ArticleBMJ open2023
Mediating role of learned helplessness' components in the association between health literacy/social support and self-management among maintenance haemodialysis patients in Changsha, China: a cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline 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
- Article
- Influence of Social Support and Quality of Life on Mortality Among Patients Undergoing Hemodialysis.The journal of nursing research : JNR · 2026Article
- Early-pregnancy ALT, AST, and GGT in relation to gestational diabetes: a GGT-focused association pattern.Frontiers in endocrinology · 2026Article
- Latent Profile Analysis of Autologous Arteriovenous Fistula Self-Management in Patients Undergoing Maintenance Hemodialysis.Patient preference and adherence · 2026Article
- Experiences Related to Learned Helplessness and Support Needs Among Patients with Recurrent Implantation Failure Undergoing in vitro Fertilization and Embryo Transfer: A Qualitative Study.Psychology research and behavior management · 2026Article
- The Role of Powerlessness in Self-Management Behaviours Among Patients with Malignant Fungating Wounds: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Qualitative Study of Learned Helplessness in Colorectal Cancer Patients with Colostomy: A Social-Ecological Perspective.Patient preference and adherence · 2026Article
- Impact of nursing interventions based on the health ecology model on quality of life in maintenance hemodialysis patients.BMC nursing · 2025Article
- Learned helplessness among vocational nursing students: current status and influencing factors.BMC medical education · 2025Article
- Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students' mental health literacy.BMC nursing · 2024Article
- How social support influences learned helplessness in lung cancer patients: the chain mediation role of individual resilience and self-efficacy.Frontiers in psychology · 2024Article
- Learned Helplessness and Associated Factors Among Patients with Lung Cancer.Patient preference and adherence · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the multiple mediating roles of the learned helplessness's core system in the relationship between health literacy/social support and self-management.
designCross-sectional survey design.
settingChangsha, China.
participants239 Chinese maintenance haemodialysis (MHD) patients.
methodsTwo multiple mediator models were constructed based on the COM-B (Capacity, Opportunity, Motivation - Behaviour) model. A total of 239 Chinese MHD patients participated in a cross-sectional study, which included surveys on the Learned Helplessness Scale for MHD patients, Dialysis Knowledge Questionnaire, Social Support Scale and Self-Management Scale for Haemodialysis. The PROCESS macro in SPSS was used for mediated effects analysis.
resultsHelplessness and internality partially mediated the relationship between health literacy/social support and self-management ((β=-0.212, p<0.01; β=0.240, p<0.01)/(β=-0.331, p<0.001; β=0.376, p<0.001)). The mediation effect size was 0.780 (95% CI (0.373 to 1.218)) in the health literacy model, accounting for 45.29% of the total effect, and 0.286 (95% CI (0.207 to 0.377)) in the social support model, accounting for 57.88% of the total effect. The differences in effect sizes for helplessness and internality in the two models were -0.080 (95% CI (-0.374 to 0.216)) and -0.041 (95% CI (-0.127 to 0.043)), respectively.
conclusionHealth literacy/social support directly affects MHD patients' self-management and indirectly affects it by changing learned helplessness, such as increasing internality while reducing helplessness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.