ArticleFrontiers in public health2026
Understanding the relationship between eHealth literacy, self-efficacy, social support, and patient activation in breast cancer patients: a chain mediation analysis.
Article 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.
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1 citing paper in PubMed.
- Traditional Chinese medicine health literacy and depressive symptoms in postpartum women: the sequential mediating effects of social support and self-efficacy.Frontiers in public health · 2026Article
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5 authors.
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Abstract
Background: Patient activation is essential for effective self-management among breast cancer patients, yet the mechanisms through which eHealth literacy contributes to it remain incompletely understood. Objective: This investigation sought to delineate the chain mediating roles of self-efficacy and social support linking eHealth literacy to patient activation among breast cancer populations. Methods: 316 breast cancer patients were recruited into a cross-sectional survey framework. Each participant underwent an evaluation of their levels of patient activation, perceived social support, self-efficacy, and eHealth literacy. After controlling relevant factors, model 6 in PROCESS 4.1 was applied to construct a chain mediation model; the bootstrapping procedure was subsequently applied to verify the mediating pathways. Results: eHealth literacy showed a significant association with patient activation ( Conclusion: Among breast cancer patients, eHealth literacy was associated with patient activation through sequential mediation by social support and self-efficacy. These findings suggest that strategies to strengthen patients' eHealth literacy, mobilize social support, and build self-efficacy may hold promise for promoting active participation in health self-management, although the effectiveness of such interventions warrants confirmation in future longitudinal or intervention studies.
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