The role of self-efficacy in the association between health literacy and self-perceived health in Germany

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
EM Berens ◽  
D Vogt ◽  
S Gille ◽  
D Schaeffer
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S406-S406
Author(s):  
Miyong T Kim

Abstract The purpose of this study was to explicate the underlying mechanisms of the role of health literacy (HL) in diabetes management process involving a group of Korean Americans with type 2 diabetes mellitus (DM). We used data from a randomized clinical trial of an HL-focused diabetes self-management intervention (n = 250). A series of path analyses identified the level of self-efficacy and self-care skills as a significant mediator between HL and glucose control (HbA1C) and quality of life for the target population. In addition, education and acculturation were revealed as the most significant correlates of HL for this new immigrant group. Despite inconsistent empirical findings regarding the statistically significant effect of HL on glucose control, this study confirmed the apriority hypothesis that HL indirectly influences health outcome through mediators such self-care skills as self-efficacy. This study highlighted the importance of HL in chronic disease management for people with limited HL.


PLoS ONE ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. e0229582
Author(s):  
Carmen Tabernero ◽  
Tamara Gutiérrez-Domingo ◽  
Michele Vecchione ◽  
Esther Cuadrado ◽  
Rosario Castillo-Mayén ◽  
...  

Heart & Lung ◽  
2020 ◽  
Vol 49 (6) ◽  
pp. 702-708
Author(s):  
Aleda M.H. Chen ◽  
Karen S. Yehle ◽  
Kimberly S. Plake ◽  
Lisa D. Rathman ◽  
J.Wes Heinle ◽  
...  

PLoS ONE ◽  
2019 ◽  
Vol 14 (10) ◽  
pp. e0223862 ◽  
Author(s):  
Carmen Tabernero ◽  
Tamara Gutiérrez-Domingo ◽  
Michele Vecchione ◽  
Esther Cuadrado ◽  
Rosario Castillo-Mayén ◽  
...  

2021 ◽  
Vol 11 (01) ◽  
Author(s):  
Hari Ghanesia Istiani ◽  
Eka Rokhmiati

Introduction: Hypertension is one of the non- communicable diseases that causes the highest mortality. Self-care activities are factors that determine the health status and quality of life of people with hypertension. Objectives: The aim of the study was to determine the direct and indirect effects and the magnitude of the variables of the role of health workers, family functions, health literacy, and self-efficacy on self-care activities for hypertension sufferers at the Tanah Sareal Health Center, Bogor City in 2018. Methods: The method used in the study this is a quantitative approach that uses adesign cross-setional. The sample used was 80 hypertension patients. The analysis used is the Structural Equation Model (SEM) using SmartPLS 2.0. Results: The results of   hypothesis   testing   with smartPLS resulted   in   research   findings,   namely    that the self-care activities of hypertension sufferers were influenced by the role of health workers   (16.98%), family function factors (12.32%),factors health literacy (26.66%), and self-efficacy factor (25.27%). The total amount of direct influence on self-care activities of hypertension sufferers is 81.23% and the indirect effect is 1.53%. The analysis result model can explain 99.1% of the diversity of data and is able to study   the phenomena used in the study, while 0.9% is explained by other components that are not present in this study. Conclusion: There is a direct influence between the role of health workers, family function, health literacy and self-efficacy on the self-care activities of hypertension sufferers at Tanah Sareal Health Center.


2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Lilla Náfrádi ◽  
Elisa Galimberti ◽  
Kent Nakamoto ◽  
Peter J. Schulz

<em>Background</em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study is to assess the socio-demographic, clinical and psychological determinants of intentional and unintentional non-adherence. <br /><em>Design and methods:</em> A cross-sectional survey was conducted between March, 2015 and April, 2016. The sample consisted of hypertension patients holding at least one medical prescription (N=109). Measurements assessed patients’ medication adherence, health literacy, empowerment, self-efficacy, medication beliefs, and patients’ acceptance of their doctor’s advice, socio-demographic and clinical characteristics. <br /><em>Results</em>: Patients who occasionally engaged in either intentional or unintentional non-adherence reported to have lower adherence selfefficacy, higher medication concern beliefs, lower meaningfulness scores and were less likely to accept the doctor’s treatment recommendations. Patients who occasionally engaged in unintentional nonadherence were younger and had experienced more side effects compared to completely adherent patients. Adherence self-efficacy was a mediator of the effect of health literacy on patients’ medication adherence and acceptance of the doctor’s advice was a covariate. <br /><em>Conclusions</em>: Regarding the research implications, health literacy and adherence self-efficacy should be assessed simultaneously when investigating the factors of non-adherence. Regarding the practical implications, adherence could be increased if physicians i) doublecheck whether their patients accept the treatment advice given and ii) if they address patients’ concerns about medications. These steps could be especially important for patients characterized with lower self-efficacy, as they are more likely to engage in occasional nonadherence.


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