Socio-Ecological Determinants and Health Literacy: A Path Analysis of Self-Management Agency Among Patients With Diabetes Mellitus
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Questionnaire-based assessment.
- Who it may be relevant to
- Registry conditions: Diabetes Mellitus (Type 1 and Type 2). Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Socio-Ecological Determinants and Health Literacy as Predictors of Self-Management Agency Among Patients With Diabetes Mellitus: A Cross-Sectional Path Analysis Study
Overview
This study aims to examine the relationships between socio-ecological determinants, health literacy, and self-management agency among patients with diabetes mellitus. Using a path analysis framework, the study investigates how multi-level socio-ecological factors and different dimensions of health literacy influence patients' capacity for diabetes self-management. Understanding these pathways will support the development of comprehensive, context-sensitive interventions to improve diabetes outcomes.
Detailed description
Diabetes mellitus is a chronic condition requiring sustained self-management behaviors influenced by individual capacities, social support systems, healthcare structures, community resources, and health policies. This observational study adopts the Social Ecological Model and Orem's Self-Care Deficit Theory to evaluate the combined effects of socio-ecological determinants and health literacy on self-management agency.
Data will be collected using structured questionnaires, including adapted health literacy and self-care agency scales, along with researcher-developed instruments assessing socio-demographic variables and socio-ecological determinants. Path analysis will be employed to examine direct and indirect relationships among study variables.
Interventions
- Other Questionnaire-based assessment
No clinical or behavioral intervention is applied. This observational study involves a questionnaire-based assessment to collect data on socio-ecological determinants, health literacy, and self-management agency among adult patients with diabetes mellitus.
Primary outcome measures
- Self-management agency [Time frame: Baseline (cross-sectional assessment)]
Secondary outcome measures (2)
- Health literacy [Time frame: At enrollment]
- Socio-ecological determinants of diabetes self-management [Time frame: At enrollment]
Eligibility criteria
Inclusion criteria
- \- Adults aged 18 years and older.
- Diagnosed with type 1 or type 2 diabetes mellitus.
- Receiving follow-up care in outpatient or primary healthcare settings.
- Able to communicate verbally and provide informed consent.
Exclusion criteria
- \- Patients with severe cognitive impairment.
- Patients with acute medical conditions preventing participation.
- Pregnant women diagnosed with gestational diabetes.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
Egypt · 2 centers
- Alexandria University Hospital, Faculty of Nursing — Alexandria
- Faculty of Nursing, Alexandria University — Alexandria
Identifiers
NCT: NCT07591103 · AU-20-10-463