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Relationship Between Electronic Health Literacy and Self-Management in People With Type 2 Diabetes Using a Structural

Eun-Hyun Lee¹, Young Whee Lee², Eun Hee Kang³

¹PhD, RN, Professor, Graduate School of Public Health, Ajou University, Suwon, Republic of Korea.

The Journal of Nursing Research : JNR

|December 21, 2023

Summary

Electronic health (eHealth) literacy significantly impacts diabetes self-management through indirect pathways involving self-efficacy and social support. Developing eHealth literacy programs can enhance self-management in Type 2 diabetes patients.

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Area of Science:

Health Informatics
Behavioral Medicine
Diabetes Management

Background:

Electronic health (eHealth) literacy is emerging as a key determinant of health outcomes.
The relationship between eHealth literacy and diabetes self-management remains underexplored.

Purpose of the Study:

To investigate the associations among eHealth literacy, self-efficacy, social support, and self-management in individuals with Type 2 diabetes.
To elucidate the pathways through which eHealth literacy influences diabetes self-management.

Main Methods:

Cross-sectional study utilizing secondary data from 453 individuals with Type 2 diabetes.
Structural equation modeling (SEM) with confirmatory factor analysis to test hypothesized relationships.
Statistical significance assessed using 5,000 bootstrap resamples with 95% bias-corrected confidence intervals.

Main Results:

eHealth literacy indirectly impacts self-management via self-efficacy (β = 0.26).
eHealth literacy also indirectly influences self-management through social support and subsequently self-efficacy (β = 0.08).
eHealth literacy, social support, and self-efficacy collectively accounted for 58.1% of the variance in self-management.

Conclusions:

This study demonstrates two significant indirect pathways linking eHealth literacy to Type 2 diabetes self-management.
Interventions should focus on enhancing eHealth literacy, leveraging self-efficacy and social support for improved diabetes self-management.
Development of integrated eHealth literacy programs is recommended for clinical practice to foster synergistic effects on self-management.