ArticlePatient preference and adherence2023
Chinese Community Home-Based Aging Institution Elders' Self-Management of Chronic Non-Communicable Diseases and Its Interrelationships with Social Support, E-Health Literacy, and Self Efficacy: A Serial Multiple Mediation Model.
Article in Patient preference and adherence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- 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
- Unravelling the role of health literacy among individuals with multimorbidity: a systematic review and meta-analysis.BMJ open · 2024Pooled it
- Structural model of health-promoting behavior in middle-aged Korean women with hypertension based on the Information-Motivation-Behavioral Skills model: a cross sectional study.Women's health nursing (Seoul, Korea) · 2026Article
- Factors associated with Traditional Chinese Medicine use among older adults with chronic diseases in China.Scientific reports · 2026Article
- The relationship between social support, e-Health literacy, sleep quality and Internet addiction disorder in college students: a cross-sectional study.Frontiers in psychology · 2026Article
- Support Strategies and Interventions for eHealth Inclusion: Scoping Review.Journal of medical Internet research · 2025Article
- Understanding how digital health literacy affects health self-management behaviors: The mediating role of self-efficacy in college students.Scientific reports · 2025Article
- Review
- The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model.BMC psychiatry · 2025Article
- Factors influencing chronic disease self-management behaviors: a national multilevel analysis in China.Frontiers in public health · 2025Article
- The Relationship Between Personality and Self-Management Behavior in Chinese Young and Middle-Aged People with Chronic Illness: The Chain Mediating Role of Family Health and Health Literacy.Patient preference and adherence · 2025Article
- Article
- Association between social capital, mental health, and digital health literacy among the university students in China: a multigroup analysis based on major difference.BMC public health · 2024Article
- Review
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The Chinese population is aging, and chronic non-communicable diseases (NCDs) prevalence is correspondingly increasing, along with associated disability and healthcare costs. Although self-management has been associated with social support and is a recognized priority, its mediating variables have not been studied in detail, particularly among old people with chronic diseases. Purpose: To examine the mediating role of e-health literacy and general self-efficacy in the relationship between social support and self-management of chronic NCDs in Chinese community home-based aging institution residents. Patients and Methods: A random sample of 289 community home-based aging institution elders (≥60 years) with chronic NCDs in China was recruited. Questionnaire data were recorded on self-reported socio-demographics, self-management, social support, e-health literacy, and general self-efficacy. Pearson's correlation analysis identified the relationship between these factors and self-management. Serial multiple mediation model was used to test the hypothesized relationships. Results: The self-management mean (±SD) score was 29.39 ± 9.60, and the level of self-management was medium. Social support (r = 0.283; Conclusion: In Chinese community home-based aging institution elders, the relationship between self-reported self-management and social support is positively affected by the independent mediating effect of e-health literacy and general self-efficacy and the serial mediating effect of e-health literacy and general self-efficacy. Targeted self-management programs for elders with chronic NCDs have theoretical support, which could improve the health status and quality of life in this population.
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