scholarly journals THE ROLE OF HEALTH LITERACY ON PROCESS AND OUTCOMES OF A DIABETES SELF-HELP INTERVENTION WITH KOREAN AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S406-S406
Author(s):  
Miyong T Kim
Keyword(s):  
Health Literacy ◽  
Glucose Control ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Self Care ◽  
Korean Americans ◽  
Target Population ◽  
Management Intervention ◽  
Underlying Mechanisms

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.

The role of health literacy, depression, disease knowledge, and self-efficacy in self-care among adults with heart failure: An updated model

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 ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Self Efficacy ◽  
Self Care ◽  
Disease Knowledge

scholarly journals Confirmation of Factors Affecting Self-Care Activities of Patients with Hypertension

2021 ◽  
Vol 11 (01) ◽  
Author(s):  
Hari Ghanesia Istiani ◽  
Eka Rokhmiati
Keyword(s):  
Health Literacy ◽  
Health Center ◽  
Self Efficacy ◽  
Structural Equation ◽  
Health Workers ◽  
Self Care ◽  
The Self ◽  
Direct Influence ◽  
Family Function

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.

scholarly journals Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes

2016 ◽  
Vol 31 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Mahnoush Reisi ◽  
Firoozeh Mostafavi ◽  
Homamodin Javadzade ◽  
Behzad Mahaki ◽  
Elahe Tavassoli ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Literacy ◽  
Self Efficacy ◽  
Self Care ◽  
Outcome Expectations

scholarly journals Non-health outcomes affecting self-care behaviors and medical decision-making preference in patients with type 2 diabetes: a cross-sectional study

2020 ◽  
Author(s):  
Ming-Jye Wang ◽  
Hung-Ming Lin ◽  
Li-Chen Hung ◽  
Yi-Ting Lo
Keyword(s):  
Type 2 Diabetes ◽  
Decision Making ◽  
Health Literacy ◽  
Self Efficacy ◽  
Patient Empowerment ◽  
Self Care ◽  
Cross Sectional Study ◽  
Medical Decision ◽  
Cross Sectional

Abstract Background: The effects of patient sustained self-care behaviors on glycemic control are even greater than the effects of medical treatment, indicating the value of identifying the factors that influence self-care behaviors. To date, these factors have not been placed in a single model to clarify the critical path affecting self-care behaviors. The aims of this study were to explore the relationships of these factors and the differences in patient preference for medical decision-making.Methods: A cross-sectional study was conducted among outpatients with type 2 diabetes at a regional teaching hospital. Purposive sampling was adopted to recruit 316 eligible patients via self-administered questionnaires. Partial least squares structural equation modeling was used for analysis.Results: Significant direct pathways were identified from health literacy to self-efficacy, patient empowerment, and self-care behaviors; from self-efficacy to self-care behaviors; and from patient empowerment to self-care behaviors. Indirect pathways were from health literacy to self-care behaviors via self-efficacy or patient empowerment. The pathway from health literacy to self-efficacy was significantly stronger in those preferring shared decision-making than in those who preferred physician decision-making. Conclusions: Health literacy is a critical factor in improving self-care behaviors in patients with type 2 diabetes, and the effect of health literacy on self-efficacy was more significant in the shared decision-making than in the physician decision-making. Therefore, developing an effective health strategy to strengthen health literacy awareness and designing friendly, diverse health literacy materials, and application tools is the most important factor to facilitate self-care behaviors in this population.

Self-Efficacy, Depression, and Self-Care Activities in Adult Jordanians with Type 2 Diabetes: The Role of Illness Perception

2016 ◽  
Vol 37 (10) ◽  
pp. 744-755 ◽  
Author(s):  
Rasmieh Al-Amer ◽  
Lucie Ramjan ◽  
Paul Glew ◽  
Sue Randall ◽  
Yenna Salamonson
Keyword(s):  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Illness Perception ◽  
Self Care

scholarly journals Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Dácil Alvarado-Martel ◽  
M. Ángeles Ruiz Fernández ◽  
Maribel Cuadrado Vigaray ◽  
Armando Carrillo ◽  
Mauro Boronat ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Self Care ◽  
Therapeutic Education ◽  
Anxiety And Depression ◽  
Personality Variables ◽  
Age Range ◽  
Lower Adherence

Purpose. To explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. Materials and Methods. Patients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires. Results. A total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence. Conclusion. In the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care.

Social support and psychological adjustment to SARS: The mediating role of self-care self-efficacy

2009 ◽  
Vol 24 (2) ◽  
pp. 161-174 ◽  
Author(s):  
Winnie W.S. Mak ◽  
Rita W. Law ◽  
Jean Woo ◽  
Fanny M. Cheung ◽  
Dominic Lee
Keyword(s):  
Social Support ◽  
Psychological Adjustment ◽  
Self Efficacy ◽  
Self Care ◽  
Mediating Role

scholarly journals Social Support, Self-Care Behaviour and Self-Efficacy in Patients with Type 2 Diabetes during the COVID-19 Pandemic: A Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1607
Author(s):  
Premalatha Paulsamy ◽  
Rizwan Ashraf ◽  
Shadia Hamoud Alshahrani ◽  
Kalaiselvi Periannan ◽  
Absar Ahmed Qureshi ◽  
...  
Keyword(s):  
Social Support ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Self Care ◽  
Cross Sectional Study ◽  
The Self ◽  
Sectional Study ◽  
Cross Sectional

Diabetes mellitus is a major public health issue that considerably impacts mortality, morbidity, and healthcare costs worldwide. The COVID-19 pandemic has created havoc in diabetes management, too, like other spectrums of life. A descriptive, cross-sectional study was adopted to determine the effect of Social Support, Self-Care Behaviour and Self-Efficacy in Type 2 Diabetes Mellitus (T2D) during this COVID-19 pandemic. Two hundred T2D patients who satisfied the inclusion criteria were chosen using a convenient sampling procedure. The tool consists of four sections, including socio-demographic characteristics, Multidimensional Scale of Perceived Social Support (MSPSS), revised Summary of Diabetes Self-Care Activities (SDSCA) Scale and modified Diabetes Management Self-Efficacy Scale (DMS). Descriptive and inferential statistics were used to analyze the obtained data. The mean and SD of diabetic management self-efficacy is 5.74 (1.95) and 4.37 (1.4), respectively, for patients with HbA1c < 6.5% and HbA1c ≥ 6.5%. The self-care activities of the patients who had good glycemic control were 4.31 (2.06) compared to 3.50 (1.73) who did not. The social support received by the patients was 6.13 (2.13) vs. 5.31 (1.67) among patients with glycemic control vs. no control. The results show that social support (p = 0.04), self-efficacy (p =0.01) and self-care activities (p = 0.001) were significantly related to the level of glycemic control of the T2D patients. A significant relationship was also identified between gender (p = 0.036), age (p = 0.001) and education status (p = 0.000) with HbA1c control of the participants. This study demonstrates a significant relationship between social support, self-care behaviours, self-efficacy and glycemic management in T2D patients. During this COVID-19 pandemic, interventions to enhance the self-care activities like exercise and social support to boost their self-efficacy; for better diabetes management, reducing diabetes complications or prolonging their onset are the need of the hour.

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