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Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes

Health literacy is considered to be an emerging determinant of health behaviors and outcomes. The underlying mechanisms linking health literacy to diabetes self-management are currently unclear. This study assessed a mediation model consisting of a direct pathway between health literacy and self-man...

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Autores principales: Lee, Eun-Hyun, Lee, Young Whee, Chae, Duckhee, Lee, Kwan-Woo, Hong, Seongbin, Kim, So Hun, Chung, Jin Ook
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701917/
https://www.ncbi.nlm.nih.gov/pubmed/34946460
http://dx.doi.org/10.3390/healthcare9121734
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author Lee, Eun-Hyun
Lee, Young Whee
Chae, Duckhee
Lee, Kwan-Woo
Hong, Seongbin
Kim, So Hun
Chung, Jin Ook
author_facet Lee, Eun-Hyun
Lee, Young Whee
Chae, Duckhee
Lee, Kwan-Woo
Hong, Seongbin
Kim, So Hun
Chung, Jin Ook
author_sort Lee, Eun-Hyun
collection PubMed
description Health literacy is considered to be an emerging determinant of health behaviors and outcomes. The underlying mechanisms linking health literacy to diabetes self-management are currently unclear. This study assessed a mediation model consisting of a direct pathway between health literacy and self-management, and indirect pathways via social isolation only, self-efficacy only, and social isolation and self-efficacy serially in people with type 2 diabetes. A cross-sectional design was employed, and a total of 524 participants were recruited from outpatient clinics of multi-institutions from June 2020 to February 2021. The mediation model was analyzed using the PROCESS macro on SPSS with bootstrap bias-corrected 95% confidence intervals (CIs) with 10,000 bootstrapping iterations. Health literacy positively affected self-management. The estimated indirect effect of health literacy on self-management via social isolation was significant, at 0.018 (95% CI = 0.004–0.036). The indirect effect via self-efficacy was estimated at 0.214 (95% CI = 0.165–0.266). The indirect effect via social isolation and self-efficacy serially was 0.013 (95% CI = 0.006–0.023). The findings of this study suggest that clinical practice can be improved through more comprehensive diabetes self-management interventions that promote all of the components of health literacy, social contacts/networks, and self-efficacy in particular.
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spelling pubmed-87019172021-12-24 Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes Lee, Eun-Hyun Lee, Young Whee Chae, Duckhee Lee, Kwan-Woo Hong, Seongbin Kim, So Hun Chung, Jin Ook Healthcare (Basel) Article Health literacy is considered to be an emerging determinant of health behaviors and outcomes. The underlying mechanisms linking health literacy to diabetes self-management are currently unclear. This study assessed a mediation model consisting of a direct pathway between health literacy and self-management, and indirect pathways via social isolation only, self-efficacy only, and social isolation and self-efficacy serially in people with type 2 diabetes. A cross-sectional design was employed, and a total of 524 participants were recruited from outpatient clinics of multi-institutions from June 2020 to February 2021. The mediation model was analyzed using the PROCESS macro on SPSS with bootstrap bias-corrected 95% confidence intervals (CIs) with 10,000 bootstrapping iterations. Health literacy positively affected self-management. The estimated indirect effect of health literacy on self-management via social isolation was significant, at 0.018 (95% CI = 0.004–0.036). The indirect effect via self-efficacy was estimated at 0.214 (95% CI = 0.165–0.266). The indirect effect via social isolation and self-efficacy serially was 0.013 (95% CI = 0.006–0.023). The findings of this study suggest that clinical practice can be improved through more comprehensive diabetes self-management interventions that promote all of the components of health literacy, social contacts/networks, and self-efficacy in particular. MDPI 2021-12-15 /pmc/articles/PMC8701917/ /pubmed/34946460 http://dx.doi.org/10.3390/healthcare9121734 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Eun-Hyun
Lee, Young Whee
Chae, Duckhee
Lee, Kwan-Woo
Hong, Seongbin
Kim, So Hun
Chung, Jin Ook
Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
title Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
title_full Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
title_fullStr Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
title_full_unstemmed Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
title_short Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
title_sort pathways linking health literacy to self-management in people with type 2 diabetes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701917/
https://www.ncbi.nlm.nih.gov/pubmed/34946460
http://dx.doi.org/10.3390/healthcare9121734
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