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Dive into the research topics where Nina Simonsen is active.

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Featured researches published by Nina Simonsen.


Psychology Health & Medicine | 2017

Determinants of physical activity among patients with type 2 diabetes: the role of perceived autonomy support, autonomous motivation and self-care competence.

Anne M. Koponen; Nina Simonsen; Sakari Suominen

Abstract Based on self-determination theory (SDT), this study investigated, whether the three central SDT variables (perceived autonomy support, autonomous motivation and self-care competence), were associated with engagement in physical activity (PA) among patients with type 2 diabetes when the effect of a wide variety of other important life-context factors (perceived health, medication, duration of diabetes, mental health, stress and social support) was controlled for. Patients from five municipalities in Finland with registry-based entitlement to a special reimbursement for medicines used in the treatment of type 2 diabetes (n = 2866, mean age 63 years, 56% men) participated in this mail survey in 2011. Of all measured explanatory factors, autonomous motivation was most strongly associated with engagement in PA. Autonomous motivation mediated the effect of perceived autonomy support on patients’ PA. Thus, perceived autonomy support (from one’s physician) was associated with the patient’s PA through autonomous motivation. This result is in line with SDT. Interventions for improved diabetes care should concentrate on supporting patients’ autonomous motivation for PA. Internalizing the importance of good self-care seems to give sufficient energy to maintain a physically active lifestyle.


Health psychology open | 2015

Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care

Anne M. Koponen; Nina Simonsen; Ritva Laamanen; Sakari Suominen

This study showed, in line with self-determination theory, that glycemic control among patients with type 2 diabetes (n = 2866) was strongly associated with perceived self-care competence, which in turn was associated with autonomous motivation and autonomy-supportive health-care climate. These associations remained after adjusting for the effect of important life-context factors. Autonomous motivation partially mediated the effect of health-care climate on perceived competence, which fully mediated the effect of autonomous motivation on glycemic control. The results of the study emphasize health-care personnel’s important role in supporting patients’ autonomous motivation and perceived self-care competence.


Health psychology open | 2017

Quality of primary health care and autonomous motivation for effective diabetes self-management among patients with type 2 diabetes:

Anne M. Koponen; Nina Simonsen; Sakari Suominen

This study showed, in line with self-determination theory, that of the six central quality dimensions of primary health care (access to care, continuity of care, diabetes counseling, autonomy support from one’s physician, trust, patient-centered care), autonomy support from one’s physician was most strongly associated with autonomous motivation (self-regulation) for effective diabetes self-management among patients with type 2 diabetes (n = 2866). However, overall support for diabetes care received from friends, family members, other patients with diabetes, and health care professionals may even play a greater role.


Health Psychology and Behavioral Medicine | 2018

Success in increasing physical activity (PA) among patients with type 2 diabetes: a self-determination theory perspective

Anne M. Koponen; Nina Simonsen; Sakari Suominen

ABSTRACT Background Increased physical activity (PA) is crucial for achieving and maintaining glycemic control and is beneficial for overall well-being of patients with type 2 diabetes as well. Despite that, many patients fail to make changes in their exercise behavior. Self-determination theory (SDT) addresses this problem and suggests that perceived autonomy support, autonomous motivation and self-care competence play a key role in the process of health behavior change. This study investigated the impact of these three factors on success in increasing PA among patients with type 2 diabetes but considered also the role of other important life-context factors, such as mental health, stress and social support. The effect of these other factors may outweigh the effect of SDT constructs; however, previous studies based on SDT have largely overlooked them. Methods This cross-sectional mail survey was carried out in 2011. Out of 2866 respondents, those who had been over 2 years in care in their present and principal primary care health center and had during the past two years tried to increase PA either with or without success (n = 1256, mean age 63 years, 52% men), were included in this study. Logistic regression and mediation analyses were the main methods used in the data analysis. Results Autonomous motivation predicted success in increasing PA even after controlling for the effect of other important life-context factors. Other predictors of success were felt energy, good perceived health, younger age and less social support. Autonomous motivation mediated the effect of perceived autonomy support from a doctor on success in increasing PA. Conclusion The results were in line with SDT showing the importance of autonomous motivation for success in increasing PA. Doctor–patient relationships and lifestyle interventions should focus on promoting self-motivated reasons for health behavior change.


