Mediation Effects of Basic Psychological Needs Between Autonomy Support from Healthcare Providers and Self-Management Among Cancer Survivors
10.24171/j.phrp.2019.10.6.09
- Author:
Eun Jung BAE
1
;
Yun Hee KIM
Author Information
1. Division of Nursing, Dongnam Institute of Radiological & Medical Sciences, Busan, Korea.
- Publication Type:Original Article
- Keywords:
cancer survivors;
healthcare provider;
self-management
- MeSH:
Delivery of Health Care;
Health Personnel;
Humans;
Korea;
Mental Competency;
Methods;
Negotiating;
Self Care;
Survivors
- From:
Osong Public Health and Research Perspectives
2019;10(6):385-393
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: This study examined the mediating effects of basic psychological needs between patient autonomy support from healthcare providers, and self-management among cancer survivors.METHODS: This study collected data from 148 cancer patients who had visited D hospitals in B city, Korea. A structured questionnaire was distributed to determine patient characteristics, healthcare provider autonomy support, basic psychological needs, and self-management. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and regression analysis that implemented Baron and Kenny's method for mediation were used for analyses.RESULTS: Self-management was significantly correlated with the level of healthcare provider autonomy support (r = 0.38, p < 0.001), autonomy (r = 0.40, p < 0.001), competence (r = 0.25, p = 0.002), and relatedness (r = 0.32, p < 0.001). Furthermore, autonomy (β = 0.30, p < 0.001) and relatedness (β = 0.22, p = 0.008) had partial mediating effects on the relationship between healthcare provider autonomy support and self-management (Z = 3.13, p = 0.002 and Z = 2.29, p = 0.022, respectively).CONCLUSION: Autonomy and relatedness mediated the impact of healthcare provider autonomy support for self-management among cancer survivors. This suggests that strategies for enhancing autonomy and relatedness should be considered when developing self-management interventions for cancer survivor patients.
