scholarly journals The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qinghua Zhang ◽  
Feifei Huang ◽  
Lei Zhang ◽  
Shasha Li ◽  
Jingping Zhang
Keyword(s):  
Social Support ◽  
Blood Pressure ◽  
Health Literacy ◽  
Self Efficacy ◽  
Structural Equation ◽  
Equation Model ◽  
Self Management ◽  
Management Behavior ◽  
Hypertensive Patients ◽  
Therapeutic Adherence

Abstract Background Health-Related Quality of Life (HRQoL) of hypertensive patients is not only affected by the disease itself but also by some subjective factors. Low health literacy is prevalent among ethnic minorities. Considering the Kazakh-Chinese people have the highest prevalence of hypertension in Xinjiang, and the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of HRQoL. The synergistic effects and the potential mechanism HBP-HL, self-management behavior, therapeutic adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the HBP-HL, and develop a structural equation model (SEM) to identify the factors influencing of the HRQoL among Kazakh hypertensive patients. Methods The data was obtained by questionnaire survey and physical examination in 2015. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Xinjiang. Firstly, the blood pressure was measured. Then the one-for-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, therapeutic adherence, self-efficacy, and social support were used to collect data. Finally, SEM was constructed, and p ≤ 0.05 was taken as significant. Results The data was analysed by SPSS18.0 and AMOS18.0 software. 516 Kazakh hypertension patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, therapeutic adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The SEM of the HRQoL had a good overall fit (χ2/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation with HRQoL, following with self-management behavior, social support, and self-efficacy. Conclusions Low HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies.

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

2020 ◽  
Author(s):  
Qinghua Zhang ◽  
Feifei Huang ◽  
Lei Zhang ◽  
Shasha Li ◽  
Jingping Zhang
Keyword(s):  
Social Support ◽  
Medication Adherence ◽  
Structural Equation Model ◽  
Self Efficacy ◽  
Structural Equation ◽  
Equation Model ◽  
Self Management ◽  
Management Behavior ◽  
Related Quality ◽  
Health Related

Abstract Background Considering the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of Health-Related Quality of Life (HRQoL). The synergistic effects and the potential mechanism HBP-HL, self-management behavior, medication adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the conception of HBP-HL, and develop a structural equation model to identify the factors influencing of the HRQoL among Kazakh hypertensive patients. Methods A cross-sectional investigation study was conducted to collect data. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Urumqi County, Xinjiang. The one-on-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, medication adherence, self-efficacy, and social support were collected. In addition, the results of physical examination were also included. A structural equation model was used to assess the association between the measured factors and HRQoL. Results 516 Kazakh patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, medication adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The structural equation model of the HRQoL had a good overall fit (χ2/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation with HRQoL, following with self-management behavior, social support, and self-efficacy. Conclusions Evidence from this study demonstrates that low HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies for Kazakh hypertension patients. Firstly, researchers should give a priority to evaluate patient’s HBP-HL before intervention. Next, tailored interventions are implemented for patients, and and ultimately it will contribute to control blood pressure and improve patients’ HRQoL.

scholarly journals Love Hurts: The Influence of Social Relations on Exercise Self-Efficacy for Older Adults with Osteoarthritis

2008 ◽  
Vol 16 (4) ◽  
pp. 465-483 ◽  
Author(s):  
Kelly A. Cotter ◽  
Aurora M. Sherman
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Relations ◽  
Self Efficacy ◽  
Structural Equation ◽  
Physical Activity Behavior ◽  
Well Being ◽  
Equation Model ◽  
Cross Sectional ◽  
Social Strain

Exercise self-efficacy is a powerful predictor of physical activity behavior, which enhances health and well-being for older adults. Social relations have been proposed as influential precursors for exercise self-efficacy. In a longitudinal study of 160 older adults with osteoarthritis (76.9% women), the authors found that social support (but not social strain) significantly predicted exercise self-efficacy in a structural equation model examining cross-sectional data: χ2(178, N = 160) = 264.57, p < .01; RMSEA = .06; CFI = .92; TLI = .90. When data were examined longitudinally, however, social strain (but not social support) significantly predicted lower exercise self-efficacy 1 year later: χ2(233, N = 160) = 288.64, p < .01; RMSEA = .04; CFI = .96; TLI = .95. Results support the negativity effect, suggesting that social strain might be the more potent aspect of social relations and should be the target of interventions.

scholarly journals Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

2021 ◽  
Vol 9 ◽  
Author(s):  
Jing Huang ◽  
Shenglan Ding ◽  
Shuyuan Xiong ◽  
Zhiping Liu
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Structural Equation Model ◽  
Self Efficacy ◽  
Structural Equation ◽  
Equation Model ◽  
Mediating Effect ◽  
Factors Associated

