Israel A Sarfo, Benedicta Boakye, Henrietta Eshun, Emmanuel Jingbeja, Abigail Asmah-Brown, Patrick Adu, Joseph Boachie
{"title":"Assessment of the Knowledge of Chronic Kidney Disease and Anemia Among University Students in Ghana: A Cross-Sectional Study.","authors":"Israel A Sarfo, Benedicta Boakye, Henrietta Eshun, Emmanuel Jingbeja, Abigail Asmah-Brown, Patrick Adu, Joseph Boachie","doi":"10.1155/tswj/9993948","DOIUrl":"https://doi.org/10.1155/tswj/9993948","url":null,"abstract":"<p><p><b>Background:</b> Chronic kidney disease (CKD) is typically associated with anemia, with both implicated in global mortalities and morbidities. Adequate knowledge about these conditions might help individuals to prevent and/or manage them effectively. This study was aimed at assessing the knowledge of CKD and anemia regarding their causes, risk factors, and preventive practices among undergraduate students. <b>Methods:</b> The study was a cross-sectional design conducted from July 2023 to September 2023, involving 267 students pursuing either health-related or nonhealth-related programs. A structured questionnaire was administered to participants to assess their knowledge of CKD and anemia and was analyzed. <b>Results:</b> An overwhelming majority, 208 (77.9%), demonstrated a good level of general knowledge of CKD, whereas an even higher proportion, 215 (80.5%), had a good level of general knowledge of anemia. Also, the bulk of the participants, 222 (83.1%), showed a good level of knowledge of the relationship between CKD and anemia. There was a significant relationship between a student's faculty and general CKD knowledge (<i>p</i> < 0.001). Participants in health-related faculties and in the third/fourth year significantly had good knowledge of CKD than those in nonhealth-related faculties and in the first/second year of studies. With regards to anemia, individuals aged 20 years and beyond had good knowledge of anemia than teenage students. There was also a significant relationship between a student's faculty and general knowledge of anemia (<i>p</i> < 0.001), such that participants in health-related faculties were about 99% less likely to have poor knowledge of anemia than those in nonhealth-related faculties [AOR = 0.01 (0.00, 0.007)]. <b>Conclusion:</b> Students with good knowledge of CKD, anemia, and/or their interrelationships were the majority. However, students in health-related faculties significantly had good knowledge of both CKD and anemia than their counterparts in nonhealth-related faculties. Health-related courses that would enlighten students in nonhealth-related faculties should be promoted.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"9993948"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neha Kumari, Akshatha Nayak, Abraham M Joshua, Shivananda D Pai, Shyam Krishnan Krishna Kumar, Rinita Mascarenhas, Shreekanth D Karnad
{"title":"Effectiveness of Additional Structured Strength Training of Unaffected Lower Extremity on Balance and Gait Among Acute Poststroke Individuals.","authors":"Neha Kumari, Akshatha Nayak, Abraham M Joshua, Shivananda D Pai, Shyam Krishnan Krishna Kumar, Rinita Mascarenhas, Shreekanth D Karnad","doi":"10.1155/tswj/1663116","DOIUrl":"https://doi.org/10.1155/tswj/1663116","url":null,"abstract":"<p><p><b>Introduction:</b> Stroke reduces lower extremity muscle strength bilaterally, predominantly on the affected side. Stroke rehabilitation focuses on training the hemiparetic extremities, whereas functional activities require the recruitment of bilateral lower extremity muscles. <b>Objectives:</b> This research is aimed at studying the effectiveness of additional structured strength training of unaffected lower extremity (ULE) on balance and gait among acute poststroke individuals. <b>Methods:</b> This Nonrandomized Controlled Trial included 28 clinically stable acute poststroke individuals aged 20-80 years, with the first episode of stroke, and who could walk 5 m with or without assistive devices. The subjects were assigned to either an experimental group (<i>n</i> = 14) or a control group (<i>n</i> = 14). Both groups received 12 sessions of conventional stroke rehabilitation focusing on the affected side. In addition, individuals in the experimental group received structured strength training for the ULE. <b>Main Outcome Measure:</b> Balance, gait, and muscle strength of the ULE were measured pre and after 2 weeks of intervention using Brunel Balance Assessment (BBA), Wisconsin Gait Scale (WGS), 2D gait analysis (Kinovea software), and a handheld dynamometer, respectively. <b>Results:</b> The strength in the ULE of the experimental group improved significantly in all the muscle groups, whereas the control group showed improvements only in hip flexors, hip extensors, knee flexors, and ankle dorsiflexors. However, the strength gains in the hip flexors, hip abductors, knee extensors, and ankle dorsiflexors were significantly greater in the experimental group. Additionally, there was a significant difference among the groups in the BBA (<i>p</i> = 0.001) and WGS scores (<i>p</i> = 0.012). The kinematic variables of gait showed better knee flexion (<i>p</i> = 0.006), dorsiflexion angles (<i>p</i> = 0.016), and gait speed (<i>p</i> = 0.008) in the experimental group. <b>Conclusion:</b> Additional structured lower extremity strengthening of the ULE led to improved strength of ULE, resulting in better balance function and gait among individuals with acute stroke. <b>Trial Registration:</b> ClinicalTrials.gov identifier: CTRI/2018/12/016685.