The role of self-efficacy and self-care agency as mediating factors in the link between health literacy and health-promoting lifestyle among older adults post covid 19 era: A multiple mediator model

Du, Shaoying; Tian, Licong; Tian, Yimiao; Feng, Zhimin; Wang, Yan

doi:10.1016/j.gerinurse.2023.10.013

Cited by 4 publications

(3 citation statements)

References 31 publications

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“…In the second part, to measure health literacy, the short form of the standard Health Literacy Questionnaire was used as the most common and comprehensive standard instrument for measuring health literacy [ 22 ]. This questionnaire has 33 items based on a Likert scale (from 1 = never to 5 = always); its validity is 0.83 (Cronbach’s coefficient), and its reliability has been confirmed (coefficient of 0.93) in previous studies [ 19 , 20 ]. In the third part, to measure the constituents of the TPB, 17 questions in four groups were considered to measure the scales of attitudes (Q1-Q3), subjective norms (Q4-Q6), perceived behavioral control (Q7-Q9), and behavioral intention (Q10-Q17), based on a five-point Likert scale (1 = completely agree to 5 = completely disagree).…”

Section: Methodsmentioning

confidence: 87%

“…In this theory, subjective norms include a person’s subjective perception of others’ approval or disapproval of performing a behavior, and membership in support groups and increasing social support can lead to performing or not performing a certain behavior. Perceived behavioral control is the degree of control one feels to perform or not perform a behavior, which has a significant association with personal will [ 19 , 20 ]. The TPB has been employed in the domain of health, especially in patients’ self-care, and its efficacy has been confirmed in predicting and comprehending healthy and unhealthy behaviors and their related outcomes [ 1 , 2 , 5 , 15 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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The mediating role of health literacy in the relationship between self-care and planned behavior against Covid-19

Panahi,

Ghalavand

2024

BMC Infect Dis

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Background Planned behaviors and self-care against the coronavirus are two important factor in controlling its spread and self-care behaviors depend on the level of health literacy. This research was conducted to determine the mediating role of health literacy in the relationship between elements of planned behavior and self-care in dealing with the Covid-19. Methods In this descriptive-analytical quantitative study, the sample size was calculated using Cochrane’s formula and considering a p-value of 0.51, α = 0.05, and d = 0.05, and 313 students were selected based on stratified and random method. To gather data and assess various aspects of variables, a questionnaires were utilized, focusing on health literacy, self-car and planned behavior. The relationship between the variables was examined by SPSS version 26 and via descriptive statistics, including the mean and standard deviation, and inferential statistics such as Pearson’s correlation coefficient (P = 0.05), path analysis, and determining the standard coefficients between self-care and planned behavior, mediated by the indicators of the health literacy. Results A significant difference was found between the level of health literacy of women and men. The comparison of the mean health literacy and self-care behavior in terms of other variables did not show any significant difference. Meanwhile, the comparison of health status control behaviors, hand washing, and mask use did not show any significant difference between the two groups. A positive and significant correlation was found between self-care behaviors, attitude, subjective norms, perceived behavioral control, and behavioral intention. The relationship of health literacy and psychological variables of attitude, subjective norms, and perceived behavioral control with self-care against COVID-19 was significant. Conclusion The direct and significant impact of health literacy on individuals’ self-care behaviors against the coronavirus was not observed. However, health literacy did have a significant effect on subjective norms. This finding is important because subjective norms significantly influenced individuals’ behavioral intention, which in turn had a significant effect on self-care behaviors against the coronavirus. Thus, health literacy played a mediating role in this relationship. Furthermore, attitude emerged as the strongest predictor of behavioral intention, exerting a direct effect. Conversely, perceived behavioral control did not directly and significantly affect students’ self-care behaviors.

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Section: Methodsmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

The mediating role of health literacy in the relationship between self-care and planned behavior against Covid-19

Panahi,

Ghalavand

2024

BMC Infect Dis

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“…One additional aspect is the lack of clarity of possible underlying mechanisms explaining the relationship between HL and self-care. For example, a study by Du et al [18] conducted a multiple mediation and found that self-efficacy and self-care agency could mediate the relationship between HL and healthpromoting lifestyles in older adults. Another study by Chen et al [19] found a negative association between HL and self-care management in patients with heart failure.…”

Section: Introductionmentioning

confidence: 99%

Health Literacy and Self-Care in Patients with Chronic Illness: A Systematic Review and Meta-Analysis Protocol

Magi,

Bambi,

Rasero

et al. 2024

Healthcare

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Self-care plays a critical role in symptom recognition, management, and risk factor modification for patients with chronic illnesses. Despite its significance, self-care levels in this population are generally poor. Health literacy (HL) is pivotal for promoting effective self-care, yet the association across specific chronic illnesses remains fragmented and conflicting. Therefore, a systematic review and meta-analysis will be conducted. Inclusion criteria encompass quantitative studies involving adult patients with at least one chronic illness reporting on the association between a measure of HL and one or more elements of self-care behaviors as outcomes. Databases to be searched include PubMed, CINAHL, APA PsycINFO, Embase, Web of Science, and Cochrane Central Register of Controlled Trials. The studies will undergo risk of bias and certainty of evidence assessment using ROBINS-E and GRADE. Extracted data will include authors, publication date, aim(s), study location, design, sample characteristics, chronic illness type, study length, HL, and self-care measures. Understanding the link between HL and self-care can aid healthcare providers in implementing strategies to enhance health-promoting behaviors, contributing valuable insights to the scientific community and fostering nuanced discussions. This protocol ensures methodological transparency, stimulates discourse, and paves the way for informed interventions to improve overall health outcomes.

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Learning about heart failure from the news on a college campus: The effects of health attitude, healthy lifestyle, and health efficacy

Liao

2024

Atlantic Journal of Communication

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The role of self-efficacy and self-care agency as mediating factors in the link between health literacy and health-promoting lifestyle among older adults post covid 19 era: A multiple mediator model

Cited by 4 publications

References 31 publications

The mediating role of health literacy in the relationship between self-care and planned behavior against Covid-19

The mediating role of health literacy in the relationship between self-care and planned behavior against Covid-19

Health Literacy and Self-Care in Patients with Chronic Illness: A Systematic Review and Meta-Analysis Protocol

Learning about heart failure from the news on a college campus: The effects of health attitude, healthy lifestyle, and health efficacy

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