scholarly journals Linking Health Literacy to Self-Care in Hypertensive Patients with Physical Disabilities: A Path Analysis Using a Multi-Mediation Model

2021 ◽  
Vol 18 (7) ◽  
pp. 3363
Author(s):  
Hye Jin Nam ◽  
Ju Young Yoon
Keyword(s):  
Health Literacy ◽  
Path Analysis ◽  
Self Efficacy ◽  
Physical Disability ◽  
Self Care ◽  
Path Model ◽  
Mediation Model ◽  
Hypertensive Patients ◽  
Patient Interactions ◽  
Care Behavior

Hypertension has been identified as the most prevalent chronic disease, accounting for the majority of premature deaths in people with physical disability in South Korea. Self-care is vital in controlling high blood pressure. Health literacy has been implicated in self-care behaviors; however, the mechanisms behind this relationship remain unclear. Therefore, the present study aimed to test a hypothetical path model estimating the association between health literacy and hypertension self-care behaviors and to verify the mediating effects of access to healthcare, provider–patient interactions, hypertension knowledge, and hypertension control self-efficacy in hypertensive people with physical disability. In total, 211 hypertensive adults with physical disability completed an online survey. A path analysis using a multi-mediation model was performed using AMOS 17.0 (IBM SPSS Inc., Chicago, IL, USA), and indirect effects were estimated using phantom variables. As a result, the model fit indices were deemed excellent. Significant indirect pathways were determined from health literacy to hypertension self-care behavior via provider–patient interactions, knowledge, and self-efficacy, although no direct association was found between health literacy and self-care behaviors. The study findings supported the importance of provider–patient interactions, knowledge, and self-efficacy, which play a role in linking health literacy and self-care behavior in hypertensive patients with physical disability.

scholarly journals Self-Care Behavior Prevention of Covid-19 in the General Population Based on Pender Health Promotion Model

2021 ◽  
Author(s):  
Asghar Pouresmali ◽  
Jaber Alizadehgoradel ◽  
Behnam Molaei ◽  
Marie-Anne Vanderhasselt ◽  
Davod Fathi
Keyword(s):  
Social Support ◽  
Health Promotion ◽  
General Population ◽  
Path Analysis ◽  
Self Efficacy ◽  
Perceived Social Support ◽  
Self Care ◽  
Perceived Benefits ◽  
Health Promotion Model ◽  
Care Behavior

Abstract BackgroundCoronavirus with sudden and widespread outbreak has obviously imposed devastating consequences in various aspects of human life. The purpose of this study was to determine the predictive value of Pender's health promotion model (HPM) structures in self-care preventive behavior against COVID-19 among the general population of Ardabil, Iran. MethodsThe present retrospective descriptive-correlational study was conducted on 200 citizens of Ardabil aged 18 and over in 2020, who were selected by convenience sampling through social media. Data collection tools included demographic profile, perceived self-efficacy scale, perceived emotions questionnaire, perceived social support questionnaire, perceived benefits and barriers questionnaire, researcher-made COVID-19 self-care questionnaire and commitment to action questionnaire based on Pender's HPM structures in an online manner. Data were analyzed by Amos 22 software and using structural equation modeling (SEM). ResultsAccording to the results, direct path analysis to COVID-19 self-care behavior indicated that the variables of perceived self-efficacy, interpersonal effects, positive emotion and perceived benefits are able to significantly predict self-care behaviors. Moreover, the bootstrapping test results in the indirect path analysis demonstrated that the variables of perceived self-efficacy, perceived social support, and perceived barriers and benefits through the mediator variable of commitment to action are able to significantly predict COID-19 self-care behavior.ConclusionsBased on the findings of the present study, it can be claimed that the proposed model of COVID-19 self-care behavior has an acceptable fitness in the general population. It seems that this model can be employed in developing educational programs and intervention techniques to modify people's attitudes and behaviors.

scholarly journals Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Azam Larki ◽  
Rahim Tahmasebi ◽  
Mahnoush Reisi
Keyword(s):  
Health Literacy ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Self Care ◽  
Health Belief ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Hypertensive Patients ◽  
Low Health Literacy ◽  
Belief Model

