Mediation role of patient engagement on the association between health literacy and self-care behaviours in individuals with type 2 diabetes

CENGİZ D., AĞRALI H., KORKMAZ F., AKYAR İ.

INTERNATIONAL JOURNAL OF NURSING PRACTICE, vol.28, no.3, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 3
  • Publication Date: 2022
  • Doi Number: 10.1111/ijn.13051
  • Journal Name: INTERNATIONAL JOURNAL OF NURSING PRACTICE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Keywords: health literacy, nursing, patient engagement, self-care, type 2 diabetes, RELIABILITY, PATHWAYS, EFFICACY, VALIDITY, MODEL, LIFE
  • Hacettepe University Affiliated: Yes

Abstract

Aim This study examined the relationship between health literacy and self-care behaviours among individuals with type 2 diabetes and whether the association 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. Multiple regression analyses were performed to identify the relationship between health literacy and self-care behaviours. 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 (beta = 0.219, P < 0.05) and patient engagement (beta = 2.844, P < 0.05) significantly predicted diabetes self-care behaviours. Patient engagement served a mediational role in the association of health literacy and self-care behaviours (z value = 2.049, P < 0.02). Conclusion Given the relationship between health literacy and diabetes self-care behaviours, the patient engagement concept presented a practical insight into the applicability of health-related information. Clinicians are recommended to consider patients' health literacy and engagement levels while planning customized interventions to facilitate diabetes management.