• Patient Prefer Adher · Jan 2024

    The Effect of Health Literacy on Disease Management Self-Efficacy in Chronic Disease Patients: The Mediating Effects of Social Support and the Moderating Effects of Illness Perception.

    • Hao Zou, Jianrong Liu, Dongxu Jiang, Linlin Hou, Weiliang Wang, and Linlin Zhang.
    • Nursing Department, The Second Affiliated Hospital of Xi'an Medical University, Shanxi, People's Republic of China.
    • Patient Prefer Adher. 2024 Jan 1; 18: 657666657-666.

    PurposeTo test a hypothetical pathway model to estimate the links between health literacy, social support, illness perception, and disease management self-efficacy.MethodsThis cross-sectional study, conducted from June to October 2022, involved the recruitment of 210 patients with chronic diseases at two primary care facilities. Participants completed the Health Literacy Management Scale, Self-Efficacy for Managing Chronic Disease 6-Item Scale, Social Support Rating Scale and Brief Illness Perception Questionnaire. We used the PROCESS macro for R to determine the hypothetical pathway model.ResultsThe direct effect of health literacy on self-efficacy was significant (β=0.1792, 95% CI: 0.0940-0.2644), and social support played a partial mediating role between health literacy and self-efficacy (ES=0.0761, 95% CI: 0.0398-0.1204). Illness perception moderated the relationship between social support and self-efficacy (β=-0.0153, 95% CI: -0.0268- -0.0039).ConclusionProposed a conceptual model including the mediating effect of social support and the moderating effect of illness perception, which helps to clarify the underlying mechanisms between health literacy and self-efficacy.© 2024 Zou et al.

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