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Original Article
Mediation Effects of Basic Psychological Needs Between Autonomy Support from Healthcare Providers and Self-Management Among Cancer Survivors
Eun-Jung Bae, Yun-Hee Kim
Osong Public Health Res Perspect. 2019;10(6):385-393.   Published online December 31, 2019
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  • 7 Crossref
AbstractAbstract PDF

This study examined the mediating effects of basic psychological needs between patient autonomy support from healthcare providers, and self-management among cancer survivors.


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.


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).


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.


Citations to this article as recorded by  
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    Hyun-E Yeom, Jungmin Lee, Young-Joo Kim
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  • Development of Integrated Supportive Care Nursing Competence Scale for Cancer Survivors
    Eun-Jung Bae, Yun-Hee Kim
    Healthcare.2024; 12(7): 755.     CrossRef
  • Autonomy support in an exercise intervention with colorectal cancer patients during chemotherapy: a qualitative perspective
    María Romero-Elías, David González-Cutre, Ana Ruiz-Casado, Juan Tortosa-Martínez, Vicente J. Beltrán-Carrillo
    Psychology & Health.2024; : 1.     CrossRef
  • Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model
    So‐Young Kim, Yun Mi Lee, Youn‐Jung Son
    Journal of Advanced Nursing.2023; 79(1): 170.     CrossRef
  • Structural equation modeling for associated factors with self-care behavior among young and middle-aged hypertensive patients: a cross-sectional study
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    Contemporary Nurse.2023; 59(2): 99.     CrossRef
  • Integrated, cross-sectoral psycho-oncology (isPO): a new form of care for newly diagnosed cancer patients in Germany
    Michael Kusch, Hildegard Labouvie, Vera Schiewer, Natalie Talalaev, Jan C. Cwik, Sonja Bussmann, Lusine Vaganian, Alexander L. Gerlach, Antje Dresen, Natalia Cecon, Sandra Salm, Theresia Krieger, Holger Pfaff, Clarissa Lemmen, Lisa Derendorf, Stephanie St
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Interaction styles of health care professionals supporting patients with chronic conditions in general hospitals towards self-management: one-year follow-up data from a brief educational intervention
    Davy Vancampfort, James Mugisha
    International Journal of Health Promotion and Educ.2022; : 1.     CrossRef

PHRP : Osong Public Health and Research Perspectives