ArticleHealthcare (Basel, Switzerland)2021
Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes.
Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Optimization of the multimorbidity management model for older adults: a study on the mediating effect of health literacy on self-efficacy and health status.BMC geriatrics · 2026Article
- Patients' Knowledge, Attitudes, and Practices Regarding Non-pharmacological Treatments for Irritable Bowel Syndrome.Journal of neurogastroenterology and motility · 2026Article
- Self-efficacy, health literacy, and chronic disease self-management among South-South adult migrants.BMC psychology · 2026Article
- Psychometric Validation of the Chinese Version of the Diabetes Health Literacy Scale Among Adults with Type 2 Diabetes Mellitus: Application of Factor Analysis and Item Response Theory.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- The Mediating Role of Treatment Adherence in the Relationship Between Health Literacy and Health Maintenance Efficacy Among Adults with Type 1 Diabetes.Patient preference and adherence · 2026Article
- Pathways Linking ICT Use to Chronic Disease Self-Management Among Older Adults with Comorbidities in Shanghai, China.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Review
- The mediating role of self-efficacy in the relationship between health literacy, health status and psychological well-being among German trainees and students in nursing.Frontiers in public health · 2024Article
- Exploring the relationships between health literacy, social support, self-efficacy and self-management in adults with multiple chronic diseases.BMC health services research · 2023Article
- Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation.Nursing open · 2023Article
- Using the Concept of Health Literacy to Understand How People Living with Motor Neurone Disease and Carers Engage in Healthcare: A Longitudinal Qualitative Study.Healthcare (Basel, Switzerland) · 2022Article
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7 authors.
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Abstract
Health literacy is considered to be an emerging determinant of health behaviors and outcomes. The underlying mechanisms linking health literacy to diabetes self-management are currently unclear. This study assessed a mediation model consisting of a direct pathway between health literacy and self-management, and indirect pathways via social isolation only, self-efficacy only, and social isolation and self-efficacy serially in people with type 2 diabetes. A cross-sectional design was employed, and a total of 524 participants were recruited from outpatient clinics of multi-institutions from June 2020 to February 2021. The mediation model was analyzed using the PROCESS macro on SPSS with bootstrap bias-corrected 95% confidence intervals (CIs) with 10,000 bootstrapping iterations. Health literacy positively affected self-management. The estimated indirect effect of health literacy on self-management via social isolation was significant, at 0.018 (95% CI = 0.004-0.036). The indirect effect via self-efficacy was estimated at 0.214 (95% CI = 0.165-0.266). The indirect effect via social isolation and self-efficacy serially was 0.013 (95% CI = 0.006-0.023). The findings of this study suggest that clinical practice can be improved through more comprehensive diabetes self-management interventions that promote all of the components of health literacy, social contacts/networks, and self-efficacy in particular.
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