Evidence map›Paper›PMID 33148266›Full record

ArticleHealth and quality of life outcomes2020

Impact of health literacy and self-care behaviors on health-related quality of life in Iranians with type 2 diabetes: a cross-sectional study.

Saber Gaffari-Fam, Yosef Lotfi, Amin Daemi, Towhid Babazadeh, Ehsan Sarbazi, Ghader Dargahi-Abbasabad, Hamed Abri

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Health Literacy in People with Type 1 Diabetes: A Scoping Review.International journal of environmental research and public health · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Saber Gaffari-FamSchool of Nursing of Miandoab City, Urmia University of Medical Sciences, Urmia, Iran.
Yosef LotfiMSc in Nursing Education, Islamic Azad University, Sarab Branch, Sarab, Iran.
Amin DaemiHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Towhid BabazadehDepartment of Public Health, Sarab Faculty of Medical Science, Sarab, Iran. towhid.babazadeh@gmal.com.ORCID http://orcid.org/0000-0002-2172-6877
Ehsan SarbaziStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Ghader Dargahi-AbbasabadMSc of Epidemiology, Research Center of Psychiatry and Behavioral Science, Razi Hospital, Tabriz University of Medical Science, Tabriz, Iran.
Hamed AbriDepartment of Public Health, Sarab Faculty of Medical Science, Sarab, Iran.
Iran University of Medical Sciences · IRIslamic Azad University Sari Branch · IRMazandaran University of Medical Sciences · IRRazi Hospital · IRTabriz University of Medical Sciences · IRUrmia University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegarding the importance of health literacy as a key factor in self-care, appropriate understanding of health information by patients with type 2 diabetes mellitus (T2DM) is fundamental for better management of risk factors, which can also benefit their quality of life. This study aimed to describe the relationship between health literacy (HL), and self-care behaviors with health-related quality of life (HRQL) in patients with T2DM.

methodsA cross-sectional survey was done in Iran in 2019. Patients were recruited randomly from health centers by medical records (n = 192, 55.2% male, mean age 58.12 years). The data collection included demographic form, health literacy questionnaire, diabetes self-care behavior questionnaire, and world health organization's Quality of Life-BREF (WHOQOL-BREF). Analyses were adjusted for confounders using hierarchical regression analysis.

resultsHL as predictor variables explained 47.5% of variance in overall HRQL (p value < 0.001), reading health information was the strongest HL dimension (β = 0.478). Self-care behaviors explained an additional 13.6% of the HRQL variance. In total, 65.5% of the variation in the HRQL is explained by the HL, self-care behavior, and the demographic variables.

conclusionWe found that more almost two-third of the HRQL explained by the HL and self-care behaviors. Given the importance of health literacy and self-care behaviors in the quality of life in patients with T2DM, adoption of health-promoting behaviors and increasing health literacy can be beneficial for promoting quality of life among these patients.

Indexed as

Quality of LifeAdultCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHealth BehaviorHealth LiteracyHumansIranMaleMiddle AgedSelf CareSurveys and QuestionnairesDiabetes mellitusHealth literacyIranQuality of lifeSelf-care

Identifiers

PMID33148266
PMCPMC7640476
OpenAlexW3094701901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.