The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL

BMC primary care Pub Date : 2024-12-30 DOI:10.1186/s12875-024-02695-9

Maryam Peimani, Anita L Stewart, Robabeh Ghodssi-Ghassemabadi, Ensieh Nasli-Esfahani, Afshin Ostovar

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引用次数: 0

Abstract

Background: This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices.

Methods: A total of 1143 individuals with type 2 diabetes mellitus completed a cross-sectional survey assessing sociodemographic characteristics, data relating to diabetes clinical history, online DISB, eHL (eHealth Literacy Scale), aspects of patient-physician communication (IPC survey), patient self-care (Self-Care Inventory-Revised), and medication adherence (measure of adherence to prescribed diabetes medications). The data were analyzed using both bivariate (correlation) and multivariate (multiple linear regression) analyses using maximum likelihood estimation procedures in Mplus.

Results: Our results showed online DISB significantly predicted diabetes self-care (p < 0.001) and medication adherence behaviors (p = 0.005). Lower Hurried Communication (p < 0.001, p = 0.03), higher Elicited Concerns (p = 0.005, p = 0.03), higher Explained Results (p = 0.03, p = 0.008), and higher eHL (p = 0.02, p = 0.02) were significantly associated with better self-care and medication adherence. Explained Results and eHL moderated the relationship between online DISB and both self-care and medication adherence.

Conclusions: Findings support the role of patient eHL and patient-physician communication in amplifying the positive impact of online DISB on patients' behavioral outcomes in diabetes.

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电子健康素养和医患沟通在 2 型糖尿病患者在线糖尿病信息寻求行为与自我护理实践之间的调节作用。

背景：本研究考察了电子健康素养（eHL）和医患沟通在网上糖尿病信息寻求行为（online DISB）和自我保健行为之间的调节作用。方法：共有1143名2型糖尿病患者完成了一项横断面调查，评估了社会人口学特征、糖尿病临床病史、在线DISB、eHL（电子健康素养量表）、医患沟通（IPC调查）、患者自我保健（自我保健清单-修订版）和药物依从性（糖尿病处方药物依从性的测量）。使用Mplus中的最大似然估计程序，使用双变量（相关）和多变量（多元线性回归）分析数据。结果：我们的研究结果显示，在线DISB显著预测糖尿病自我护理(p)。结论：研究结果支持患者eHL和医患沟通在放大在线DISB对糖尿病患者行为结局的积极影响方面的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC primary care

CiteScore

4.40

自引率

0.00%

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