The aim of this study was to determine the factors influencing adherence to self-care behaviors among low health literacy hypertensive patients based on health belief model. A cross-sectional study was conducted among 152 hypertensive patients with low health literacy. Patients with limited health literacy were identified by S-TOFHLA. The data were collected using H-scale for assessing self-care behaviors and, HK-LS for assessing knowledge of hypertension. A researcher-made questionnaire was applied for collecting data of health belief model constructs. Data were analyzed by SPSS version 22 with using multiple logistic regression analyses. Perceived self-efficacy was associated with all self-care behaviors except medication regimens. There was a significant association between perceived susceptibility and adherence to both low-salt diet (OR = 3.47) and nonsmoking behavior (OR = 1.10). Individuals who had more perceived severity (OR = 1.82) had significantly greater adherence to their medication regimens. Perceived benefits and barriers were not significantly associated with either type of hypertension self-care behaviors. It seems that designing and implementation of educational programs to increase self-efficacy of patients and promote their beliefs about perceived susceptibility and severity of complications may improve self-care behaviors among low health literacy hypertensive patients.

scholarly journals Perceived Self-Efficacy, Outcome Expectations and Self-Care Behavior of Hypertensive Patients Received a Treatment at Hinlub Subdistrict Health Promotion Hospital, Muak Lek District, Saraburi Province, Thailand

2018 ◽  
Vol 6 (1) ◽  
pp. 57
Author(s):  
Pornpan Saminpanya ◽  
Ampaiwan Toomsan ◽  
Supatcharee Makornkan
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Outcome Expectations ◽  
Stepwise Multiple Regression ◽  
Hypertensive Patients ◽  
Efficacy Outcome ◽  
Level Of Significance ◽  
High Level ◽  
Care Behavior ◽  
Time Selection

This research examined and compared the levels of perceived self-efficacy, outcome expectations, and self-care behavior of hypertensive patients who received treatment at the studied area. Purposive sampling of 76 patients (21 males and 55 females) who had blood pressure controlling under 160/100 mmHg., answered the questionnaires (Alpha-reliability Coefficient as 0.96) from August to November 2017. The statistics used included frequency, percentage, mean, standard deviation, one sample t-test, one-way ANOVA with comparison test by Scheffe’s method, and Stepwise-multiple regression. The results were as follows: (a) a whole of the three aspects is at high level when comparing with the established criteria (60%) at the .05 level of significance with an average mean of 3.56; (b) comparison between genders is not significant, only income makes the three issues significantly different at the .05 level of significance. The best predictor of self-efficacy perception is appropriate time selection for exercises, which could predict the self-care behavior at 48.70 percent and at the .05 level of significance.

scholarly journals HUBUNGAN KEYAKINAN DIRI DAN AKTIVITAS PERAWATAN MANDIRI PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS PAHANDUT KOTA PALANGKA RAYA

2018 ◽  
Vol 7 (1) ◽  
pp. 199
Author(s):  
Alfeus - Manuntung
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Clinical Trial Design ◽  
Sampling Technique ◽  
Controlled Clinical Trial ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Care Activity ◽  
Care Behavior

Hypertension is one of the most common causes of morbidity and mortality in worldwide. Hypertension is also called a "silent killer" because people with hypertension often do not show symptoms. People who suffer from hypertension are usually unaware of his condition. The understanding of the patient and the ability of self care behavior of hypertensive patients is also very low. Non-compliance with this self care behavior can adversely affect the health of people with hypertension. The objective of this research is known the association of self efficacy and self care activity of hypertension patients in the working area of ​​Puskesmas Pahandut Palangka Raya City. Methods this research is used descriptive correlational research design with cross sectional study approach. Sampling technique in this research is using nonprobability sampling technique that is concecutive sampling with 50 respondents. Data collection was done for 2 months by measuring self efficacy level and self care activity using questionnaire. The statistical test used is Chi Square test. The results showed that most of the respondents had good efficacy level of 70%. Most of the respondents sufficient level of self care activity is 58. Pearson Chi Square correlation test results self efficacy and self care activities showed that there is a negative and insignificant relationship between self efficacy and self care activities of hypertensive patients. The conclusion of this research is there is no significant relationship between self efficacy with self care activity of hypertension patient. Further research with randomized controlled clinical trial design and a large number of samples should be undertaken to develop nursing interventions with behavioral approaches in order to improve self efficacy and self care behavior so as to reduce hypertension complications and improve the quality of life of hypertensive patients.;Keywords: self efficacy, self care activity, hypertension

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.

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 Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

2019 ◽  
Vol 3 (1) ◽  
pp. 12-18
Author(s):  
Ainul Yaqin Salam ◽  
Nur Hamim
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Complications ◽  
Patients With Diabetes ◽  
Main Determinants ◽  
And Gender ◽  
Care Behavior

 AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial  untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup.                                                                                                     Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki  AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria  were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet

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.

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