Abstract
Introduction: The process of self-care management in Type 2 Diabetes Mellitus (T2DM) differs between men and women including among patients known to have chronic T2DM complications. Furthermore, studies revealed that women have higher rates of diabetes complications compared to men. Therefore, women with T2DM may need to incorporate a multifaceted system of self-management in their daily lives (i.e., medication, diet, exercise) using the Diabetes Self-Care Management (DSCM) approach. Previous studies had also indicated that constructs such as health literacy, social supportself-efficacy and DSCM are interrelated especially among patients with T2DM. The complexity involved possible direct, indirect and mediation effects of these factors with DSCM. However, there are limited local information that explores the complexity of these factors, especially among women with T2DM. The purpose of this study is thus to develop a structural equation modelling that investigate the effects of self-efficacy, health literacy and social support on DSCM among this population.
Methodology: We recruited a total of 330 patients attending diabetic clinics at nine government health clinics in Malacca. Data on self-efficacy, health literacy, social support and DSCM were collected using a set of self-administered questionnaires. This study employed Structural Equation Modelling in IBM-SPSS-AMOS 24.0 to model and estimate the inter-relationships among the constructs in the study. Result: Health literacy and social support have direct positive and significant influences on self-efficacy (b=0.17, p< 0.05 and b=0.42, p<0.001, respectively). However, there is no direct effect between health literacy and social support towards DSCM. These results indicated that self-efficacy had a positive and significant influence on DSCM (b=0.31, p<0.05). Furthermore, self-efficacy fully mediates the relationship between health literacy and DSCM as well as acting as mediator between social support and DSCM. Discussions: Self-Care Management in women with T2DM will not be effective if self-efficacy does not act as a mediating factor between health literacy, social support and DSCM. This study suggests that having greater social support including higher level of health literacy may help strengthen patients ' self-efficacy, which in turns leads to better self-care management in women with T2DM. Clinicians attempting to improve patients ' diabetes care should consider patients ' literacy level as well as assessed their social support as appropriate patients ' education and support from family and friends often leads to better outcome and may prevent diabetic complications.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-111.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-111,
title = {The Effect of Health Literacy and Social Support on Self-Care Management in Women with Type 2 Diabetes: The Mediating Roles of Self-Efficacy.},
author = {Na Zaini and Idayu Badilla Idris and Norfazilah Ahmad and Syahnaz Mohd Hashim and Nik Nairan Abdullah},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-111.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/Poster-ApcPH_Selfcare-Diabetes-fcdbb403206b7db2a2b884a005c776fe.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: The process of self-care management in Type 2 Diabetes Mellitus (T2DM) differs between men and women including among patients known to have chronic T2DM complications. Furthermore, studies revealed that women have higher rates of diabetes complications compared to men. Therefore, women with T2DM may need to incorporate a multifaceted system of self-management in their daily lives (i.e., medication, diet, exercise) using the Diabetes Self-Care Management (DSCM) approach. Previous studies had also indicated that constructs such as health literacy, social supportself-efficacy and DSCM are interrelated especially among patients with T2DM. The complexity involved possible direct, indirect and mediation effects of these factors with DSCM. However, there are limited local information that explores the complexity of these factors, especially among women with T2DM. The purpose of this study is thus to develop a structural equation modelling that investigate the effects of self-efficacy, health literacy and social support on DSCM among this population.
Methodology: We recruited a total of 330 patients attending diabetic clinics at nine government health clinics in Malacca. Data on self-efficacy, health literacy, social support and DSCM were collected using a set of self-administered questionnaires. This study employed Structural Equation Modelling in IBM-SPSS-AMOS 24.0 to model and estimate the inter-relationships among the constructs in the study. Result: Health literacy and social support have direct positive and significant influences on self-efficacy (b=0.17, p\< 0.05 and b=0.42, p\<0.001, respectively). However, there is no direct effect between health literacy and social support towards DSCM. These results indicated that self-efficacy had a positive and significant influence on DSCM (b=0.31, p\<0.05). Furthermore, self-efficacy fully mediates the relationship between health literacy and DSCM as well as acting as mediator between social support and DSCM. Discussions: Self-Care Management in women with T2DM will not be effective if self-efficacy does not act as a mediating factor between health literacy, social support and DSCM. This study suggests that having greater social support including higher level of health literacy may help strengthen patients ' self-efficacy, which in turns leads to better self-care management in women with T2DM. Clinicians attempting to improve patients ' diabetes care should consider patients ' literacy level as well as assessed their social support as appropriate patients ' education and support from family and friends often leads to better outcome and may prevent diabetic complications.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia; Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia; Department of Public Health Medicine, Faculty of Medicine, University Technology MARA, Sungai Buloh, Selangor, Malaysia.},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}