BMC Health Services Research | 2018

Patients’ assessment of chronic illness care: a validation study among patients with type 2 diabetes in Finland

Nina Simonsen; Anne M. Koponen; Sakari Suominen

BackgroundTo meet the challenges of the rising prevalence of chronic diseases, such as type 2 diabetes, new approaches to healthcare delivery have been initiated; among these the influential Chronic Care Model (CCM). Valid instruments are needed to evaluate the public health impact of these frameworks in different countries. The Patient Assessment of Chronic Illness Care (PACIC) is a 20-item quality of care measure that, from the perspective of the patient, measures the extent to which care is congruent with the CCM. The aim of this study was to evaluate the psychometric properties of the Finnish translation of the PACIC questionnaire, in terms of validity and reliability, in a large register-based sample of patients with type 2 diabetes.MethodThe PACIC items were translated into Finnish in a standardized forward-backward procedure, followed by a cross-sectional survey among patients with type 2 diabetes (response rate 56%; n = 2866). We assessed the Finnish version of the PACIC scale for the following psychometric properties: content validity, internal consistency reliability, convergent and construct validity. We also present descriptive data on total scale as well as predetermined subscale levels.ResultsThe item-response on the PACIC scale was high with only small numbers of missing data (0.5–1.1%). Ceiling effects were low (0.3–5.3%) whereas floor effects were over 20% for two of the predetermined subscales (problem solving and follow-up/coordination). The total PACIC scale showed a reasonable distribution and excellent internal consistency (alpha 0.94) while the internal consistency of the subscales were at least acceptable (0.74–0.86). The principal component analysis identified a two- or three-factor solution instead of the proposed five-dimensional. In other respects, the PACIC scale showed the hypothesized relationships with quality of care and outcome measures, thus demonstrating convergent and construct validity.ConclusionA Finnish version of the PACIC scale is now validated in the primary care setting among patients with type 2 diabetes. The findings suggest comparable psychometric properties of the Finnish scale as of the original English instrument and earlier translations, and reasonable levels of validity and reliability.


Behavioral Medicine | 2018

Success in Weight Management Among Patients with Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role?

Anne M. Koponen; Nina Simonsen; Sakari Suominen


European Journal of Public Health | 2017

Associations between empowerment-enabling environments and self-rated health among adolescents

Nina Simonsen; A Ylönen; Sakari Suominen; Eva Roos; Raili Välimaa; Jorma Tynjälä; Lasse Kannas


Child Indicators Research | 2017

Differential Item Functioning in Trend Analyses of Adolescent Mental Health – Illustrative Examples Using HBSC-Data from Finland

Curt Hagquist; Raili Välimaa; Nina Simonsen; Sakari Suominen


Julkaisuja / Jyväskylän yliopisto, terveyden edistämisen tutkimuskeskus 7. | 2016

Hälsotrender bland elever i svensk- och finskspråkiga grundskolor 1994-2014 : WHO:s skolelevsstudie (HBSC-Study)

Nina Simonsen; Eva Roos; Sakari Suominen; Mari Laakso; Elviira Lehto; Jari Villberg; Jorma Tynjälä; Raili Välimaa; Kristiina Ojala; Lasse Kannas


HBSC Spring Meeting 15-17 June 2016, Stockholm, Sweden | 2016

Differential Item Functioning in Trend Analyses of Psychosomatic Problems based on Finnish HBSC-data.

Curt Hagquist; Raili Välimaa; Nina Simonsen; Sakari Suominen

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Raili Välimaa

University of Jyväskylä

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Eva Roos

University of Helsinki

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Jorma Tynjälä

University of Jyväskylä

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Lasse Kannas

University of Jyväskylä

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Anna But

University of Helsinki

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