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A Predictive Model on Self Care Behavior for Patients with Type 2 Diabetes: Based on Self-Determination Theory
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Yeong Mi Seo, Won Hee Choi
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J Korean Acad Nurs 2011;41(4):491-499. Published online August 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.4.491
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Abstract
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Purpose
The study was conducted to develop and test a hypothetical model which explains self-care behavior in patients with type 2 diabetes was established based on the Self-Determination Theory.
Methods
The participants were 218 patients with type 2 diabetes mellitus enrolled in an outpatient clinic of one endocrine center in Korea. The data were collected using questionnaires from April 5 through May 7, 2010. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the AMOS 7.0 program.
Results
The results of this study showed that competence and autonomous motivation were the strong factors influencing self-care behavior in patients in this sample. Support from health provider for autonomy was a significant indirect factor on self-care behavior. These factors explained 64.9% of variance in the participants' self care behavior. The proposed model was concise and extensive in predicting self-care behavior of the participants.
Conclusion
Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting self-care behavior in patients with type 2 diabetes.
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Citations
Citations to this article as recorded by 
- Mediating Effect of Autonomy Support between Exercise Knowledge and Exercise Self-Efficacy of Patients with Severe Mental Illness
Jein Park, Young-Ran Kweon Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(2): 104. CrossRef - Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease
Jun Hee Jang, Hye Sook Min Journal of Korean Academy of Nursing.2023; 53(2): 191. CrossRef - Autonomy is not but competence and relatedness are associated with physical activity among colorectal cancer survivors
Kyoung-A Kim, Sang Hui Chu, Eui Geum Oh, Sang Joon Shin, Justin Y. Jeon, Yun Jin Lee Supportive Care in Cancer.2021; 29(3): 1653. CrossRef - Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study
Hye Won Jeong, Chi Eun Song, Minjeong An, Lucy E. Selman PLOS ONE.2021; 16(6): e0248947. CrossRef - Development and Effect of a Smartphone Overdependence Prevention Program for University Students Based on Self-Determination Theory
Myung Soon Kwon, Jeong Soon Yu Journal of Korean Academy of Nursing.2020; 50(1): 116. CrossRef - Exploring the Basic Psychological Needs Necessary for the Internalized Motivation of University Students with Smartphone Overdependence: Applying a Self-Determination Theory
Myung Soon Kwon, Juhye Jin Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 26. CrossRef - Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
Yoonjung Kim, Sanggeon Park STRESS.2019; 27(4): 320. CrossRef - Association of Basic Psychological Needs with Recovery Attitude in Inpatients with Alcohol Use Disorders based on the Self-Determination Theory
Jae Woon Lee, Kinoh Kang Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(4): 344. CrossRef - Mediation Effects of Basic Psychological Needs Between Autonomy Support from Healthcare Providers and Self-Management Among Cancer Survivors
Eun-Jung Bae, Yun-Hee Kim Osong Public Health and Research Perspectives.2019; 10(6): 385. CrossRef - Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory
Hye Won Jeong, Hyang Sook So Journal of Korean Academy of Nursing.2018; 48(6): 731. CrossRef - An Intervention Study of Self-feeding for the Elderly in Nursing Homes
Kyung Hee Lee Journal of Korean Academy of Community Health Nursing.2017; 28(4): 450. CrossRef - The Impact of Social Support on Self-care of Patients With Diabetes: What Is the Effect of Diabetes Type? Systematic Review and Meta-analysis
Youngshin Song, Soohyun Nam, Seyeon Park, In-soo Shin, Bon Jeong Ku The Diabetes Educator.2017; 43(4): 396. CrossRef - Structural Equation Modeling of Self-Management of Liver Transplant Recipients
Mi-Kyeong Jeon, Yeon-Hwan Park Journal of Korean Academy of Nursing.2017; 47(5): 663. CrossRef - The Relationship between Psychological Needs and Health Promoting Behavior in Community-dwelling Older Women
Journal of East-West Nursing Research.2015; 21(2): 126. CrossRef - Intrinsic Motivation Factors Based on the Self-Determinant Theory for Regular Breast Cancer Screening
Su Mi Jung, Heui-Sug Jo Asian Pacific Journal of Cancer Prevention.2015; 15(23): 10101. CrossRef - A Structural Equation Model on Health Behavior Adherence for Elders with Prehypertension: Based on Self-Determination Theory
Eun-Ha Lee, Jee-Won Park Journal of Korean Academy of Fundamentals of Nursing.2012; 19(3): 343. CrossRef - Relationships of Motivational Factors and Diabetes Self-management Behavior in Community Dwelling Older Adults
Kyoungsan Seo, Misoon Song Journal of muscle and joint health.2012; 19(3): 308. CrossRef
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The Effects of a Weight Control Program with Competence
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Yeong Mi Seo, Sun Lim Suh
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Journal of Korean Academy of Nursing 2007;37(7):1177-1183. Published online December 31, 2007
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DOI: https://doi.org/10.4040/jkan.2007.37.7.1177
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Abstract
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Purpose
The purpose of this study was to identify the effects of a weight control program and compliancy in overweight women.
Method
This program was composed of strategies to modify diet and exercise and to change compliance and self determination over an 8 week period. The subjects were 19 overweight women who participated in our project voluntarily. Data was collected from May 4 to Jun 30 of 2007. The program consisted of regular rapid walking exercise, diet, mobile phone messages and e-mail. The data was analyzed by Repeated Measures ANOVA using the SPSS WIN program.
Result
According to 3 assessment periods, there were significant differences in body weight, body mass index, and compliance. There were no significant differences in self determination.
Conclusion
These findings suggest that more intensive interventions may be needed to demonstrate a change in self determination.
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Citations
Citations to this article as recorded by 
- Power Analysis in Experimental Designs with t test Analysis
Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120. CrossRef
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