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Pathways Linking Health Literacy to Self-Management in People with Type 2 Diabetes
Eun-Hyun Lee1, Young Whee Lee2, Duckhee Chae3
1Graduate School of Public Health, Ajou University, Suwon 16499, Korea.
Healthcare (Basel, Switzerland)
|December 24, 2021
Summary
Health literacy significantly improves diabetes self-management. Interventions should enhance health literacy, social connections, and self-efficacy for better patient outcomes.
Area of Science:
- Health Sciences
- Behavioral Medicine
- Public Health
Background:
- Health literacy is a key determinant of health behaviors and outcomes.
- Mechanisms linking health literacy to diabetes self-management require further elucidation.
Purpose of the Study:
- To assess a mediation model of health literacy and diabetes self-management.
- To examine direct and indirect pathways via social isolation and self-efficacy.
Main Methods:
- Cross-sectional study with 524 type 2 diabetes patients.
- Mediation analysis using PROCESS macro with bootstrapping.
- Data collected from June 2020 to February 2021.
Main Results:
- Health literacy positively influenced diabetes self-management.
- Significant indirect effects found via self-efficacy (0.214) and serially via social isolation and self-efficacy (0.013).
- An indirect effect via social isolation was also significant (0.018).
Conclusions:
- Diabetes self-management interventions should integrate health literacy, social support, and self-efficacy.
- Enhancing these components can improve clinical practice and patient outcomes.
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