Evidence map›Paper›PMID 38111691›Full record

ArticlePatient preference and adherence2023

Community Efficacy for Non-Communicable Disease Management and Medication Adherence: The Sequential Mediating Role of Self-Efficacy and Depressive Symptoms.

Gangjiao Zhu, Rahul Malhotra, Shangzhi Xiong, Xinyue Chen, Mingyang Zhang, You Wu, Enying Gong, Zhan Wang, Xiangyang Tian, Weixia Peng and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

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. It is linked to trial NCT06975501 (A Community-Based 2×2 Factorial Randomized Controlled Trial Evaluating a Multicomponent Physical and Cognitive Intervention for Older Adults With Stroke and Comorbid Chronic Conditions in Urban China), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06975501 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

A Community-Based 2×2 Factorial Randomized Controlled Trial Evaluating a Multicomponent Physical and Cognitive Intervention for Older Adults With Stroke and Comorbid Chronic Conditions in Urban China

TypeinterventionalSponsorDuke Kunshan UniversityRan2025 to 2027Enrolled444ConditionsHypertension, Type 2 Diabetes Mellitus (T2DM), Multimorbidity, StrokeArmsExercise Intervention, Cognitive Intervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 4 countries.

Gangjiao ZhuSchool of Public Health, Wuhan University, Wuhan, People's Republic of China.
Rahul MalhotraHealth Services and Systems Research, Duke-NUS Medical School, Singapore.ORCID 0000-0002-9978-4276
Shangzhi XiongThe George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
Xinyue ChenDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Mingyang ZhangGlobal Health Research Center, Duke Kunshan University, Kunshan, People's Republic of China.ORCID 0009-0000-9204-2475
You WuGlobal Health Research Center, Duke Kunshan University, Kunshan, People's Republic of China.
Enying GongSchool of Population Medicine and Public Health, China Academy of Medical Science & Peking Union Medical College, Beijing, People's Republic of China.
Zhan WangDepartment of Agricultural Economics, College of Agriculture, Purdue University, West Lafayette, IN, USA.
Xiangyang TianChinese Health Education Center, Beijing, People's Republic of China.
Weixia PengSchool of Public Health, Fudan University, Shanghai, People's Republic of China.
Truls ØstbyeGlobal Health Research Center, Duke Kunshan University, Kunshan, People's Republic of China.
Lijing L YanSchool of Public Health, Wuhan University, Wuhan, People's Republic of China.
Duke Kunshan University · CNDuke University · USChinese Academy of Medical Sciences & Peking Union Medical College · CNFudan University · CNJohns Hopkins University · USPurdue University West Lafayette · USSingHealth Duke-NUS Academic Medical Centre · SGUNSW Sydney · AUWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We assess whether the sequential mediating effects of self-efficacy and depressive symptoms on the relationship between community efficacy for non-communicable disease management (COEN) and medication adherence and whether these relationships differed by sex and age. Patients and Methods: Overall, 662 individuals from 12 communities in China were interviewed twice 1 year apart. Serial mediation analysis examined whether the relationship between COEN and medication adherence was mediated by self-efficacy and depressive symptoms. Model invariance across sex and age groups was assessed using multi-group analysis. Results: Serial mediation analysis indicated that self-efficacy and depressive symptoms sequentially mediated relationship between COEN and medication adherence. Multi-group analysis by sex showed that the path from self-efficacy to medication adherence was significant only for females and from depressive symptoms to medication adherence was significant only for males. Conclusion: Interventions that enhance individual self-efficacy may be beneficial in decreasing depressive symptoms and improving medication adherence.

Indexed as

Chinacommunitydepressive symptomsmedication adherenceneighborhoodnon-communicable chronic diseasesself-efficacysocial cognitive theory

Identifiers

PMID38111691
PMCPMC10726806
OpenAlexW4389743788

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.