Motivation and Dietary Self-Care in Adults With Diabetes: Are Self-Efficacy and Autonomous Self-Regulation Complementary or Competing Constructs?

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-...

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Bibliographic Details
Published in:Health psychology 2000-09, Vol.19 (5), p.452-457
Main Authors: Senécal, Caroline, Nouwen, Arie, White, David
Format: Article
Language:English
Subjects:
Adult
Aged
Diabetes
Diabetes Mellitus - psychology
Diabetes Mellitus - therapy
Diet
Diets
Female
Freedom
Human
Humans
Life Satisfaction
Male
Middle Aged
Motivation
Patient Satisfaction
Quality of Life
Self Care - psychology
Self-Care
Self-Efficacy
Self-Management
Self-Regulation
Selfcare
Selfefficacy
Selfregulation
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Summary: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 (βs = .54 and .21, respectively) and with life satisfaction (βs = .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.
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.19.5.452