A structural equation model linking health literacy, self efficacy and quality of life in adults with coronary heart disease

Abstract

Background Cardiovascular disease is the world major cause of death. There is sufficient evidence that patients with coronary heart disease (CHD) experience poor quality of life. Health literacy and self efficacy are modifiable psychosocial factors that could affect quality of life, and these factors should be considered as targets for intervention. As the relationships among health literacy, self efficacy, and quality of life in the CHD population have not been well understood. Thus, we constructed the structure equation model in these valuables. Methods A cross-sectional study of a convenience sample among 200 patients with CHD were participated from outpatient clinics in three tertiary general hospitals in Baoding City in mainland China, from December 2018 to June 2019. Data regarding demographic features, health literacy, self efficacy and quality of life were assessed. A structure equation model was used to construct and validate the pathways. Results The mean age of the study sampled patients was 65.37 years old. The average level of health literacy, self efficacy and quality of life were 9.6 ± 3.5, 28.8 ± 13.9 and 381.8 ± 130.1 respectively. Significant associations were observed from health literacy to quality of life, and self efficacy played a partial mediating role between health literacy and quality of life in the CHD population. Health literacy and self efficacy explained for 59.6% of the variance in quality of life. Conclusions Health literacy had a direct influence on quality of life, and an indirect influence on quality of life via self efficacy in the patients with CHD.

A structural equation model linking health literacy, self-efficacy, and quality of life in patients with polycystic ovary syndrome

“…A longer Reference value > 0.9 < 0.05 > 0.9 > 0.9 > 0.9 > 0.9 > 400 disease duration may increase the accessibility of health education and eventually enhance the skills required for disease knowledge and information. Finally, the negative relationships between HL scores and BMI were congruent with previous findings [18]. The negative correlation between HL and BMI suggests that patients with high HL have healthier lifestyles [36].…”

“…Previous studies have demonstrated that patients with low HL may be less concerned about their health status and therefore engage in unhealthy behavioral patterns that lead to a reduced QOL [15]. Similar studies have also suggested that HL can influence patients' QOL through self-efficacy (SE) [16][17][18]. SE is an individual's belief in their ability to plan and execute a specific course of action [19].…”

Topics Included in Health Literacy Studies in Asia: A Systematic Review

“…In 89 relevant papers in HL, studies authored by Chinese scientists are the most prevalent, with 27 studies that surveyed HL levels in various groups of people. They were patients 22 -27 or general public, secondary, 28 -30 high school, 30,31 college students, 32,33 women, 34 12 years old and above, 16,15,35 -43 or older adults. 44 -47 Taiwan had the second-highest number of HL measurement articles, with 16 published papers.…”

Association between general self-efficacy and health literacy among stroke survivors 1-year post-discharge: a cross-sectional study

“…In this study, higher levels of general self-efficacy were associated with higher levels of health literacy in all statistical models. In other populations, an association between self-efficacy and health literacy has been identified for patients with diabetes 39 , 40 , patients with coronary disease 41 , patients in cardiac rehabilitation 42 , and older adults with hypertension 43 . In stroke survivors, a previous study found a positive association between health literacy and self-efficacy in the use and understanding of medication 44 .…”