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"1663116"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Threshold Setting for Event Log Repair on Conformance Checking.","authors":"Kazuki Masumoto, Hiroki Horita","doi":"10.1155/tswj/4028269","DOIUrl":"https://doi.org/10.1155/tswj/4028269","url":null,"abstract":"<p><p>Conformance checking is a method to compare the actually executed business process recorded as an event log with the business process described as a business process model and to identify differences. For human or technical reasons, event logs that contain noise and are of low quality may be recorded. Therefore, methods have been proposed to repair low-quality event logs, but they require the setting of a threshold, and it is difficult to set a suitable threshold. In this paper, we investigate the effect of low-quality event log repair methods on conformance checking. Through experiments, it was shown that the appropriate threshold depends on the type of event log and the amount of noise.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"4028269"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Silage Characteristics of Selected Forage Maize Varieties Harvested in Sole and Forage Legume Mixtures.","authors":"Poloko Mosebi, Moeketsi Ntakatsane, Tumelo Nkheloane, Tumelo Manyeli, Palo Loke","doi":"10.1155/tswj/2270637","DOIUrl":"10.1155/tswj/2270637","url":null,"abstract":"<p><p>The present study was conducted to evaluate the ensiling characteristics of selected forage maize varieties harvested in sole and forage legume mixtures. Two different forage maize varieties were harvested in different forage systems, that is, sole maize, maize + common vetch and maize + lablab intercrops, and ensiled in small-scale silos. After ensiling, samples were collected to examine the nutrient composition, fermentation quality and microbial population. Ensiled forage varieties harvested in sole forage systems had a significantly (<i>p</i> < 0.05) lower dry matter and crude protein contents (31.18% and 7.15% DM, respectively) than that from forage legume mixtures. Forage legume mixtures had significantly (<i>p</i> < 0.05) lower neutral detergent and acid detergent fibre contents (24.42% and 35.53% DM, respectively) and higher water-soluble carbohydrates (12.34% DM) in silage of selected varieties than sole forage systems. The pH value and ammonia nitrogen content of ensiled forage varieties were lower, while lactic acid production (7.25% DM) was greater in forage legume mixtures than in sole forage system. Lower acetic and propionic acid and higher butyric acid contents (1.06%, 0.84% and 0.46% DM, respectively) were observed in sole forage system for silage of selected varieties compared to forage legume mixtures. Sole forage systems showed lower numbers of lactic acid bacteria and higher populations of enterobacteria (4.31 and 4.34 log<sub>10</sub> cfug<sup>-1</sup>, respectively) in silages of selected varieties than forage legume mixtures. The study concluded that ensiling forage materials harvested in forage intercrops have a positive effect on the silage quality. Therefore, the recommended forage system for ensiling is forage legume mixtures.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"2270637"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Synthesis and Gas-Sensing Performances of Mn<sub>3</sub>O<sub>4</sub>-Decorated Cr<sub>2</sub>O<sub>3</sub> Nanoparticle for H<sub>2</sub>S Detection.","authors":"Hawraa Kassem Hami, Hussain Ismail Abdulah","doi":"10.1155/tswj/8845797","DOIUrl":"10.1155/tswj/8845797","url":null,"abstract":"<p><p>Mn<sub>3</sub>O<sub>4</sub> decorated with Cr<sub>2</sub>O<sub>3</sub> was prepared via a cost-effective and straightforward photolysis method and utilized as an H<sub>2</sub>S gas sensor. The nanocomposite exhibited excellent chemical sensing properties toward H<sub>2</sub>S gas at 200°C, achieving a sensitivity of 89.93. A proposed sensing mechanism highlights the synergistic roles of Mn<sub>3</sub>O<sub>4</sub> and Cr<sub>2</sub>O<sub>3</sub> in gas detection. This study underscores the potential of Mn<sub>3</sub>O<sub>4</sub>-Cr<sub>2</sub>O<sub>3</sub> composites in industrial and environmental monitoring applications, offering a reliable and efficient solution for detecting hazardous gases.