Motivation and dietary self-care in adults with diabetes:: Are self-efficacy and autonomous self-regulation complementary or competing constructs?

被引:155
作者
Senécal, C
Nouwen, A
White, D
机构
[1] Staffordshire Univ, Div Psychol, Sch Sci, Stoke On Trent ST4 2DE, Staffs, England
[2] Univ Laval, Ecole Psychol, Laval, PQ, Canada
关键词
autonomous self-regulation; self-efficacy; motivation; diabetes; dietary self-care; life satisfaction;
D O I
10.1037//0278-6133.19.5.452
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study examined constructs drawn from social-cognitive theory (A. Bandura, 1986) and self-determination theory (E. L. Deci & R. M. Ryan, 1985, 1991) in relation to dietary self-care and life satisfaction among 638 individuals with diabetes. A motivational model of diabetes dietary self-care was proposed, which postulates direct links between self-efficacy/autonomous self-regulation, and adherence/life satisfaction. Structural equation modeling showed that both self-efficacy and autonomous self-regulation were associated with adherence (beta s = .54 and .21, respectively) and with life satisfaction (beta s = .15 and .34, respectively). Constraint analyses confirmed that self-efficacy was significantly more associated with adherence, whereas autonomous self-regulation was significantly more associated with life satisfaction. According to the model, interventions for dietary self-care and life satisfaction should focus on increasing self-efficacy and autonomous self-regulation.
引用
收藏
页码:452 / 457
页数:6
相关论文
共 44 条
[41]   Toward a hierarchical model of intrinsic and extrinsic motivation [J].
Vallerand, RJ .
ADVANCES IN EXPERIMENTAL SOCIAL PSYCHOLOGY, VOL 29, 1997, 29 :271-360
[42]   Internalization of biopsychosocial values by medical students: A test of self-determination theory [J].
Williams, GC ;
Deci, EL .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1996, 70 (04) :767-779
[43]   Autonomous regulation and long-term medication adherence in adult outpatients [J].
Williams, GC ;
Rodin, GC ;
Ryan, RM ;
Grolnick, WS ;
Deci, EL .
HEALTH PSYCHOLOGY, 1998, 17 (03) :269-276
[44]   Supporting autonomy to motivate patients with diabetes for glucose control [J].
Williams, GC ;
Freedman, ZR ;
Deci, EL .
DIABETES CARE, 1998, 21 (10) :1644-1651