A Causal Model of Health Literacy among Thai Older Adults with Uncontrolled Diabetes.
Uncontrolled diabetes among older adults leads to acute and chronic complications that threaten health and life. Health literacy is crucial to managing health and making successful behavior changes for optimal diabetes outcomes. However, a clear understanding of multiple factors and their mechanisms...
| Publicado en: | Pacific Rim International Journal of Nursing Research Vol. 28; no. 1; pp. 5 - 21 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Thailand Nursing & Midwifery Council
Jan-Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174359443&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174359443 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Jan-Mar2024 vid: 28 iid: 1 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 174359443 174359443 174359443 10.60099/prijnr.2024.262563 174359443 ppf: 5 ppct: 16 formats: fmt: @attributes: type: P tig: atl: A Causal Model of Health Literacy among Thai Older Adults with Uncontrolled Diabetes. aug: au: Tongdee, Jeraporn Thapinta, Darawan Panuthai, Sirirat Chintanawat, Rojanee affil: Faculty of Nursing, Chiang Mai University, Mueang, Chiang Mai, Thailand sug: subj: Causal Modeling Health Literacy Evaluation Diabetic Patients Psychosocial Factors Disease Attributes Thais Health Knowledge Evaluation Executive Function Evaluation Professional-Patient Relations Evaluation Empowerment Evaluation Self Concept Support, Social Evaluation Internet Utilization Social Participation Evaluation Human Aged Thailand Descriptive Research Cross Sectional Studies Cognition Descriptive Statistics Structural Equation Modeling Quality of Life Diabetes Nursing Conceptual Framework Random Sample Health Promotion Diabetes Mellitus, Type 2 Drug Therapy Content Validity Coefficient alpha Kuder-Richardson Coefficient Summated Rating Scaling Glycated Hemoglobin Scales Questionnaires Data Analysis Software Goodness of Fit Chi Square Test Factor Analysis Male Female Aged: 65+ years Male Female ab: Uncontrolled diabetes among older adults leads to acute and chronic complications that threaten health and life. Health literacy is crucial to managing health and making successful behavior changes for optimal diabetes outcomes. However, a clear understanding of multiple factors and their mechanisms to influence health literacy is lacking. This descriptive cross-sectional study aimed to test a Model of Health Literacy among Thai Older Adults with Uncontrolled Diabetes and examined the influencing pathways of cognitive function, diabetes knowledge, provider-patient communication, empowerment perception, social support, Internet use, and social engagement regarding health literacy. The sample consisted of 259 older Thai adults with uncontrolled diabetes. Data were collected using a demographic data form, the European Health Literacy Survey Questionnaire, the Diabetes Knowledge Scale, the Diabetes Empowerment Process Scale, the Provider-patient Communication Scale, the Social Support Questionnaire, the Montreal Cognitive Assessment-Basic Test, the Internet Use Questionnaire, and the Being Actively Engaged with Society Subscale of the Active Ageing Scale for Thai People. Data were analyzed using descriptive statistics and structural equation modeling with AMOS. The results showed that the model explained 76% of the quality of life variance. Diabetes knowledge and cognitive function directly affected health literacy. Health literacy was indirectly affected by provider-patient communication and empowerment perception through diabetes knowledge, social engagement through cognitive function, and Internet use through cognitive function and diabetes knowledge. Nurses can develop strategies by integrating Internet use and social engagement in empowerment communication programs to improve diabetes knowledge and cognitive function toward higher health literacy in this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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