ArticlePatient preference and adherence2025
Mediating Effects of Health Literacy, Self-Efficacy, and Social Support on the Relationship Between Disease Knowledge and Patient Participation Behavior Among Chronic Ill Patients: A Cross-Sectional Study Based on the Capability-Opportunity-Motivation and Behavior (COM-B) Model.
Article in Patient preference and adherence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Online Resources for Migraine Surgery: Readability and Patient Understanding.Plastic and reconstructive surgery. Global open · 2026Article
- Construction and application of a medication adherence management program based on TIR for patients with ischemic stroke.Frontiers in public health · 2026Article
- Health literacy, social support, and health activation as determinants of health-promoting behaviors in patients with chronic heart failure: a COM-B model-based path analysis.Frontiers in public health · 2026Article
- The association between health literacy and Health Information-Seeking Behavior among pulmonary nodule patients: a serial mediation of illness perception and self-efficacy.Frontiers in public health · 2026Article
- The mediating role of physical activity self-efficacy between knowledge, psychological factors, and early physical activity in elderly post-PCI patients: a cross-sectional study.BMC geriatrics · 2025Article
- Article
- Nurse-Facilitated Self-Management in Peritoneal Dialysis: A Cross-Sectional Study from Riyadh, Saudi Arabia.Healthcare (Basel, Switzerland) · 2025Article
- The impact of health literacy on treatment adherence in COPD patients: chain mediation roles of self-efficacy and perceived disease threat.Frontiers in public health · 2025Article
- Beyond the interface: benchmarking pediatric mobile health applications for monitoring child growth using the Mobile App Rating Scale.Frontiers in digital health · 2025Article
- Exploring Patient Involvement in Treatment Decision-Making for Diabetic Retinopathy: A COM-B Model-Based Cross-Sectional Survey.Patient preference and adherence · 2025Article
- Interdisciplinary intervention to improve mental health and academic adaptation of adolescents with chronic diseases: integration of educational psychology and public health.Frontiers in psychology · 2025Article
- Self-efficacy in long-term prostate cancer survivors.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
5 authors.
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Abstract
Purpose: Patient participation is essential for improving patient safety and quality of care. It mainly refers to patients participating in their own healthcare through various ways, such as searching information on treatment options, engaging in decision-making, and communicating with healthcare professionals. This study aimed to investigate the relationships between disease knowledge, health literacy, self-efficacy, social support, and patient participation behavior in chronic ill patients based on the Capability-Opportunity-Motivation and Behavior (COM-B) model. Methods: This cross-sectional survey, conducted from October 2023 to January 2024, involved 389 chronic ill patients from five clinical departments (cardiology, endocrinology, respiratory medicine, neurology, and geriatrics) at a tertiary hospital in Hangzhou, Zhejiang Province. Patients completed the health literacy management scale, general self-efficacy scale, core knowledge of chronic diseases questionnaire, social support rating scale, and patient participation scale. We used Results: The total effect of disease knowledge on patient participation behavior was significant (β = 0.496, Conclusion: This study proposed a conceptual model that includes the mediating effects of health literacy, self-efficacy, and social support, which helps clarify the underlying mechanisms between disease knowledge and patient participation behavior. Targeted interventions to increase disease knowledge, health literacy, self-efficacy, and social support can help chronic ill patients engage more actively in their own healthcare.
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