ArticleBMJ open2016
Do health literacy and patient empowerment affect self-care behaviour? A survey study among Turkish patients with diabetes.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis.Journal of general internal medicine · 2019Pooled it
- Article
- A cross-sectional study of health literacy and health behaviors among adults in South Korea: findings from a principal component analysis.BMC public health · 2026Article
- The mediating role of self-efficacy in health literacy and chronic disease self-management in older individuals.BMC geriatrics · 2026Article
- Health Literacy in People with Type 1 Diabetes: A Scoping Review.International journal of environmental research and public health · 2025Article
- Clusters of Patient Empowerment and Mental Health Literacy Differentiate Professional Help-Seeking Attitudes in Online Mental Health Communities Users.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Effect of social media-based education on self-care status, health literacy, and glycated hemoglobin in patients with type 2 diabetes.Frontiers in public health · 2025Article
- Beyond health: exploring women's socio-cultural motivations for HPV vaccination.International journal of qualitative studies on health and well-being · 2024Article
- Low health literacy and quality of life in patients with systemic arterial hypertension.Dialogues in health · 2022Article
- The Relationship Between Health Literacy Level and Media Used as a Source of Health-Related Information.Health literacy research and practice · 2021Article
- The Association of Health Literacy Level with Self-Care Behaviors and Glycemic Control in a Low Education Population with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Iran.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Article
- How people living with diabetes in Indonesia learn about their disease: A grounded theory study.PloS one · 2019Article
- Oral Health Literacy, Preventive Behavior Measures, and Chronic Medical Conditions.JDR clinical and translational research · 2018Article
- The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study.Patient preference and adherence · 2018Article
- The effect of a health literacy approach to counselling on the lifestyle of women with gestational diabetes: A clinical trial.F1000Research · 2018Article
- Evaluation of a Health Literacy Program for Chronic Conditions.Health literacy research and practice · 2017Article
- The Relationship between Health Literacy and Health Behaviour in People with Diabetes: A Danish Population-Based Study.Journal of diabetes research · 2016Article
- Premarriage Counseling in Type 1 Diabetes.Indian journal of endocrinology and metabolismReview
- The Impact of Patient Health Literacy on Disease Control in Type 2 Diabetes: An Analytical Cross-Sectional Study.Biomedicine hubArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to assess the impact of health literacy and patient empowerment on diabetes self-care behaviour in patients in metropolitan Turkish diabetes centres. The conceptual background is provided by the psychological health empowerment model, which holds that health literacy without patient empowerment comes down to wasting health resources, while empowerment without health literacy can lead to dangerous or suboptimal health behaviour. DESIGN, SETTING AND
participantsA cross-sectional study was conducted with 167 patients over the age of 18 from one of two diabetes clinics in a major Turkish City. Self-administered questionnaires were distributed to eligible outpatients who had an appointment in one of the clinics. Health literacy was measured by a newly translated Turkish version of the Short Test of Functional Health Literacy in Adults (S-TOFHLA) and the Chew self-report scale. Patient empowerment was measured by a 12-item scale based on Spreitzer's conceptualisation of psychological empowerment in the workplace. Self-care behaviour was measured by the Self-care behaviours were measured by the Summary of Diabetes Self-Care Activities Measure (SDSCA). Level of diabetes knowledge was measured by Diabetes Knowledge Test.
resultsTwo subscales of empowerment, impact and self-determination, predicted self-reported frequency of self-care behaviours. Neither health literacy nor diabetes knowledge had an effect on self-care behaviours.
conclusionsHealth literacy might be more effective in clinical decisions while empowerment might exert a stronger influence on habitual health behaviours.
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