Motivation to follow a healthy diet in persons with Type 2 Diabetes Mellitus

Section: Originals

How to quote

González Méndez X, Papín Cano C, Martín Payo R. Motivación de las personas con diabetes mellitus tipo 2 en la realización de una dieta saludable. RIdEC 2018; 11(1):30-6.


1 Xana González Méndez, 2 Cristina Papín Cano, 3 Rubén Martín Payo


1 Especialista en Enfermería Familiar y Comunitaria. C.S. Las Vegas (Corvera de Asturias).2 Especialista en Enfermería Familiar y Comunitaria. C.S. Piedras Blancas (Castrillón, Asturias).3 Doctor en Ciencias de la Salud. Departamento de Medicina- Universidad de Oviedo. Facultad de Medicina y Ciencias de la Salud (Oviedo, Asturias).

Contact email:


Objective: to describe the type of motivation and the basic psychological needs (BPNs) in order to follow recommendations for a healthy diet in a sample of patients with Type 2 Diabetes Mellitus (DM2).
Material and methods: a descriptive cross-sectional study was conducted on a sample of 235 patients diagnosed with DM2 in the 3rd Healthcare Area of Asturias. The Motiva.Diaf-DM2 and Brief Resilient Coping Scale questionnaires were used. Those patients who attended the health centres involved and wanted to take part were included in the study. Data were analyzed with SPSS version 24.0.
Results: the highest score for lack of motivation was assigned to the variable associated with the higher weekly use of fish over meat. The best percentage for intrinsic motivation was observed in the items associated with eating two or three pieces of fruit per day and food seasoned with aromatic herbs or spices. The worst scores in BPNs (autonomy, competence and social support) were assigned to the items regarding autonomy: “I am the one who prepares my food”, and with social support.
Discussion and conclusions: persons with DM2 could make changes in behaviour that would allow them to follow a healthy diet, if educational interventions by healthcare professionals were adapted to their motivation and their BPNs, that is to say: autonomy, competence and social support. This could result in a better self-control of their disease, improving their quality of life. On the other hand, using the Motiva.Diaf-DM2 questionnaire would allow to assess the effect of said interventions.


type 2 Diabetes Mellitus; diet for persons with diabetes; motivation; psychological resilience

Versión en Español


Motivación de las personas con diabetes mellitus tipo 2 en la realización de una dieta saludable

Artículo completo no disponible en este idioma / Full article is not available in this language


  1. Federación Internacional de Diabetes. Atlas de Diabetes de la FID. 7ª ed. [internet]. Bruselas: International Diabetes Federation; 2016 [citado 13 may 2018]. Disponible en:
  2. Ministerio de Sanidad, Servicios Sociales e Igualdad. Estrategia en Diabetes del Sistema Nacional de Salud [internet]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2012 [citado 13 may 2018]. Disponible en:
  3. Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, et al. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2014; 37Suppl1:S120-43.
  4. Ryan RM, Patrick H, Deci EL, Williams GC. Facilitating Health behaviour change and its maintenance: Interventions based on Self-Determination Theory. European Health Psychologist. 2008; 10:1-4.
  5. Smiley WH 3rd. Getting Patients to Their Lipid Target: a practical approach to implementing therapeutic lifestyle changes. J Am Osteopath Assoc. 2011; 111Suppl3:S13-7.
  6. Deci E, Ryan R. The general causality orientations scale: Self-determination in personality. Journal of Research in Personality. 1985; 19(2):109-34.
  7. Deci E, Ryan R. The "What" and "Why" of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry. 2000; 11(4):227-68.
  8. Forés A, Granés J. La resiliencia. Crecer desde la adversidad. 4ª ed. Barcelona: Plataforma Editorial; 2012.
  9. De Nisco S. Exploring the relationship between resilience and diabetes outcomes in African Americans. J Am Acad Nurse Pract. 2011; 5:602-10.
  10. Martín Payo R, González Méndez X, Papín Cano C, Suárez Álvarez J. Development and validation of a questionnaire for assessing the characteristics of diet and physical activity in patients with type 2 diabetes. Psicothema. 2018 Feb; 30(1):116-22.
  11. Limonero JT, Tomás-Sábado J, Gómez-Romero MJ, Maté-Méndez J, Sinclair VG, Wallston KA, et al. Evidence for Validity of the Brief Resilient Coping Scale in a Young Spanish Sample. Span J Psychol. 2014; 17:1-9.
  12. Julien E, Senécal C, Guay F. Longitudinal Relations among Perceived Autonomy Support from Health Care Practitioners, Motivation, Coping Strategies and Dietary Compliance in a Sample of Adults with Type 2 Diabetes. Journal of Health Psychology. 2009; 14(3):457-70.
  13. Raballo M, Trevisan M, Trinetta A, Charrier L, Cavallo F, Porta M, et al. A Study of Patients' Perceptions of Diabetes Care Delivery and Diabetes: Propositional analysis in people with type 1 and 2 diabetes managed by group or usual care. Diabetes Care. 2011; 35(2):242-7.
  14. Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care. 2012; 35(6):1239-45.
  15. Nouwen A, Ford T, Balan A, Twisk J, Ruggiero L, White D. Longitudinal motivational predictors of dietary self-care and diabetes control in adults with newly diagnosed type 2 diabetes mellitus. Health Psychology. 2011; 30(6):771-9.
  16. King D, Glasgow R, Toobert D, Strycker L, Estabrooks P, Osuna D, et al. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care. 2010; 33(4):751-3.