OBJECTIVE: To review studies on the association between health literacy (HL), diabetes self-management and possible mediating variables. METHODS: We systematically searched for empirical studies in PubMed. Findings were ordered by a HL framework that outlines routes between HL, sociocognitive determinants and health actions. RESULTS: Of the 11 relevant studies, three reported a significant positive association between HL and specific diabetes self-management domains. Ten studies investigated the association between HL and knowledge (n=8), beliefs (n=2), self-efficacy (n=3) and/or social support (n=1). Significant associations were found between HL and knowledge (n=6), self-efficacy (n=1) and social support (n=1). Of the three studies evaluating the effect of these sociocognitive variables on diabetes self-management, only one found proof for a mediating variable (social support) in the pathway between HL and self-management. CONCLUSION: There is only limited evidence for a significant association between HL and diabetes self-management, and for the mediating role of sociocognitive variables in this pathway. PRACTICE IMPLICATIONS: Longitudinal studies, including HL, diabetes self-management and potential mediators, are needed to substantiate possible associations between these variables. Such research is essential to enable evidence-based development of interventions to increase adequate and sustainable self-management in diabetic patients with low HL.
OBJECTIVE: To review studies on the association between health literacy (HL), diabetes self-management and possible mediating variables. METHODS: We systematically searched for empirical studies in PubMed. Findings were ordered by a HL framework that outlines routes between HL, sociocognitive determinants and health actions. RESULTS: Of the 11 relevant studies, three reported a significant positive association between HL and specific diabetes self-management domains. Ten studies investigated the association between HL and knowledge (n=8), beliefs (n=2), self-efficacy (n=3) and/or social support (n=1). Significant associations were found between HL and knowledge (n=6), self-efficacy (n=1) and social support (n=1). Of the three studies evaluating the effect of these sociocognitive variables on diabetes self-management, only one found proof for a mediating variable (social support) in the pathway between HL and self-management. CONCLUSION: There is only limited evidence for a significant association between HL and diabetes self-management, and for the mediating role of sociocognitive variables in this pathway. PRACTICE IMPLICATIONS: Longitudinal studies, including HL, diabetes self-management and potential mediators, are needed to substantiate possible associations between these variables. Such research is essential to enable evidence-based development of interventions to increase adequate and sustainable self-management in diabeticpatients with low HL.
Authors: R Miranda; K A C Meeks; M B Snijder; B J van den Born; M P Fransen; R J Peters; K Stronks; C Agyemang Journal: Eur J Public Health Date: 2020-06-01 Impact factor: 3.367
Authors: Manfred E Beutel; Elmar Brähler; Mareike Ernst; Eva Klein; Iris Reiner; Jörg Wiltink; Matthias Michal; Philipp S Wild; Andreas Schulz; Thomas Münzel; Omar Hahad; Jochem König; Karl J Lackner; Norbert Pfeiffer; Ana N Tibubos Journal: Eur J Public Health Date: 2020-06-01 Impact factor: 3.367
Authors: Mark D Macek; Kathryn A Atchison; Maria Rosa Watson; Jennifer Holtzman; William Wells; Bonnie Braun; Linda Aldoory; Diana Messadi; Melanie Gironda; Don Haynes; Ruth M Parker; Haiyan Chen; Susan Coller; Jessica Richards Journal: J Public Health Dent Date: 2016-04-29 Impact factor: 1.821
Authors: Bas Geboers; Julii S Brainard; Yoon K Loke; Carel J M Jansen; Charlotte Salter; Sijmen A Reijneveld; Andrea F de Winter; Andrea F deWinter Journal: BMC Public Health Date: 2015-09-17 Impact factor: 3.295