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Effects of perceived competence, negative appraisal, and motivation orientation on glycemic stability in individuals with type 2 diabetes :A prospective cohort study

Mellergård, Emelia LU ; Johnsson, Per LU and Eek, Frida LU (2021) In Primary Care Diabetes 15(2). p.269-274
Abstract

Aims: HbA1c variability is targeted as a part of clinical risk assessment in type 2 diabetes. Psychological factors such as patient competence, adjustment to diabetes, and motivation, may influence glycemic control. The objective of the present study was to determine if perceived competence, diabetes appraisal, and motivation predicted HbA1c variability, and to examine differences regarding these factors in relation to diabetes duration, in individuals with type 2 diabetes. Methods: Data on perceived competence, appraisal of diabetes, and motivation orientation from 158 individuals with type 2 diabetes were analyzed as potential predictors of HbA1c at five measurement points over a time period of 24 months. Associations between... (More)

Aims: HbA1c variability is targeted as a part of clinical risk assessment in type 2 diabetes. Psychological factors such as patient competence, adjustment to diabetes, and motivation, may influence glycemic control. The objective of the present study was to determine if perceived competence, diabetes appraisal, and motivation predicted HbA1c variability, and to examine differences regarding these factors in relation to diabetes duration, in individuals with type 2 diabetes. Methods: Data on perceived competence, appraisal of diabetes, and motivation orientation from 158 individuals with type 2 diabetes were analyzed as potential predictors of HbA1c at five measurement points over a time period of 24 months. Associations between psychological factors and HbA1c variability were examined through multiple linear regression analyses, and differences in psychological measures between groups with different diabetes duration were examined using ANOVA. Results: Negative appraisal of diabetes predicted higher HbA1c variability and was associated with higher baseline HbA1c, and greater perceived competence predicted lower HbA1c variability. Conclusions: The results indicate that lower levels of diabetes distress, as well as confidence in one's ability to manage diabetes, could potentially predict better glycemic control.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
HbA1c, Motivation, Psychological adjustment, Psychology, Self-management, Type 2 diabetes
in
Primary Care Diabetes
volume
15
issue
2
pages
269 - 274
publisher
Elsevier
external identifiers
  • pmid:33041216
  • scopus:85092244071
ISSN
1751-9918
DOI
10.1016/j.pcd.2020.09.008
language
English
LU publication?
yes
id
4abe3eef-26e4-4cd1-aac7-62e628bf2ce8
date added to LUP
2020-11-19 11:50:49
date last changed
2024-09-05 08:15:55
@article{4abe3eef-26e4-4cd1-aac7-62e628bf2ce8,
  abstract     = {{<p>Aims: HbA1c variability is targeted as a part of clinical risk assessment in type 2 diabetes. Psychological factors such as patient competence, adjustment to diabetes, and motivation, may influence glycemic control. The objective of the present study was to determine if perceived competence, diabetes appraisal, and motivation predicted HbA1c variability, and to examine differences regarding these factors in relation to diabetes duration, in individuals with type 2 diabetes. Methods: Data on perceived competence, appraisal of diabetes, and motivation orientation from 158 individuals with type 2 diabetes were analyzed as potential predictors of HbA1c at five measurement points over a time period of 24 months. Associations between psychological factors and HbA1c variability were examined through multiple linear regression analyses, and differences in psychological measures between groups with different diabetes duration were examined using ANOVA. Results: Negative appraisal of diabetes predicted higher HbA1c variability and was associated with higher baseline HbA1c, and greater perceived competence predicted lower HbA1c variability. Conclusions: The results indicate that lower levels of diabetes distress, as well as confidence in one's ability to manage diabetes, could potentially predict better glycemic control.</p>}},
  author       = {{Mellergård, Emelia and Johnsson, Per and Eek, Frida}},
  issn         = {{1751-9918}},
  keywords     = {{HbA1c; Motivation; Psychological adjustment; Psychology; Self-management; Type 2 diabetes}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{269--274}},
  publisher    = {{Elsevier}},
  series       = {{Primary Care Diabetes}},
  title        = {{Effects of perceived competence, negative appraisal, and motivation orientation on glycemic stability in individuals with type 2 diabetes :A prospective cohort study}},
  url          = {{http://dx.doi.org/10.1016/j.pcd.2020.09.008}},
  doi          = {{10.1016/j.pcd.2020.09.008}},
  volume       = {{15}},
  year         = {{2021}},
}