Lauren Saly, Christine Provvidenza, Hiba Al-Hakeem, Andrea Hickling, Sara Stevens, Lisa Kakonge, Anne W Hunt, Sheila Bennett, Rhonda Martinussen, Shannon E Scratch
The Teach-ABI Professional Development Module for Educators About Pediatric Acquired Brain Injury: Mixed Method Usability Study
JMIR human factors
purpose study investigate pathways health literacy hl social support selfefficacy influence selfmanagement behaviors pregnant women gestational diabetes mellitus gdm interrelationships variables total 565 pregnant women gdm recruited demographic characteristics form health literacy scale perceived social support scale general selfefficacy scale gdm selfmanagement behavior scale used data collection descriptive statistics zeroordered correlation analysis multiple linear regression analysis performed variables structural equation model sem constructed pathway analysis positive correlation found health literacy social support selfefficacy selfmanagement behaviors among pregnant women gdm adjusting age education level income level work status parity family history diabetes r ranging 0203 0533 multiple linear regression analysis showed functional hl communicative hl critical hl social support selfefficacy independent influences selfmanagement behaviors accounted 363 variance communicative hl critical hl explained strongest selfmanagement behaviors 0316 0255 respectively p 0001 sem model suitable 2df 2860 rmsea 0060 ifi 0953 tli 0943 cfi 0952 results showed direct positive effects health literacy selfmanagement behaviors selfefficacy direct positive effects social support health literacy selfefficacy social support selfefficacy significant direct impact selfmanagement behaviors social support may indirectly influence selfmanagement behaviors health literacy mediation role healthcare providers pay attention positive impacts health literacy social support selfmanagement behaviors pregnant women gdm improving health literacy level pregnant women gdm key point intervention practice social support system fully mobilized enhance emotional support life support promote improvement selfmanagement behaviors