Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes

Oman Medical Journal
Mahnoush ReisiGholamreza Sharifirad

Abstract

Diabetic patients with higher health literacy (HL) may feel more confident in their ability to perform self-care behaviors and may have strong beliefs that diabetes-related behaviors will lead to specific outcomes. Our study aimed to document the relationships between HL, self-efficacy, outcome expectations, and diabetes self-care of patients with type 2 diabetes mellitus (T2DM) in Iran. We conducted a cross-sectional observational study of 187 patients with T2DM. Participants completed the Functional Communicative and Critical Health Literacy scale, the Summary of Diabetes Self-Care Activities, the Diabetes Management Self-Efficacy Scale, Outcome Expectations Questionnaire, and a demographic questionnaire. Participants who received diabetes education (t = 5.79, p<0.001) and were married (F = 3.04, p<0.050) had better diabetes self-care behavior. There was a significant positive correlation between self-care behaviors and communicative HL (r = 0.455, p<0.010), critical HL (r = 0.297, p<0.010), self-efficacy (r = 0.512, p<0.010) and outcome expectations (r = 0.387, p<0.010). Diabetes education and marital status accounted for 16.9% of the variance in diabetes self-care. Self-efficacy, outcome expectations, communicative, and cri...Continue Reading

Citations

Jun 18, 2016·Current Diabetes Reports·Kavita SinghMary Beth Weber
Jan 1, 2019·The British Journal of Dermatology·M H LarsenA K Wahl
Apr 12, 2018·Health Literacy Research and Practice·Xin Yi XuPui Hing Chau
Mar 17, 2019·Journal of General Internal Medicine·Laura MarcianoPeter J Schulz
Jul 4, 2019·Revista brasileira de enfermagem·Nádya Dos Santos MouraMaria Vilani Cavalcante Guedes
Jul 16, 2020·Revista brasileira de enfermagem·Mariana Campos de SousaÁlvaro da Silva Santos
Mar 1, 2019·International Journal of Public Health·Ludmilla F Wikkeling-ScottRobert Vann Rikard
May 9, 2019·Therapeutic Advances in Endocrinology and Metabolism·Claudine B KabezaPatrick Timpel
Jan 30, 2019·Journal of Pharmaceutical Health Care and Sciences·Kana HashimotoKunizo Arai
Dec 10, 2020·Australian Journal of Primary Health·Xiu-Mei GuoBo-Ru Hou
May 1, 2021·International Journal of Environmental Research and Public Health·Seyedeh Belin Tavakoly SanyNooshin Peyman

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