A cluster randomised pragmatic trial applying Self-determination theory to type 2 diabetes care in general practice

摘要

BackgroundTreatment recommendations for prevention of type 2 diabetes complications often require radical and life-long health behaviour changes. Observational studies based on Self-determination theory (SDT) propose substantial factors for the maintenance of behaviour changes and concomitant well-being, but experimental research is needed to develop and evaluate SDT-based interventions. The aims of this paper were to describe1) the design of a trial assessing the effectiveness of a training course for practice-nurses in autonomy support on patient-perceived motivation, HbA1, cholesterol, and well-being among a diabetes population,2) the actual intervention to a level of detail that allows its replication, and3) the connection between SDT recommendations for health care-provider behaviour and the content of the training course.