Mediation role of patient engagement on the association between health literacy and self-care behaviors in individuals with type 2 diabetes
6. Ulusal 2. Uluslararası Temel Hemşirelik Bakımı Kongresi, İstanbul, Türkiye, 15 - 17 Eylül 2022, ss.154, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: İstanbul
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.154
- Süleyman Demirel Üniversitesi Adresli: Evet
Özet
Aim
Deciphering the association between health literacy, self-care, and patient engagement might assist healthcare
professionals in formulating evidence-based interventions to strengthen diabetes self-care, define the underlying
mechanisms for accelerating the transformation of information into action and describe the barriers against
enhancing health literacy with the help of the patient engagement perspective. Therefore, the current study aimed
to investigate the association between health literacy and self-care behaviors with type 2 diabetes patients and
whether the relationship is mediated by patient engagement.
Methods
This cross-sectional study was conducted between November 2019 and September 2020. The sample consisted of
218 participants with type 2 diabetes, older than 18 years old, applying to two endocrine outpatient clinics in Turkey.
A sociodemographic form, Health Literacy Scale, Patient Health Engagement Scale, and Summary of Diabetes SelfCare Activities Questionnaire were used for data collection. Multiple regression analyses were performed to identify
the relationship between health literacy and self-care behaviors. The Sobel test method was used to examine the
mediation role of patient engagement.
Results
Sample characteristics included mean age of 53.7 years, 57.3% were female and the mean A1C was 7.8%. The
regression equation analyses demonstrated that health literacy (β = 0.219, P < 0.05) and patient engagement (β =
2.844, P < 0.05) significantly predicted diabetes self-care behaviors. Patient engagement served a mediational role
in the association of health literacy and self-care behaviors (z value = 2.049, P < 0.02).
Conclusion
Given the relationship between health literacy and diabetes self-care behaviors, the patient engagement concept
presented a practical insight into the applicability of health-related information. The Patient Health Engagement
Model may act as a practical approach for identifying psychosocial barriers against transforming health-related
knowledge into self-care practices in type 2 diabetes management. Nurses are recommended to consider patients’
health literacy and engagement levels while planning customized interventions to facilitate diabetes management
and should aim to define the challenges encountered during health-related knowledge implementation and plan
individualized interventions.