significantly improves in patients with chronic diseases.
partially mediates the relationship between family health and self-efficacy, accounting for 59.39% of the total effect.
moderates the influence of family health on both perceived social support and self-efficacy.
Improving family health may enhance the self-efficacy of individuals with chronic diseases.
Simplified
BACKGROUND: Chronic diseases are a global health challenge, and therefore, more attention should be paid to improving in people with chronic diseases. This study examined the relationship between and self-efficacy, and explored the mediating role of and the moderating role of . The aim is to enhance the self-efficacy of chronic patients by improving family health, social support, and health literacy, thereby improving their physical and mental state.
METHODS: A cross-sectional study based on psychological and behavioural factors was conducted, namely, the 2022 China Residents Survey, which included 5150 Chinese patients with chronic diseases. The General Self-Efficacy Scale-Short Form was used to assess self-efficacy, the Health Literacy Questionnaire-short form was used to assess health literacy, the Perceived Social Support Scale-Short Form was used to evaluate perceived social support, and the Chinese version of the Family Health Scale-Short Form was used to assess family health status.
RESULTS: Family health of patients with chronic diseases had a significant positive effect on self-efficacy. Perceived social support was identified as a partial mediator between family health and self-efficacy, accounting for 59.39% of the total effect. Health literacy moderated the impact of family health on perceived social support and self-efficacy.
CONCLUSIONS: Chronic diseases have become a global health challenge, and more attention should be paid to improving the self-efficacy of the chronically ill population. Our results not only facilitate the understanding of the relationship mechanisms between family health and self-efficacy in chronic patients but can also serve as a guide for healthcare workers and policymakers who wish to provide better care for patients.
Key numbers
59.39%
Percentage of Total Effect
Proportion of total effect attributed to .
8.60
Average Score
Mean score of chronic disease patients.
5150
Sample Size
Total number of participants in the study.
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Declarations. Ethics approval and consent to participate: An ethical review (JKWH-2022–02) of the study protocol has been published in Psychosomatic Medicine Research. Before completing the questionnaire, each participant voluntarily participated and provided informed consent. Informed consent for minors was provided by a parent or legal guardian.To protect the privacy of the participants, data were collected and analysed anonymously. The researchers received ethical approval from the Shaanxi Academy of International Trade and Commerce (JKWH-2022–02) to treat the results of the study fairly and equally, independent of the characteristics of the participants, and to take measures in the data analysis and interpretation of the results to ensure that no discriminatory conclusions were drawn. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
