Patient Preference and Adherence (Mar 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

  • Zou H,
  • Liu J,
  • Jiang D,
  • Hou L,
  • Wang W,
  • Zhang L

Journal volume & issue
Vol. Volume 18
pp. 657 – 666

Abstract

Read online

Hao Zou,1 Jianrong Liu,1 Dongxu Jiang,2 Linlin Hou,3 Weiliang Wang,4 Linlin Zhang5 1Nursing Department, The Second Affiliated Hospital of Xi’an Medical University, Shanxi, People’s Republic of China; 2Department of Nursing, Harbin Medical University, Heilongjiang, People’s Republic of China; 3Nursing Department, The second Affiliated Hospital of Xi’an Jiaotong University, Shanxi, People’s Republic of China; 4Nursing Department, Xuzhou Medical university, Jiangsu, People’s Republic of China; 5Department of Nursing, School of Pharmacy, Changzhou University, Jiangsu, People’s Republic of ChinaCorrespondence: Jianrong Liu; Linlin Zhang, Email [email protected]; [email protected]: To test a hypothetical pathway model to estimate the links between health literacy, social support, illness perception, and disease management self-efficacy.Methods: This 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.Results: The 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).Conclusion: Proposed 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.Keywords: health literacy, self efficacy, moderated mediation analysis

Keywords