can promote adults at high risk of or with T2D to sustain healthy diets by supporting their autonomous motivation and competence.

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“…A special focus of the theory is on sociocultural factors that could facilitate or undermine the individuals’ sense of autonomy, competence and relatedness, which were argued to be fundamental in maintaining motivation and performance 5,8,12. Perceived support for autonomy, self-care competence and psychological relatedness based on the theory are crucial for optimal functioning of a patient in accordance with the prescribed medications or behavioral pattern 5,7–9,12–14…”

Section: Introductionmentioning

confidence: 99%

“…A patient-centered and conducive health-care climate could provide the required support for the universally agreed needs of the patients; therefore, having an in-depth knowledge and understanding of its cyclical nature could offer a timely opportunity for a constructive and far-reaching look at the established organizational behavior to promote best practice performance in health-care settings 5,7,9,15…”

Section: Introductionmentioning

confidence: 99%

<p>Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran</p>

Matin¹,

Nadrian²,

Jahangiry³

et al. 2019

PPA

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Background: Health-care systems play a key role in responding to the growing problems of patients with type 2 diabetes by supporting their autonomy in providing routine care. The Health Care Climate Questionnaire (HCCQ) was designed to assess patients’ perceived degree of autonomy support within the care practice settings. The main purpose of this study was to translate and evaluate psychometric properties of the Persian version of the HCCQ (HCCQ-P) to be applied among Iranian and other Persian-speaking patients with type 2 diabetes. Method: Translation/back-translation procedures were carried out to prepare a preliminary draft of the HCCQ-P that was subsequently sent for face and content validity appraisal by a group of 15 health education/promotion and nursing specialists. Minor revisions were performed based on the feedback, and the content validity ratio (=0.91) and content validity index (=0.95) were within the acceptable range. The structural validity of the scale was assessed by exploratory and confirmatory factor analysis. Results: The exploratory and confirmatory factor analysis outputs (root mean square error of approximation=0.079, comparative fit index=0.976, Tucker Lewis index=0.967, standardized root mean square residual=0.022) demonstrated the proper performance and fitness statistics of the translated HCCQ in a one-dimensional model similar to the original scale. The internal consistency and reliability scores endorsed the validity of the translated measure ( α =0.945, intraclass correlation coefficient=0.999, P =0.000). Conclusion: In this study, the translated HCCQ-P scale showed robust internal validity for its application in the assessment of health-care settings’ supportiveness in care provision to Persian-speaking patients with type 2 diabetes. Future cross-cultural and multidisciplinary studies are recommended to investigate the applicability of the scale in different patients/cultural groups and health-care settings.

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

Cited by 16 publications

References 38 publications

What is an autonomy supportive environment in geriatric care units? Focus group interviews with healthcare professionals

What is an autonomy supportive environment in geriatric care units? Focus group interviews with healthcare professionals

Can Self-Determination Explain Dietary Patterns Among Adults at Risk of or with Type 2 Diabetes? A Cross-Sectional Study in Socio-Economically Disadvantaged Areas in Stockholm

<p>Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran</p>

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