Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes

Background: High levels of health literacy (HL) and self-efficacy (SE) are important steps in managing diabetes. Previous studies have investigated the role played by the individual constructs (HL or SE) on self-care behaviors and health outcomes in patients with diabetes. However, our understanding...

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Main Authors: Xin Yi Xu, Angela Yee Man Leung, Pui Hing Chau
Format: Article
Language:English
Published: SLACK Incorporated 2018-04-01
Series:Health Literacy Research and Practice
Subjects:
Online Access:https://www.healio.com/public-health/journals/hlrp/2018-4-2-2/%7B561ea7c3-68cb-43bd-b079-50bddc6a8f79%7D/health-literacy-self-efficacy-and-associated-factors-among-patients-with-diabetes
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author Xin Yi Xu
Angela Yee Man Leung
Pui Hing Chau
author_facet Xin Yi Xu
Angela Yee Man Leung
Pui Hing Chau
author_sort Xin Yi Xu
collection DOAJ
description Background: High levels of health literacy (HL) and self-efficacy (SE) are important steps in managing diabetes. Previous studies have investigated the role played by the individual constructs (HL or SE) on self-care behaviors and health outcomes in patients with diabetes. However, our understanding of the relationship between HL and SE is limited. Methods: Literature was searched in PubMed, Medline (via OvidSP), CINAHL (via EBSCOhost), ProQuest Medical Library, and Science Direct using keywords “diabetes,” “diabetic,” “DM,” “T1DM,” “T2DM,” “health literacy,” “HL,” “common HL,” “diabetes HL,” “SE,” “general SE,” and “diabetes SE.” The keywords were limited by “MeSH terms” and “Title and Abstracts.” Key Results: Eleven studies were included in this systematic review. Communicative and critical HL were prominent in this relationship. Among the 11 reviewed studies, a positive relationship between communicative/critical HL and SE in diabetes care was illustrated, but the relationship between functional HL and SE remained controversial. Factors positively associated with HL and SE were educational level, employment status, annual income, social support, clarity of the physician's explanation, and empowerment perception. Discussion: Health professionals should act to improve communicative and critical HL so that patients may be more confident in managing diabetes. Clarity in health professionals' explanations and social support would be helpful in enabling patients with diabetes to build up their SE and HL.
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spelling doaj.art-2f6ed86383724faf8011124d7bf3f8512022-12-21T18:25:17ZengSLACK IncorporatedHealth Literacy Research and Practice2474-83072018-04-0122e67e7710.3928/24748307-20180313-01Health Literacy, Self-Efficacy, and Associated Factors Among Patients with DiabetesXin Yi XuAngela Yee Man LeungPui Hing ChauBackground: High levels of health literacy (HL) and self-efficacy (SE) are important steps in managing diabetes. Previous studies have investigated the role played by the individual constructs (HL or SE) on self-care behaviors and health outcomes in patients with diabetes. However, our understanding of the relationship between HL and SE is limited. Methods: Literature was searched in PubMed, Medline (via OvidSP), CINAHL (via EBSCOhost), ProQuest Medical Library, and Science Direct using keywords “diabetes,” “diabetic,” “DM,” “T1DM,” “T2DM,” “health literacy,” “HL,” “common HL,” “diabetes HL,” “SE,” “general SE,” and “diabetes SE.” The keywords were limited by “MeSH terms” and “Title and Abstracts.” Key Results: Eleven studies were included in this systematic review. Communicative and critical HL were prominent in this relationship. Among the 11 reviewed studies, a positive relationship between communicative/critical HL and SE in diabetes care was illustrated, but the relationship between functional HL and SE remained controversial. Factors positively associated with HL and SE were educational level, employment status, annual income, social support, clarity of the physician's explanation, and empowerment perception. Discussion: Health professionals should act to improve communicative and critical HL so that patients may be more confident in managing diabetes. Clarity in health professionals' explanations and social support would be helpful in enabling patients with diabetes to build up their SE and HL.https://www.healio.com/public-health/journals/hlrp/2018-4-2-2/%7B561ea7c3-68cb-43bd-b079-50bddc6a8f79%7D/health-literacy-self-efficacy-and-associated-factors-among-patients-with-diabeteshealth literacyself-efficacydiabetessystematic review
spellingShingle Xin Yi Xu
Angela Yee Man Leung
Pui Hing Chau
Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes
Health Literacy Research and Practice
health literacy
self-efficacy
diabetes
systematic review
title Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes
title_full Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes
title_fullStr Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes
title_full_unstemmed Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes
title_short Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes
title_sort health literacy self efficacy and associated factors among patients with diabetes
topic health literacy
self-efficacy
diabetes
systematic review
url https://www.healio.com/public-health/journals/hlrp/2018-4-2-2/%7B561ea7c3-68cb-43bd-b079-50bddc6a8f79%7D/health-literacy-self-efficacy-and-associated-factors-among-patients-with-diabetes
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