Mediating effect of self-efficacy on the relationship between social support and self-management behaviors among patients with knee osteoarthritis: a cross-sectional study

Chen, Yiyi; Weng, Li‐Chueh; Li, Yang-Tzu; Huang, Hsuan-Rong

doi:10.1186/s12877-022-03331-w

Cited by 4 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a common chronic condition, arthritis is a prominent cause of disability, and thus, is regarded as a critical public health problem [ 1 , 2 ]. In accordance with a 2017 study on the global burden of diseases, the estimated prevalence of arthritis is accelerating worldwide [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal relationship between social participation, depressive symptoms, and activity impairment among older patients with arthritis: a moderated mediation analysis

Yan,

Luan,

Meng

et al. 2024

BMC Geriatr

View full text Add to dashboard Cite

Background Arthritis primarily affects older people and is a prominent cause of their activity impairment. This study aimed to examine the mediating role of depressive symptoms in the relationship between social participation and activity impairment, as well as to determine whether sex moderated the mediating effect. Methods A total of 2247 older patients with arthritis were included from the China Health and Retirement Longitudinal Study between 2015 and 2018. We first examined a simple mediation model where depressive symptoms were a mediator between social participation and activity impairment. Furthermore, sex was systematically integrated into the model as a moderator. The mediation model and moderated mediation model were analyzed using PROCESS macro. Results Mediation analysis revealed that the association between social participation and activity impairment was partially mediated by depressive symptoms (B = -0.10, 95% CI = [-0.14, -0.06]) with intermediary effect of 28.6%. Moderated mediation analysis indicated that mediation model was moderated by sex. The indirect effect of social participation on activity impairment among female patients (B = -0.15, 95% CI = [-0.21, -0.09]) was stronger than male patients (B = -0.04, 95% CI = [-0.09, -0.01]). Conclusion Social participation was the key protective factor associated with depressive symptoms and activity impairment among arthritis patients. Encouraging arthritis patients to social participation and improving the depressive symptoms might avoid activity impairment, especially for female patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Longitudinal relationship between social participation, depressive symptoms, and activity impairment among older patients with arthritis: a moderated mediation analysis

Yan,

Luan,

Meng

et al. 2024

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…This support helps patients con dently face diseases and promotes healthy behaviors. [11,12]. However, existing research has primarily focused on exploring the correlation between social support and self-management, with a lack of research on the underlying mechanisms.…”

mentioning

confidence: 99%

Unraveling the Mediating Role of Frailty and Depression in the Relationship between Social Support and Self-management among Chinese Elderly COPD Patients: A Cross-sectional Study

Zhao,

Zhang,

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Chronic obstructive pulmonary disease (COPD) represents a serious threat to global public health safety, and no effective way to cure COPD has been identified. Self-management is the key factor in controlling the progression of the disease. Social support has been proven to have a positive effect on self-management; however, one independent factor cannot fully account for the complex mechanisms of self-management. The incidence of frailty and depression is relatively high in elderly COPD patients, which affects their self-management level. Unfortunately, there is still a lack of research on the underlying mechanisms among the four variables mentioned above. Therefore, the purpose of this study was to understand the current status of self-management, and to explore the mediating role of depression and frailty between social support and self- management in this population.. Methods:This study employed a cross-sectional design and convenience sampling to survey elderly COPD patients who were admitted to five public hospitals in the Ningxia region of northwest China from November 2020 to July 2021. The survey aimed to gather information on general characteristics, such as demographic data, as well as specific measurements including the COPD Self-management Scale, Frail Scale, 15-item Geriatric Depression Scale, and Social Support Rating Scale. To examine the relationships between these variables, Pearson’s product- moment correlation analysis was employed. Additionally, SPSS25.0 PROCESS plugin Model 6 was used to explore the mediating effects of frailty and depression on the relationship between social support and self-management. Results: In the sample, there were a total of 248 females and 379 males. The mean age of participants was 72.87±7.03 years. The mean total score of the COPD Self-management Scale was 156.99±25.15. Scores for the Social Support Rating Scale, Frail Scale, and 15-item Geriatric Depression Scale were significantly positively correlated with COPD Self-management Scale (all p < .01). The analysis of the mediating effect demonstrated that social support has a direct predictive effect on self-management. Additionally, social support can also predict self- management indirectly through the mediation of depression and frailty-depression. However, the mediation effect of frailty alone was not found to be statistically significant. The direct effect accounted for 84.06% of the total effect, while the indirect effect accounted for 15.94% of the total effect. Conclusion: This study showed that that self-management among elderly COPD patients in Ningxia, northwest China, is relatively moderate to low. Furthermore, frailty and depression were found to have a partially mediating role in the relationship between social support and self-management. Therefore, healthcare professionals take into consideration the frailty and depression status of patients and implement targeted intervention measures as part of their care could enhance self-management behaviors for elderly patients with COPD.

show abstract

Compliance status and influencing factors of anticoagulation therapy in outpatient undergoing major orthopedic surgery

Hu,

2023

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Mediating effect of self-efficacy on the relationship between social support and self-management behaviors among patients with knee osteoarthritis: a cross-sectional study

Cited by 4 publications

References 31 publications

Longitudinal relationship between social participation, depressive symptoms, and activity impairment among older patients with arthritis: a moderated mediation analysis

Longitudinal relationship between social participation, depressive symptoms, and activity impairment among older patients with arthritis: a moderated mediation analysis

Unraveling the Mediating Role of Frailty and Depression in the Relationship between Social Support and Self-management among Chinese Elderly COPD Patients: A Cross-sectional Study

Compliance status and influencing factors of anticoagulation therapy in outpatient undergoing major orthopedic surgery

Contact Info

Product

Resources

About