PMID- 26870905 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20220410 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 9 IP - 1 DP - 2017 Jan TI - Relationship between motivational style and glycemic control in Jordanian patients with type 2 diabetes mellitus. PG - 93-101 LID - 10.1111/1753-0407.12389 [doi] AB - BACKGROUND: Although, there is increased recognition of the importance of blood glucose control and diabetes education in type 2 diabetes mellitus (T2DM), the relationship between motivation and long term outcomes, glycemic control, are lacking. The primary aims of the present study were to: (i) describe the motivational style of Jordanian patients with T2DM regarding self-care management, taking medications, and self-monitoring of blood glucose (SMBG), as well as following therapeutic dietary instructions and exercising regularly; and b) examine the significance of these factors in predicting glycemic control. METHODS: A package including a treatment self-regulation questionnaire concerning diabetes, was administered to a convenience sample of 110 patients with T2DM. In addition, the most recent HbA1c results were extracted from the patients' medical records. RESULTS: Fifty-eight patients (52.7 %) reported being intrinsically motivated with regard to taking medication and regular SMBG, whereas half the participants (50 %) were intrinsically motivated to follow therapeutic dietary instructions and regular exercise. Patients who were intrinsically motivated were 8.3-fold more likely (95 % confidence interval [CI] 1.44-47.86) to have glycemic control than those reporting extrinsic motivation. In addition, those who were intrinsically motivated to follow therapeutic dietary instructions and exercise regularly were 10.50-fold more likely (95 % CI 2.50-48.78) times more likely to report glycemic control than those reporting extrinsic motivation. CONCLUSION: Interventional strategies should focus on promoting intrinsic motivation in order to enhance glycemic control. CI - (c) 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Al-Hassan, Mousa A AU - Al-Hassan MA AD - Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan. FAU - Al-Akour, Nemeh A AU - Al-Akour NA AD - Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan. FAU - Aburas, Motaz Mohammad AU - Aburas MM AD - Coronary Care Unit, Jordan University Hospital, Amman, Jordan. LA - eng PT - Journal Article DEP - 20160701 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Blood Glucose) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Blood Glucose/*metabolism MH - Blood Glucose Self-Monitoring MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/psychology/*therapy MH - Humans MH - Jordan MH - Middle Aged MH - *Motivation MH - Young Adult OTO - NOTNLM OT - Jordan OT - glycemic control OT - motivational style OT - type 2 diabetes EDAT- 2016/02/13 06:00 MHDA- 2018/07/22 06:00 CRDT- 2016/02/13 06:00 PHST- 2015/05/18 00:00 [received] PHST- 2015/11/29 00:00 [revised] PHST- 2016/02/04 00:00 [accepted] PHST- 2016/02/13 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] PHST- 2016/02/13 06:00 [entrez] AID - 10.1111/1753-0407.12389 [doi] PST - ppublish SO - J Diabetes. 2017 Jan;9(1):93-101. doi: 10.1111/1753-0407.12389. Epub 2016 Jul 1.