ArticleBMC geriatrics2023
Health literacy, self-efficacy, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus: a cross-sectional study in Thai communities.
Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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41 citing papers in PubMed.
- Examination of the Relationship Between Foot Care Behaviour, Self-Efficacy, and Diabetes Self-Care Among Individuals With and Without Diabetic Foot Wounds.Scandinavian journal of caring sciences · 2026Article
- Factors associated with glycemic control in Korean older adults with diabetes living alone: A secondary analysis.Journal of Korean gerontological nursing · 2026Article
- Factors Influencing Adherence to Self-Care in Patients with Type 2 Diabetes: A Systematic Literature Review.Healthcare (Basel, Switzerland) · 2026Review
- Development and psychometric validation of a medication literacy scale for glucose-lowering therapy in Chinese adults with type 2 diabetes mellitus.BMC public health · 2026Article
- Quality of life and health literacy in individuals with diabetes-related wounds.Acta diabetologica · 2026Observational
- Article
- Assessment of knowledge, attitude, and practice regarding diabetes among patients with type 2 diabetes in Hunan province, China: a cross-sectional study.Frontiers in health services · 2026Article
- Identification of Factors Associated with Glycemic Control Using the PRECEDE- PROCEED Model in Patients with Type 2 Diabetes: A Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 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
- Cross-Cultural Adaptation and Psychometric Validation of a Diabetes-Specific Health Literacy Scale in Mainland China.Patient preference and adherence · 2026Article
- Power Within: a meta-analysis of the roles of self-efficacy in type 2 diabetes self-care and glycaemic control.BMJ public health · 2026Review
- Internal factors related to self-management among type 2 diabetes patients during the COVID-19 pandemic as humanitarian emergencies: a scoping review protocol.Systematic reviews · 2025Article
- The mediating role of diabetes self-efficacy in the effect of health literacy on quality of life in geriatric diabetic patients in Turkey.BMC geriatrics · 2025Article
- Exploring the Interplay of Health Literacy and Non-Communicable Disease Health Outcomes in Southeast Asia: A Systematic Review.Iranian journal of public health · 2025Review
- Article
- Self-Care behaviors and their association with self-efficacy and health literacy among adolescents with type 1 diabetes mellitus in palestine: a cross-sectional study.BMC psychology · 2025Article
- Effect of Diabetes Self-Efficacy on Coping Strategy: Self-Stigma's Mediating Effect.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy disparities in Thai university students: exploring differences between health science and non-health science disciplines.BMC public health · 2025Article
- Article
- Building community capacity in diabetes care: Perspectives of community health workers.Health SA = SA Gesondheid · 2025Article
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Abstract
backgroundProperly understanding the health information of people with type 2 diabetes mellitus (T2DM) is the basis for better risk factor management, which also positively affects their quality of life. The aim of this study was to investigate diabetes health literacy (HL), self-efficacy, and self-care behaviors associated with glycemic control among older adults with T2DM in northern Thai communities.
methodsA cross-sectional study was conducted among 414 older adults over the age of 60 diagnosed with T2DM. The study was conducted in Phayao Province from January to May 2022. Simple random sampling of the patient list for the Java Health Center Information System program was used. Questionnaires were used to collect data on diabetes HL, self-efficacy, and self-care behaviors. Blood samples were tested for estimated glomerular filtration rate (eGFR) and glycemic controls, such as fasting blood sugar (FBS) and glycated hemoglobin (HbA1c).
resultsThe mean age of participants was 67.1 years. FBS (mean ± SD = 108.5 ± 29.5 mg/dL) and HbA1c (mean ± SD = 6.6 ± 1.2%) levels were found to be abnormal in 50.5% (≥ 126 mg/dL) and 17.4% (≥ 6.5%) of the subjects, respectively. There was a strong correlation between HL and self-efficacy (r = 0.78), HL and self-care behaviors (r = 0.76), and self-efficacy and self-care behaviors (r = 0.84). The eGFR was significantly correlated with diabetes HL (r = 0.23), self-efficacy (r = 0.14), self-care behaviors (r = 0.16), and HbA1c (r = -0.16) scores. Linear regression after adjusting for sex, age, education, DM duration, smoking, and drinking alcohol showed that FBS level was inversely associated with diabetes HL (Beta = -0.21, R
conclusionDiabetes HL was related to self-efficacy and self-care behaviors in elderly T2DM patients and was shown to influence their health, including glycemic control. These findings suggest that implementing HL programs to build competence in self-efficacy expectations is important for contributing to improvements in diabetes preventive care behaviors and HbA1c control.
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