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

Abstract

This study revealed that the potential impact of self-efficacy, outcome expectations, communicative, and critical HL should be considered in the education program for patients with diabetes. We found self-efficacy to be the most important predictor of diabetes self-care. Therefore, the use of self-efficacy theory when designing patient education interventions could enhance diabetes self-care. It is essential that health care providers assess patient's HL levels to tailor health-related information specific to a domain of HL. This would fully inform patients and promote empowerment rather than simple compliance.

Health literacy: a new piece of the puzzle in psoriasis care? A cross‐sectional study

“…Better psoriasis knowledge, measured by the PKQ, was strongly correlated with higher HL in seven of the HLQ scales and predicted a relevant R 2 change in all HL scales. Similar results have been found in research investigating a variety of disease conditions . Previous studies in psoriasis have demonstrated knowledge gaps concerning treatment and self‐management, but the relationships to HL are not yet addressed.…”

“…Importantly one study that found self‐efficacy to be the most important predictor of diabetes self‐care also found that although HL was positively associated with self‐efficacy, and self‐efficacy was positively associated with self‐care behaviours, the correlation between HL and self‐care behaviours was statistically insignificant. These results indicate that HL may be a possible antecedent to self‐efficacy and that the influence of HL on self‐care behaviours may be mediated through self‐efficacy . This possible association needs more research.…”

Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator

“…Some studies have empirically found health literacy to be directly associated with diabetes self‐care behaviors (Cavanaugh et al., ; Kim, Yang, & Lee, ; Reisi et al., ), whereas others failed to detect any such direct association (Bohanny et al., ; Eyüboğlu & Schulz, ; Yamashita & Kart, ). These inconsistent results were addressed by Fransen et al.…”

Effect of a newly‐devised nutritional guide based on self‐efficacy for patients with type 2 diabetes in Japan over 2 years: 1‐year intervention and 1‐year follow‐up studies

“…Several studies have examined the relationships between self‐efficacy and health literacy, and their effects on self‐care behaviors and glycemic control. Gao et al .…”