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Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes
Joint Authors
Sharifirad, Gholamreza
Reisi, Mahnoush
Mostafavi, Fayruz
Javadzade, Homamodin
Tavassoli, Elahe
Mahaki, Behzad
Source
Issue
Vol. 31, Issue 1 (31 Jan. 2016), pp.52-59, 8 p.
Publisher
Publication Date
2016-01-31
Country of Publication
Oman
No. of Pages
8
Main Subjects
Abstract EN
Objectives : Diabetic patients with higher health literacy (HL) may feel more confident in their ability to perform self-care behaviors and may have strong beliefs that diabetesrelated behaviors will lead to specific outcomes.
Our study aimed to document the relationships between HL, self-efficacy, outcome expectations, and diabetes self-care of patients with type 2 diabetes mellitus (T2DM) in Iran.
Methods: We conducted a crosssectional observational study of 187 patients with T2DM.
Participants completed the Functional Communicative and Critical Health Literacy scale, the Summary of Diabetes Self-Care Activities, the Diabetes Management Self-Efficacy Scale, Outcome Expectations Questionnaire, and a demographic questionnaire.
Results: Participants who received diabetes education (t = 5.79, p<0.001) and were married (F = 3.04, p<0.050) had better diabetes self-care behavior.
There was a significant positive correlation between self-care behaviors and communicative HL (r = 0.455, p<0.010), critical HL (r = 0.297, p<0.010), self-efficacy (r = 0.512, p<0.010) and outcome expectations (r = 0.387, p<0.010).
Diabetes education and marital status accounted for 16.9% of the variance in diabetes self-care.
Self-efficacy, outcome expectations, communicative, and critical HL explained 28.0%, 1.5%, 3.7%, and 1.4% of the variance, respectively.
Conclusions: 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
American Psychological Association (APA)
Reisi, Mahnoush& Mostafavi, Fayruz& Javadzade, Homamodin& Mahaki, Behzad& Tavassoli, Elahe& Sharifirad, Gholamreza. 2016. Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes. Oman Medical Journal،Vol. 31, no. 1, pp.52-59.
https://search.emarefa.net/detail/BIM-748753
Modern Language Association (MLA)
Reisi, Mahnoush…[et al.]. Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes. Oman Medical Journal Vol. 31, no. 1 (Jan. 2016), pp.52-59.
https://search.emarefa.net/detail/BIM-748753
American Medical Association (AMA)
Reisi, Mahnoush& Mostafavi, Fayruz& Javadzade, Homamodin& Mahaki, Behzad& Tavassoli, Elahe& Sharifirad, Gholamreza. Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes. Oman Medical Journal. 2016. Vol. 31, no. 1, pp.52-59.
https://search.emarefa.net/detail/BIM-748753
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 58-59
Record ID
BIM-748753