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"8845797"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing Urban Food Security Challenges in Gondar, Ethiopia: A Systematic Study on Household Vulnerability and Policy Implications.","authors":"Ishfaq Ahmad Malik, Showkat Ahmad Shah","doi":"10.1155/tswj/5867354","DOIUrl":"10.1155/tswj/5867354","url":null,"abstract":"<p><p>Food security is a paramount issue, particularly in developing nations like Ethiopia. Much of the existing research focuses on identifying the factors and constraints of households related to rural areas. However, little attention has been paid to urban householders' food security and insecurity. To this end, a study has been conducted in Gondar to evaluate urban household food security, sampling 357 homes. Results revealed that 67% of male-headed households were food secure and 33% were food insecure, while 72% of female-headed households were found food insecure and 28% were found food secure. Tenants faced higher insecurity (77%) versus homeowners (12%). The Foster-Greer-Thorbecke model highlighted 53% incidence, 14% depth, and 5.4% severity of insecurity. Tackling 15% of calorie needs could eradicate it with proactive regional governance. Binary logistic modelling identified gender, homeownership, income, marital status, remittance, and credit access as significant factors (<i>p</i> < 0.01). The study underscores the need for tailored programs focusing on income, stable pricing, housing, and low-interest loans which are crucial for addressing overcoming urban food insecurity.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"5867354"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Charcoal on the Quality of Vermicompost Produced With Water Hyacinth and Cow Manure.","authors":"Solomon Girmay Berhe, Ali Seid, Berhanu Abraha Tsegay, Shinjiro Sato, Getahun Yemata Lule","doi":"10.1155/tswj/1086347","DOIUrl":"10.1155/tswj/1086347","url":null,"abstract":"<p><p>The significance of water hyacinth (<i>Pontederia crassipes</i> (C. Mart.) Solms (Pontederiaceae) vermicomposting lies in its ability to effectively manage its invasiveness while also improving soil fertility and supporting sustainable agricultural practices. This study evaluates the effects of charcoal addition on the composting followed by the vermicomposting of water hyacinth (WH) and cow manure, focusing on the growth, reproduction, and survival of <i>Eisenia fetida</i> earthworms and the quality of the resulting vermicompost. The treatments included WH and cow manure (2:1) with 7.5% charcoal (T1), 5% charcoal (T2), and without charcoal (T3). Composting (30 days) followed by vermicomposting (60 days) was conducted in a controlled greenhouse environment. Samples were collected biweekly to analyze temperature, moisture, pH, electrical conductivity, total nitrogen, total available phosphorous, and total potassium contents, vermicompost yield, and earthworm growth parameters throughout the process. Results showed that T1 and T2 significantly improved earthworm weight (8.23-16.0%), number of earthworms (65.0-69.0%), cocoon production (37.0-49.0%), and hatchling count (49.0-77.6%), compared to T3 (control). Also, T1 and T2 increased pH (4.30-5.75%), total nitrogen (53.6-62.5%), total available phosphorus (61.6-117%), and total potassium (47.5-71.3%) and reduced electrical conductivity (9.91%), total organic carbon (17.9-42.1%), carbon: nitrogen ratio (46.5-64.4%), and vermicompost mass (22.0-28.3%) at the end of the vermicomposting period, compared to T3. Moreover, T1 and T2 exhibited significantly higher lettuce seed germination (92.4-93.5%), germination index (76.2-80.4%), shoot elongation (46.0-92.5%), and root elongation (9.00-15.0%), compared to T3. However, in most of the results, there was no significant difference between T1 and T2. This finding suggests that the use of T2 (5.00%) charcoal addition enhances vermicompost quality to optimal maturity and stability.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"1086347"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intestinal Parasitic Infection: Prevalence and Associated Risk Factors at Delgi Primary Hospital, Northwest Ethiopia.","authors":"Tarekegn Addis, Tilahun Yohannes","doi":"10.1155/tswj/8787678","DOIUrl":"10.1155/tswj/8787678","url":null,"abstract":"<p><p>Intestinal parasitic infections (IPIs) are among the leading causes of mortality and morbidity in developing nations such as Ethiopia. Determining epidemiological information of IPI is crucial for effective public health planning and intervention. The present study is aimed at assessing the prevalence and associated risk factors of human IPIs at Delgi Primary Hospital, Central Gondar Zone, Northwest Ethiopia. An institutional-based cross-sectional study was conducted from March to May 2023. A stool specimen was collected from 404 selected participants and examined microscopically for the presence of developmental stages of the intestinal parasites. A structured questionnaire was used to obtain information regarding the sociodemographic and associated risk factors. Data were analyzed using SPSS Version 23, and a crude odd ratio was calculated to verify and measure the possible association between IPIs and potential risk factors. A <i>p</i> value < 0.05 was taken as statistically significant. The overall prevalence of IPIs was 47.20%. Six species of intestinal parasites were identified: <i>Entamoeba histolytica/dispar</i> (16.8%) was the most predominant parasite, followed by <i>Giardia lamblia</i> (9.9%), <i>Ascaris lumbricoides</i> (8.1%), Hookworm