Health literacy and self-efficacy of the elderly with diabetes

Roshan, Abdollah Goli; Hosseinkhani, Seyedeh Navabeh; Norouzadeh, Reza

doi:10.1007/s40200-023-01181-w

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…This study indicates that the self-e cacy and health literacy of elderly patients with comorbidities have a positive impact on their health status, consistent with previous research results. For example, Jin et al's study showed that su cient self-e cacy and health literacy can signi cantly improve the survival status of elderly patients with chronic diseases, with the effect becoming more signi cant as the disease progresses (32);In Li Hui's study on the impact of health literacy on the incidence of chronic diseases in residents of Liaoning Province, it was concluded that health literacy is a protective factor against the incidence of chronic diseases (33) In Fabbri et al's meta-analysis study on the relationship between health literacy and health outcomes in heart failure patients, it was also shown that compared to patients with adequate health literacy, patients lacking health literacy had a mortality rate and hospitalization rate that were 1.19 and 1.17 times higher, respectively (34) In Rose et al's study on the relationship between self-e cacy and chronic disease selfmanagement in type 2 diabetes patients, it was concluded that patients with high self-e cacy can better engage in chronic disease self-management (35). At the same time, through the analysis of mediating effects, we have also con rmed that health literacy has a mediating effect of 38.3% in the impact of self-e cacy on the health status of elderly patients with comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Optimization of the elderly multimorbidity management model: A study on the mediating effect of health literacy on self-efficacy and health status

Li,

Xu,

Zhang

2024

Preprint

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Background The prevalence of chronic diseases and chronic comorbidities among the elderly is increasing annually with the advent of an aging population, making health management for elderly patients with chronic conditions essential. Therefore, this study aims to analyze the relationship between self-efficacy, health literacy, and health status among elderly comorbid patients, and further explore the potential mechanisms by which self-efficacy and health literacy influence health status. The goal is to provide a scientific basis for optimizing the content of elderly comorbidity management models and improving the health status of patients. Methods Adopting a multistage stratified cluster random sampling method, elderly multimorbidity patients in communities of Shenzhen, Guangdong Province were selected as the survey subjects. Using the "Health Survey Questionnaire for Elderly Multimorbidity Patients" for face-to-face interviews, 1200 elderly individuals were surveyed, and 987 valid patient data were selected. Descriptive analysis was conducted on the self-efficacy, health literacy, and health status of elderly multimorbidity patients in Shenzhen, Guangdong Province. A structural equation model was constructed to analyze the mediating effect of health literacy between self-efficacy and health status. Results In the survey of 987 elderly multimorbidity patients in this study, the average score for self-efficacy was 8.07 ± 1.36, indicating a high level on average; the average score for health literacy was 32.16 ± 9.39, suggesting a possible inadequacy in health literacy level; and the average score for health status was 73.60 ± 19.70. The well-fitted structural equation model results demonstrate that self-efficacy and health literacy of elderly multimorbidity patients have a positive impact on health status. Specifically, the mediating effect of health literacy on the relationship between self-efficacy and health status accounts for 38.3% of the total effect, serving as a partial mediator with a significant mediating effect. Conclusions In the multimorbidity management model for the elderly, it is essential to incorporate interventions to enhance patient self-efficacy and improve health literacy in order to promote the health of patients.

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Section: Discussionmentioning

confidence: 99%

Optimization of the elderly multimorbidity management model: A study on the mediating effect of health literacy on self-efficacy and health status

Li,

Xu,

Zhang

2024

Preprint

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“…For example, among elderly diabetic patients in Iran, self-efficacy was linked to medication adherence and physical activity, with health literacy being a predictive factor of self-efficacy. 13 Similarly, a study in the United States indicated that self-efficacy mediates the relationship between health literacy and adherence to diabetes medication. Patients with higher numeracy skills may exhibit elevated levels of self-efficacy, which in turn result in a higher level of diabetes medication adherence and a lower level of glycated hemoglobin.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Health Literacy on Disease Management Self-Efficacy in Chronic Disease Patients: The Mediating Effects of Social Support and the Moderating Effects of Illness Perception

Zou,

Liu,

Jiang

et al. 2024

PPA

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Purpose To test a hypothetical pathway model to estimate the links between health literacy, social support, illness perception, and disease management self-efficacy. Methods This cross-sectional study, conducted from June to October 2022, involved the recruitment of 210 patients with chronic diseases at two primary care facilities. Participants completed the Health Literacy Management Scale, Self-Efficacy for Managing Chronic Disease 6-Item Scale, Social Support Rating Scale and Brief Illness Perception Questionnaire. We used the PROCESS macro for R to determine the hypothetical pathway model. Results The direct effect of health literacy on self-efficacy was significant ( β =0.1792, 95% CI: 0.0940–0.2644), and social support played a partial mediating role between health literacy and self-efficacy (ES=0.0761, 95% CI: 0.0398–0.1204). Illness perception moderated the relationship between social support and self-efficacy ( β =−0.0153, 95% CI: −0.0268- −0.0039). Conclusion Proposed a conceptual model including the mediating effect of social support and the moderating effect of illness perception, which helps to clarify the underlying mechanisms between health literacy and self-efficacy.

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“…Conversely, a higher level of health literacy can effectively control blood sugar levels, manage complications, and enhance quality of life for diabetes patients (10). The level of health literacy may vary among different diabetes patients based on factors such as cognitive level and treatment stage (11). Analyzing health literacy levels and capturing individual characteristics are prerequisites for implementing personalized and precise interventions.…”

Section: Introductionmentioning

confidence: 99%

The relationship between health literacy and blood sugar control in rural areas among diabetes patients

Chen,

Wen,

et al. 2024

Front. Endocrinol.

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BackgroundAlthough the relationship between health literacy and glycemic control has been explored in patients with diabetes, little is known about the relationship between different categories of diabetes health literacy and glycemic control in rural areas. Therefore, this study focused on the relationship between different categories of health literacy and glycemic control among diabetic patients in rural areas of Guangxi, ChinaObjectiveTo explore the potential profiles of health literacy among rural diabetes patients in Guangxi and investigate their relationship with blood sugar control.MethodsA health literacy questionnaire was administered to 2280 rural diabetes patients in five cities in the Guangxi Zhuang Autonomous Region. Latent profile analysis was conducted to identify potential health literacy profiles.ResultsHealth literacy among rural diabetes patients in Guangxi could be categorized into high literacy-high functionality and low literacy-low criticality groups. The latent categories of health literacy were associated with blood sugar control, with diabetes patients in the high literacy-high functionality group demonstrating better blood sugar control than those in the low literacy-low criticality group (P < 0.05).ConclusionHealth literacy among rural diabetes patients in Guangxi exhibits heterogeneity. Healthcare professionals should pay attention to patients with low literacy and low criticality in rural areas and develop interventions to enhance their health literacy, thereby improving their blood sugar control.

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Health literacy and self-efficacy of the elderly with diabetes

Cited by 7 publications

References 21 publications

Optimization of the elderly multimorbidity management model: A study on the mediating effect of health literacy on self-efficacy and health status

Optimization of the elderly multimorbidity management model: A study on the mediating effect of health literacy on self-efficacy and health status

The Effect of Health Literacy on Disease Management Self-Efficacy in Chronic Disease Patients: The Mediating Effects of Social Support and the Moderating Effects of Illness Perception

The relationship between health literacy and blood sugar control in rural areas among diabetes patients

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