ArticleBMC public health2022
Associations between e-health literacy and chronic disease self-management in older Chinese patients with chronic non-communicable diseases: a mediation analysis.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring the mechanism of self-management: the role of social support, self-efficacy, and health literacy based on meta-analytic structural equation modeling.BMC public health · 2025Pooled it
- The level of electronic health literacy among older adults: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2024Pooled it
- Article
- Association Between mHealth Literacy and Hypertension-Related KAP Among Older Adults with Hypertension: Chain-Mediating Roles of Health Empowerment and Patient Activation.Healthcare (Basel, Switzerland) · 2026Article
- Patient Perceptions and Acceptance of Blockchain-Based Health Data Sharing in Oncology: Cross-Sectional Survey.JMIR formative research · 2026Article
- Longitudinal Relationship of eHealth Literacy With Self-Management Via Self-efficacy in Individuals With Type 2 Diabetes: Autoregressive Cross-Lagged Modeling.The journal of nursing research : JNR · 2026Article
- eHealth Literacy, self-management, and selected clinical and social correlates of nutrition-inflammation level among older adults with diabetes.BMC health services research · 2026Article
- Health literacy and its association with sustainable healthcare attitudes among nursing students.BMC medical education · 2026Article
- The validation of the CarerQol instrument and factors associated with quality of life among informal caregivers of disabled older adults in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Development of a Digital Health Literacy Assessment Framework for Older Adults: Delphi-Based Study.Journal of medical Internet research · 2026Article
- Facilitators and Barriers to Digital Self-Management in Older Adults With Depression: COM-B and Theoretical Domain Framework Qualitative Study.JMIR aging · 2026Article
- The Relationship Between Electronic Health Literacy and Health-Related Quality of Life Among Chinese Older Adults: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Self-efficacy, health literacy, and chronic disease self-management among South-South adult migrants.BMC psychology · 2026Article
- Association of Electronic Health Literacy With Self-Care and Health Outcomes Among Patients With Type 2 Diabetes Mellitus: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Digital Health Literacy and Health Technology Readiness Among People With Epilepsy or Multiple Sclerosis: Cross-Sectional Study.JMIR human factors · 2026Article
- Bridging Minds and Behaviours: Patient Empowerment Mediates Psychological Factors and Diabetes Self-Management.Endocrinology, diabetes & metabolism · 2026Article
- Mapping the physiological, psychological and social landscape of the oral frailty network: a cross-sectional network analysis.Clinical oral investigations · 2026Article
- Article
- Determinants of Oral Health Literacy Among Older Chinese Adults: A Path Analysis Based on Andersen's Behavioral Model.Clinical interventions in aging · 2026Observational
- eHealth literacy and health responsibility among older adults: the serial indirect roles of self-efficacy and social support based on the health promotion model.Frontiers in public health · 2026Article
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8 authors.
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Abstract
backgroundChronic non-communicable diseases (CNCDs) are an urgent public health issue in China, especially among older adults. Hence, self-management is crucial for disease progression and treatment. Electronic health (e-health) literacy and self-efficacy positively correlate with self-management. However, we know little about their underlying mechanisms in older adults with CNCDs.
objectiveTo explore the factors that influence chronic disease self-management (CDSM) and verify self-efficacy as the mediator between e-health literacy and self-management behavior in older patients with CNCDs.
methodsThis cross-sectional study included 289 older patients with CNCDs from Hunan province, China, between July and November 2021. E-health literacy, self-efficacy, social support, and CDSM data were collected through questionnaires. The influence of each factor on CDSM was explored with multiple linear regression analysis. Intermediary effects were computed via a structural equation model.
resultsThe total CDSM score in the patients was 29.39 ± 9.60 and only 46 (15.92%) patients used smart healthcare devices. The regression analysis showed e-health literacy, self-efficacy, and social support were the factors that affected CDSM. Furthermore, the structural equation model revealed that self-efficacy directly affected CDSM (β = 0.45, P < 0.01), whereas e-health literacy affected it directly (β = 0.42, P < 0.01) and indirectly (β = 0.429, P < 0.01) through self-efficacy.
conclusionsThis study revealed that self-management among older patients with CNCDs is at a low level, and few of them use smart healthcare devices. Self-efficacy plays a partial intermediary role between e-health literacy and self-management in older patients with CNCDs. Thus, efforts to improve their CDSM by targeting e-health literacy may be more effective when considering self-efficacy.
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