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In recent years, the critical role of health literacy in diabetes management has become increasingly prominent. The aim of this study was to investigate the impact of social support on health literacy among patients with diabetes, to test the mediating role of self-efficacy and empowerment between social support and health literacy, and the moderating role of eHealth literacy.
A cross-sectional study conducted between August 2023 and June 2024.
This study adopted the cluster sampling method and conducted a questionnaire survey among 251 patients with diabetes in a tertiary hospital in Wuhu City, Anhui Province. The questionnaires included the Social Support Rating Scale, the Self-Efficacy for Diabetes scale, the Health Empowerment Scale, the eHealth Literacy Scale and the Diabetes Health Literacy Scale.
Social support was positively associated with health literacy in patients with diabetes. Self-efficacy and empowerment mediated the relationship and formed chained mediation pathways respectively. eHealth literacy has a moderating role between self-efficacy and empowerment.
The results revealed that social support influences health literacy among patients with diabetes through the mediating pathways of self-efficacy and empowerment, and that this process is moderated by eHealth literacy. These findings provide a theoretical basis and practical insights for improving health literacy among patients with diabetes.
Enhancing health literacy among people with diabetes by strengthening social support, self-efficacy and empowerment levels, while focusing on the technology-enabling role of eHealth literacy in this context.
This study adheres to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.
We thank all patients who participated in the study for their understanding and support.
To identify subgroups of dyadic coping discrepancies between adolescents with chronic diseases and their parents using latent profile analysis, and to examine variations among these subgroups in socio-demographic characteristics, family resilience and psychological adjustment outcomes.
Cross-sectional study.
Between June 2022 and August 2023, 318 adolescent–parent dyads were recruited from three paediatric hospitals in China. Adolescents and their parents completed the General Information Questionnaire, the Dyadic Coping Inventory, the Chinese version of the Family Resilience Scale and the Chinese version of the Psychological Adjustment Scale.
A three-class solution provided an optimal fit, identifying the following subgroups: adolescent–parent dyadic coping similarity group (61%), low adolescent–high parent dyadic coping group (20%) and high adolescent–low parent dyadic coping group (19%). Multiple logistic regression analyses indicated that family resilience among adolescents and their parents significantly influenced the classification of dyadic coping discrepancies. A one-way ANOVA demonstrated significant differences in psychological adjustment among the three subgroups.
This study identified distinct patterns of dyadic coping discrepancies between adolescents with chronic diseases and their parents, highlighting the variability in coping strategies within these dyads. Family resilience significantly influenced dyadic coping patterns, with higher levels of family resilience associated with more effective dyadic coping. Furthermore, the dyadic coping profiles were significantly associated with the psychological adjustment of adolescents and parents, highlighting the critical role of dyadic coping in individual well-being.
This study adhered to the STROBE checklist.
No patient or public contribution.
Our findings provide valuable insights for health professionals to design tailored interventions and implement stratified care addressing the unique needs of adolescents and their parents. Prioritising support for individuals with lower family resilience is critical, as are targeted dyadic coping interventions is essential to enhance the psychological adjustment of adolescents with chronic diseases and their parents.
To construct a conceptual framework on the process of family resilience during the first year following childhood leukaemia diagnosis.
A longitudinal qualitative interview study.
A longitudinal qualitative study following a grounded theory methodology was employed. Semi-structured interviews were conducted with parents of children with leukaemia in a general hospital. The participants were recruited through purposive and theoretical sampling and longitudinal engagement was achieved by conducting interviews at 1, 3, 6, and 12 months after the leukaemia diagnosis. The core category and categories were saturated following the enrolment of parents of children with leukaemia. Data collection and analyses were performed simultaneously.
Sixteen parents of children with leukaemia participated. The core category of ‘families living with childhood leukaemia’ refers to the process of family resilience during the first year following childhood leukaemia diagnosis, which includes three phases: (1) destruction and resiliency period; (2) adjustment and consolidation period; and (3) growth and planning period.
This study explored the dynamic, complex and continuous processes of resilience among families coping with childhood leukaemia during the first year following diagnosis. Further research should design tailored family interventions that characterise the different phases of family resilience, aiming to support family well-being, integrity and functioning.
Both families and healthcare professionals must create an enabling environment that supports families coping with difficulties. Understanding the different phases of family resilience allows healthcare professionals to provide holistic care that meets the demands of families with childhood leukaemia.
Unique knowledge emerged about the family's resiliency process when facing childhood leukaemia, suggesting a family-led revolution in understanding and managing childhood leukaemia. Therefore, the development of phased, resilience-based family interventions is imperative.
This study was reported using the COREQ checklist.
Patients contributed via study participation.
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