Background: The number of patients with type 2 diabetes (T2D) is increasing. Medication treatment is of great importance to stabilize blood glucose. Previous studies have reported that neuroticism, self-efficacy, and social support are factors associated with medication adherence, but few studies have fully investigated the mechanisms between these factors and medication adherence in patients with T2D.Purpose: To explore the prevalence of medication adherence and the factors associated with medication adherence in patients with T2D.Methods: A cross-sectional study consisting of 483 patients with T2D was conducted from July to December 2020. Questionnaires containing sociodemographic and clinical characteristics, the Morisky Medication Adherence Scale-8 (MMAS-8), the neuroticism subscale of the Eysenck Personality Questionnaire-Revised Short Scale (EPQ-RS), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Diabetes Management Self-efficacy Scale (DMSES) were used to collect data. The structural equation model (SEM) was used to test the hypotheses.Results: This study included 305 (63.1%) medication adherence and 178 (36.9%) medication non-adherence patients with T2D. Social support directly influenced medication adherence (β = 0.115, P = 0.029) and indirectly influenced medication adherence through self-efficacy (β = 0.044, P = 0.016). Self-efficacy directly influenced medication adherence (β = 0.139, P = 0.023). Neuroticism indirectly affected medication adherence through social support (β = −0.027, P = 0.023) and self-efficacy (β = −0.019, P = 0.014). Moreover, there was a sequential mediating effect of social support and self-efficacy on the relationship between neuroticism and medication adherence (β = −0.010, P = 0.012). After controlling for age and gender, similar results were obtained. The model fit indices showed a good fit.Conclusions: The medication adherence of patients with T2D needs to be improved. Neuroticism, social support, and self-efficacy had direct or indirect effects on medication adherence in patients with T2D. Healthcare providers should comprehensively develop intervention programs based on neuroticism, social support, and self-efficacy to improve medication adherence in patients with T2D.

scholarly journals The Relations Among University Students’ Academic Self-efficacy, Academic Motivation, and Self-control and Self-management Levels

2019 ◽  
Vol 7 (4) ◽  
pp. 23
Author(s):  
Soner ARIK
Keyword(s):  
University Students ◽  
Self Efficacy ◽  
Structural Equation ◽  
Academic Motivation ◽  
Predictive Power ◽  
Equation Model ◽  
Self Control ◽  
Self Management ◽  
Management Level ◽  
Academic Self Efficacy

Self-control and self-management, academic motivation and academic self-efficacy are among several variables that affect academic achievement. Although they are widely studied in literature, there is lack of study that deals with them together in one study. This study investigates the relations between self-control and self-management, academic motivation and academic self-efficacy levels of university students. A group of 588 students at a state university in Turkey participated in the study. The data were collected through ‘Academic Motivation Scale’, ‘Academic Self-Efficacy Scale’, ‘Self-Control and Self-Management Scale’ and a Personal Profile Form that was prepared by the researcher. In line with the purpose of the research, a structural equation model regarding the predictive power of Academic Self-Efficacy level on Academic Motivation and Self-Control and Self-Management levels, and the predictive power of Academic Motivation level on Self-Control and Self-Management level was set. According to the results of the research, it is clear that academic self-efficacy is a significant predictor of both academic motivation and self-control and self-management of university students but academic motivation does not predict self-control and self-management. The research results were discussed within the literature and several recommendations were made in accordance with them.

scholarly journals Factors Related to the Level of Health Literacy in Patients with Hypertension: Literature Review

2021 ◽  
Vol 10 (1) ◽  
pp. 26
Author(s):  
Rezkisa Dwi Prambudia ◽  
Ika Yuni Widyawati ◽  
Eka Misbahatul Mar'ah Has
Keyword(s):  
Blood Pressure ◽  
Health Literacy ◽  
Health Service ◽  
Blood Pressure Measurement ◽  
Information Access ◽  
Home Blood Pressure ◽  
Self Management ◽  
Service Access ◽  
Hypertensive Patients ◽  
Health Service Access

Introduction: Hypertension is the leading cause of death worldwide. People with hypertension often receive health education about their health but cannot implement it. Patients with hypertension must be responsible for self-management related to the level of a person's health literacy, such as efforts that should they take so that the illness they suffer from is not getting worse. The aim of this study is to determine the factors related to the level of health literacy in hypertensive patients.Methods: Search for articles and journals conducted in the last ten years, from 2010-2020 and published on the internet using Scopus, Science Direct, ProQuest, Pubmed, Google Scholar, Portal Garuda, and SINTA by using chosen keyword adjusted to the Medical Subject Heading (MeSH) and Indonesian Thesaurus, namely, "factors", "health literacy", " After analysis and tabulation from some of the articles and journals, there are several factors related to the level of health literacy in hypertensive patients such as, education, age, job, income, knowledge, acculturation, self-management efficacy, HBPM (Home Blood Pressure Measurement), regular use of medicine, systolic blood pressure, health service access, health information access, and social support.Results: There are several factors related to the level of health literacy in patients with hypertension after analyzing journals or articles .. This study is expected to increase knowledge for nurses about the level of health literacy of hypertensive patients. acculturation, self-management efficacy, HBPM (Home Blood Pressure Measurement), regular use of medicine, systolic blood pressure, health service access, health information access, and social support. Discussion: There are several factors related to the level of health literacy in patients with hypertension after analyzing journals or articles .. This study is expected to increase knowledge for nurses about the level of health literacy of hypertensive patients. acculturation, self-management efficacy, HBPM (Home Blood Pressure Measurement), regular use of medicine, systolic blood pressure, health service access, health information access, and social support.Conclusion: There are several factors related to the level of health literacy in patients with hypertension after analyzing journals or articles. This study is expected to increase knowledge for nurses about the level of health literacy of hypertensive patients.

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