What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda

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dc.contributor.authorDe Man, Jeroen
dc.contributor.authorWouters, Edwin
dc.contributor.authorAbsetz, Pilvikki
dc.contributor.authorDaivadanam, Meena
dc.contributor.authorNaggayi, Gloria
dc.contributor.authorKasujja, Francis Xavier
dc.contributor.authorRemmen, Roy
dc.contributor.authorGuwatudde, David
dc.contributor.authorOlmen, Josefien Van
dc.date.accessioned2022-02-25T09:20:14Z
dc.date.available2022-02-25T09:20:14Z
dc.date.issued2020
dc.description.abstractSub-Saharan Africa is experiencing a rapid growth of type 2 diabetes (T2D) and its related burden. Regular physical activity (PA) is a successful prevention strategy but is challenging to maintain. Self-determination theory (SDT) posits that more autonomous forms of motivation are associated with more sustainable behavior change. Evidence to support this claim is lacking in sub-Saharan Africa. This study aims to explore the relationships between latent constructs of autonomous and controlled motivation, perceived competence, perceived relatedness, PA behavior, and glycemic biomarkers. Methods: Structural equation modeling was applied to cross-sectional data from a rural Ugandan population (N = 712, pre-diabetes = 329, diabetes = 383). Outcome measures included self-reported moderate and vigorous PA, pedometer counts, and fasting plasma glucose (FPG) and glycated hemoglobin (HbA1C). Results: Our findings support SDT, but also suggest that different types of motivation regulate different domains and intensities of PA. Higher frequency of vigorous PA – which was linked to a lower HbA1C and FPG – was predicted by autonomous motivation (β = 0.24) but not by controlled motivation (β = −0.05). However, we found no association with moderate PA frequency nor with pedometer counts. Perceived competence and perceived relatedness predicted autonomous motivation. Autonomous motivation functioned as a mediator between those needs and PA behavior. Conclusion: This is the first study providing evidence for a SDT model explaining PA among people at risk of, or living with, T2D in a rural sub-Saharan African setting. Our findings suggest that individuals who experience genuine support from friends or family and who feel competent in doing vigorous PA can become motivated through identification of health benefits of PA as their own goals. This type of motivation resulted in a higher frequency of vigorous PA and better glycemic biomarkers. On the other hand, people who felt more motivated through pressure from others or through feelings of guilt or shame were not more engaged in PA.en_US
dc.identifier.citationDe Man J, Wouters E, Absetz P, Daivadanam M, Naggayi G, Kasujja FX, Remmen R, Guwatudde D and Van Olmen J (2020) What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda. Front. Psychol. 11:404. doi: 10.3389/fpsyg.2020.00404en_US
dc.identifier.other10.3389/fpsyg.2020.00404
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2306
dc.language.isoenen_US
dc.publisherFrontiers in Psychologyen_US
dc.subjectType 2 diabetesen_US
dc.subjectPhysical activityen_US
dc.subjectSelf-determination theoryen_US
dc.subjectSub-saharan Africaen_US
dc.subjectUgandaen_US
dc.subjectPsychological needs theoryen_US
dc.subjectAutonomous motivationen_US
dc.subjectControlled motivationen_US
dc.titleWhat Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Ugandaen_US
dc.typeArticleen_US
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