Eun?Hyun Lee|Young Whee Lee|Seung Hei Moon
A Structural Equation Model Linking Health Literacy to Self-efficacy, Self-care Activities, and Health-related Quality of Life in Patients with Type 2 Diabetes
Ajou University|Inha University|Inha University
health literacy attracting increasing attention low health literacy considered important predictor adverse health outcomes many chronic conditions including diabetes however unclear health literacy associated health outcomes purpose study formulate hypothetical structural equation model linking health literacy selfefficacy selfcare activities healthrelated quality life hrqol patients type 2 diabetesa crosssectional survey design employed 459 patients type 2 diabetes recruited outpatient clinics two university hospitals patients completed pack questionnaires hypothetical model tested using structural equation modeling analysisthe values multiple fit indices indicated proposed model provided good fit data health literacy exerted direct effect selfcare activities also indirect effect selfcare activities via selfefficacy however health literacy exerted indirect effect hrqol structural model invariant across hemoglobina1ccontrolled hemoglobina1cuncontrolled groups based r2 values final model accounted 200 variance selfefficacy 610 variance selfcare activities 160 variance hrqolthis study suggests selfcare activities crucial link health literacy hrqol health literacy selfefficacy need considered clinical practice enhancing selfcare activities patients type 2 diabetes approach may ultimately improve hrqol patients