Evidence map›Paper›PMID 41756087›Full record

Observational studyFrontiers in public health2026

Navigating caregiving challenges: the interplay of health literacy and resilience in families of chronically ill older adults.

Ibrahim Alasqah, Mona Metwally El-Sayed, Ahmed Hashem El-Monshed, Mahmoud Abdelwahab Khedr, Manal Mohammed Hawash, Rahma Mohamed Abdelrahman, Mohamed Hussein Ramadan Atta, Shaimaa Mohamed Amin

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

8 authors.

Ibrahim AlasqahDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.
Mona Metwally El-SayedDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.
Ahmed Hashem El-MonshedDepartment of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain.
Mahmoud Abdelwahab KhedrPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria City, Egypt.
Manal Mohammed HawashPublic Health Department, Applied Medical Sciences College, King Khalid University, Khamis Meshait, Saudi Arabia.
Rahma Mohamed AbdelrahmanFamily and Community Health Nursing Department, Faculty of Nursing, Damita University, Damita City, Egypt.
Mohamed Hussein Ramadan AttaCollege of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Wadi Addawasir City, Saudi Arabia.
Shaimaa Mohamed AminDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study examined the mediating role of resilience in the relationship between health literacy and the challenges faced by caregivers of older adults with chronic diseases in Egypt. Methods: This study employed a cross-sectional descriptive research design, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Participants were selected through purposive sampling based on specific inclusion criteria, resulting in a sample of 253 caregivers. Data collection involved the Health Literacy Scale for Family Caregivers (HLSFC), the Care Challenge Scale (CCS), and the Resilience Inventory (RESI). The Pearson correlation test examined relationships between continuous parametric data, while linear regression analysis predicted dependent values based on independent variables. Hypothesis testing was conducted using path analysis with the SPSS macro PROCESS. Results: Significant negative correlations were found between family caregiver health literacy and caregiver challenges ( Conclusion: This study reveals complex relationships among health literacy, caregiver challenges, and resilience in family caregivers. Higher health literacy is associated with fewer caregiving challenges and lower resilience levels; however, resilience does not mediate or moderate these relationships. Enhancing health literacy among caregivers is crucial for alleviating their challenges and enhancing their caregiving experiences. Future research should focus on targeted interventions to effectively increase health literacy.

Indexed as

CaregiversFamilyHealth LiteracyResilience, PsychologicalAdultAgedChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairescaregivers of older adultschallengeschronic diseasehealth literacyresilience

Identifiers

PMID41756087
PMCPMC12932618

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.