Application of the Social Cognitive Theory to Predict Self-Care Behavior among Type ۲ Diabetes Patients with Limited Health Literacy
محل انتشار: فصلنامه سواد سلامت، دوره: 6، شماره: 2
سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 209
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شناسه ملی سند علمی:
JR_JHL-6-2_002
تاریخ نمایه سازی: 30 شهریور 1400
چکیده مقاله:
Background and Objective: Although compliance with self-care behaviors is necessary for the successful management of diabetes, patients with diabetes often refuse favorable self-care. This study was conducted to determine the factors influencing self-care behaviors among type-۲ diabetic patients who had limited health literacy based on social cognitive theory (SCT). Materials and Methods: A cross-sectional study was conducted among ۲۹۳ diabetic patients with limited health literacy that was identified by S-TOFHLA. The data were collected using the summary of diabetes self-care activities, diabetes management self-efficacy scale, outcome expectancies questionnaire, and a researcher-made questionnaire for collecting data related to self-regulation and social support constructs. Data were analyzed by SPSS ver.۲۲ using multiple linear regression to determine the predictors of self-care behaviors. Results: In the case of patient’s adherence to self-care tasks, they had the best adherence to medication regime and the worst adherence to physical activity. Employment status (p <۰.۰۳۲, β=۳.۵۷), supplementary insurance (p <۰.۰۱۸, β=۱.۷۴), and history of participating in diabetes education classes (p <۰.۰۴۴, β=۱.۶۳) were predictors of self-care behaviors in the studied patients. Among the SCT constructs, perceived self-efficacy (p <۰.۰۰۱, β=۰.۲۱) predicted self-care ability. The mean score of self-care increased around ۰.۲۱ by increasing one single unit of self-efficacy. Overall, these factors predicted ۶۷% (R۲ = ۰.۶۷) of self-care changes. Conclusions: The results of this study showed that self-efficacy and demographic variables are significant predictors to improve self-care ability among diabetic patients with limited health literacy.
کلیدواژه ها:
نویسندگان
Mahnoush Reisi
Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Hamid Fazeli
Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Marzieh Mahmoodi
Department of Epidemiology and Bio-Statistics, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Homamodin Javadzadeh
Bushehr University of Medical SciencesDepartment of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
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