Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review

Background. Diabetes is one of the leading causes of sickness, death, and decreased quality of life globally. The prevalence of diabetes keeps rising globally due to lifestyle changes and urbanization. Therefore, improved quality of life (QoL) and appropriate diabetes self-management practices, incl...

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Main Authors: Jacob Owusu Sarfo, Paul Obeng, Henneh Kwaku Kyereh, Edward Wilson Ansah, Priscilla Yeye Adumoah Attafuah
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2023/5341656
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author Jacob Owusu Sarfo
Paul Obeng
Henneh Kwaku Kyereh
Edward Wilson Ansah
Priscilla Yeye Adumoah Attafuah
author_facet Jacob Owusu Sarfo
Paul Obeng
Henneh Kwaku Kyereh
Edward Wilson Ansah
Priscilla Yeye Adumoah Attafuah
author_sort Jacob Owusu Sarfo
collection DOAJ
description Background. Diabetes is one of the leading causes of sickness, death, and decreased quality of life globally. The prevalence of diabetes keeps rising globally due to lifestyle changes and urbanization. Therefore, improved quality of life (QoL) and appropriate diabetes self-management practices, including treatment adherence, are crucial to improving and sustaining the health of diabetic patients. Some studies have adopted the self-determination theory (SDT) to study diabetes interventions, but less is known about its effectiveness in improving QoL, treatment adherence, and diabetes self-management. Aim/Objective. This review assessed the effectiveness of SDT in improving self-management practices, treatment adherence, and QoL among adult diabetic patients. Method. We followed the six-stage framework by Arksey and O’Malley in conducting the review. PubMed, JSTOR, Central, and ScienceDirect databases were searched for published articles from January 2011 to October 2021 using keywords and Boolean logic. Furthermore, we screened a reference list of related articles. Also, Google Scholar, Z-library, and web-based searches were carried out to retrieve other relevant evidence that applied SDT in improving QoL, diabetes self-management, and treatment adherence. Findings. Fifteen studies met the inclusion criteria, from which data were extracted as findings. SDT effectively improved QoL, diabetes treatment adherence, and diabetes self-management among diabetic patients. Of these studies, 11 provided data on SDT and diabetes self-management and affirmed the effectiveness of the theory in improving appropriate diabetes self-management practices. Two studies confirmed the effectiveness of SDT in improving treatment adherence. SDT and QoL were assessed in 4 of the studies, which demonstrated the effectiveness of SDT in enhancing the QoL of diabetic patients. Conclusion. SDT effectively improved QoL, diabetes treatment adherence, and diabetes self-management. The application of SDT in diabetes management will improve the health and QoL of diabetic patients. Hence, diabetes management interventions could adopt SDT to guide treatment.
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spelling doaj-art-fa268aa4cd274d2b8c32e60f7f0bb3dd2025-08-20T02:22:41ZengWileyJournal of Diabetes Research2314-67532023-01-01202310.1155/2023/5341656Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping ReviewJacob Owusu Sarfo0Paul Obeng1Henneh Kwaku Kyereh2Edward Wilson Ansah3Priscilla Yeye Adumoah Attafuah4Department of HealthDepartment of HealthDepartment of HealthDepartment of HealthPublic Health Nursing DepartmentBackground. Diabetes is one of the leading causes of sickness, death, and decreased quality of life globally. The prevalence of diabetes keeps rising globally due to lifestyle changes and urbanization. Therefore, improved quality of life (QoL) and appropriate diabetes self-management practices, including treatment adherence, are crucial to improving and sustaining the health of diabetic patients. Some studies have adopted the self-determination theory (SDT) to study diabetes interventions, but less is known about its effectiveness in improving QoL, treatment adherence, and diabetes self-management. Aim/Objective. This review assessed the effectiveness of SDT in improving self-management practices, treatment adherence, and QoL among adult diabetic patients. Method. We followed the six-stage framework by Arksey and O’Malley in conducting the review. PubMed, JSTOR, Central, and ScienceDirect databases were searched for published articles from January 2011 to October 2021 using keywords and Boolean logic. Furthermore, we screened a reference list of related articles. Also, Google Scholar, Z-library, and web-based searches were carried out to retrieve other relevant evidence that applied SDT in improving QoL, diabetes self-management, and treatment adherence. Findings. Fifteen studies met the inclusion criteria, from which data were extracted as findings. SDT effectively improved QoL, diabetes treatment adherence, and diabetes self-management among diabetic patients. Of these studies, 11 provided data on SDT and diabetes self-management and affirmed the effectiveness of the theory in improving appropriate diabetes self-management practices. Two studies confirmed the effectiveness of SDT in improving treatment adherence. SDT and QoL were assessed in 4 of the studies, which demonstrated the effectiveness of SDT in enhancing the QoL of diabetic patients. Conclusion. SDT effectively improved QoL, diabetes treatment adherence, and diabetes self-management. The application of SDT in diabetes management will improve the health and QoL of diabetic patients. Hence, diabetes management interventions could adopt SDT to guide treatment.http://dx.doi.org/10.1155/2023/5341656
spellingShingle Jacob Owusu Sarfo
Paul Obeng
Henneh Kwaku Kyereh
Edward Wilson Ansah
Priscilla Yeye Adumoah Attafuah
Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
Journal of Diabetes Research
title Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
title_full Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
title_fullStr Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
title_full_unstemmed Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
title_short Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review
title_sort self determination theory and quality of life of adults with diabetes a scoping review
url http://dx.doi.org/10.1155/2023/5341656
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