Evidence map›Paper›PMID 42422672›Full record

Observational studyFrontiers in public health2026

The relationship between digital health literacy, self-efficacy, and self-management behaviors in patients with diabetes-related foot disease: a cross-sectional study.

Jianxia Yao, Yongxin Huang, Jinqi Huang, Qiqi Yao, Shuping Li, Shanshan Wu, Aiqiong Huang, Baogen Xie, Ruilin Li, Qun Chen and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Jianxia YaoDepartment of Burn and Plastic Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Yongxin HuangDepartment of Burn and Plastic Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Jinqi HuangDepartment of Interventional Vascular Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Qiqi YaoDepartment of Endocrinology, The First Hospital of Putian City, Putian, Fujian, China.
Shuping LiDepartment of Burn and Plastic Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Shanshan WuDepartment of Burn and Plastic Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Aiqiong HuangDepartment of Nutrition, The First Hospital of Putian City, Putian, Fujian, China.
Baogen XieDepartment of Burn and Plastic Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Ruilin LiDepartment of Burn and Plastic Surgery, The First Hospital of Putian City, Putian, Fujian, China.
Qun ChenDepartment of Psychology, The First Hospital of Putian City, Putian, Fujian, China.
Min CaiDepartment of Cardiology, The First Hospital of Putian City, Putian, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to explore the relationship among digital health literacy, self-efficacy, and self-management behaviors in patients with diabetes-related foot disease (DRFD), and to analyze the mediating role of self-efficacy. Methods: A cross-sectional survey was conducted from February 2024 to December 2025 among 328 patients with DRFD in a endocrinology department of tertiary hospital. Participants were recruited using a consecutive sampling method and completed a general information questionnaire, the eHealth Literacy Scale (eHEALS), the Diabetes Management Self-Efficacy Scale (DMSES), and the Diabetic Foot Self-Management Behavior Scale (DFSMBS). Mediation analysis was performed using the SPSS Process Macro (Model 4), with bootstrap resampling (5,000 iterations) to calculate 95% confidence intervals. The study was conducted in accordance with the STROBE guidelines. Results: Digital health literacy was moderately positively correlated with self-management behaviors ( Conclusion: Improving digital health literacy in patients with DRFD is directly associated with better self-management behaviors and is indirectly associated with them through increased self-efficacy. Clinical practice should integrate digital health education with psychological empowerment strategies to optimize self-management.

Indexed as

Diabetic FootHealth LiteracySelf EfficacySelf-ManagementAdultAgedCross-Sectional StudiesDigital HealthFemaleHumansMaleMiddle AgedSurveys and Questionnairescross-sectional studiesdiabetes-related foot diseasehealth literacypatient self-managementself efficacy

Identifiers

PMID42422672
PMCPMC13341870

What OpenQuestion holds

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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.