species (7.6%), <i>Schistosoma mansoni</i> (4.2%), and <i>Hymenolepis nana</i> (0.5%). Furthermore, double and triple parasitic infections were observed in 10.39% and 0.49% of the study participants, respectively. Not having a habit of handwashing after toilet (AOR = 2.048, CI = 0.694, 3.583, <i>p</i> = 0.001), the habit of eating unwashed vegetables (<i>AOR</i> = 3.046, <i>CI</i> = 0.685, 5.596, <i>p</i> = 0.016), and presence of dirt matter under the nail (<i>AOR</i> = 2.939, <i>CI</i> = 0.621, 4.418, <i>p</i> = 0.001) were found to be significantly associated risk factors. This study showed that IPIs remained a public health concern in the study area. Therefore, regular provision of health education on personal hygiene and sanitation is recommended to prevent and control IPIs in the study area.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"8787678"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernard Sefah, Yolanda Ashie, Newman Osafo, Priscilla Kolibea Mante
{"title":"Hydroethanolic Extract of <i>Salvia officinalis</i> L. Leaves Improves Memory and Alleviates Neuroinflammation in ICR Mice.","authors":"Bernard Sefah, Yolanda Ashie, Newman Osafo, Priscilla Kolibea Mante","doi":"10.1155/tswj/2198542","DOIUrl":"10.1155/tswj/2198542","url":null,"abstract":"<p><p>Neurodegenerative disorders are known to be commonly associated with neuroinflammation. Plants with antioxidant and anti-inflammatory properties hold prospect in alleviating neuroinflammation. One such plant with documented anti-inflammatory and antioxidant potential is <i>Salvia officinalis</i> L. This study looked at effects of the hydroethanolic leaf extract of <i>S. officinalis</i> L. on lipopolysaccharide (LPS)-induced neuroinflammation and associated memory impairment using an ICR mouse model. Assessment of the phytochemical constituents in <i>S. officinalis</i> L. and its acute toxicity was conducted. Mice were treated with <i>S. officinalis</i> L. extract (30, 100, and 300 mg/kg) after LPS administration. Object recognition and elevated plus maze tests were employed to assess neuroinflammation-induced behavioral changes. Brain samples were taken to determine the levels of TNF-<i>α</i> and conduct histopathological analysis. The hydroethanolic extract of <i>S. officinalis</i> L. was found to contain alkaloids, glycoside, tannins, flavonoids, and coumarins and exhibited no observable acute toxicity. The extract showed the presence of eicosatrienoic acid, methyl ester, and phenanthrene derivatives. The extract improved memory and cognitive performance but had no significant effect on brain tissue TNF-<i>α</i> expression. <i>S. officinalis</i> L. treatment in mice with neuroinflammation also resulted in reduced mononuclear infiltration and gliosis and reduced apoptotic and necrotic neurons as well as no observable brain lesions. <i>S. officinalis</i> L. holds promising pharmacological activity at reducing neuroinflammation and its associated cognitive impairment.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"2198542"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamad Amir Sadeghi, Afsaneh Raiesifar, Sanaz Aazami
{"title":"Beyond Compliance: The Role of Self-Efficacy in Foot Care and Self-Management Among Patients With Type 1 Diabetes.","authors":"Mohamad Amir Sadeghi, Afsaneh Raiesifar, Sanaz Aazami","doi":"10.1155/tswj/8848211","DOIUrl":"10.1155/tswj/8848211","url":null,"abstract":"<p><p><b>Background:</b> Effective self-management behaviors are crucial for diabetes management. This study examines the mediating role of self-efficacy in the relationship between compliance dimensions and self-management activities in patients with Type 1 diabetes. <b>Methods:</b> The current study explores a baseline analysis from a randomized controlled trial but the intervention's effectiveness is not reported here; the analysis focuses on elucidating potential mediating factors at baseline. The study investigated the relationships between seven compliance dimensions (treatment effort, intention, adaptability, integration, adherence, commitment, and indecisiveness) and six self-management activities (diet, exercise, smoking cessation, blood sugar monitoring, and foot care) through the potential mechanism of self-efficacy. <b>Results:</b> The analysis revealed an indirect association between three compliance dimensions (treatment effort, intention, and commitment) and foot care behavior, mediated by self-efficacy. Additionally, self-efficacy was identified as an indirect mechanism influencing the association between commitment and adaptability with dietary behaviors. <b>Conclusions:</b> This study highlights the importance of self-efficacy in promoting self-management behaviors in chronic conditions. By targeting specific compliance dimensions that influence self-efficacy, healthcare professionals can potentially improve patient self-management. <b>Trial Registration:</b> Iranian Registry of Clinical Trials number: IRCT20221029056335N1.</p>","PeriodicalId":22985,"journal":{"name":"The Scientific World Journal","volume":"2025 ","pages":"8848211"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}