Department of Nursing, Pukyong National University, Busan, South Korea.
J Adv Nurs. 2022 Oct;78(10):3225-3234. doi: 10.1111/jan.15242. Epub 2022 Apr 22.
To identify a serial multiple mediation effect of social support in online health communities and collective empowerment on the relationship between diabetes-related burden (DRB) and self-efficacy, among mothers using a continuous glucose monitoring device for children with type 1 diabetes (T1D).
A secondary analysis, cross-sectional, descriptive study.
Data were obtained from 198 mothers of children with T1D via a web survey, from August to September 2020. Measures used were the Collective Empowerment in the Online Health Community Scale, a modified version of the Multidimensional Scale of Perceived Social Support, Problem Areas in Diabetes Survey-Parent Revised version and a modified version of the Maternal Self-efficacy for Diabetes Management Scale. Data were analysed using SPSS 25.0, and PROCESS MACRO for SPSS v3.5.
A serial multiple mediation model was used. The indirect effects of both social support in online health communities and collective empowerment were identified in the relationship between DRB and diabetes self-efficacy (DSE). However, there was no indirect effect of social support in online health communities on these relationships.
These findings suggest that online social support alone has a limited role in chronic disease management self-efficacy. Collective empowerment should be a strategic component in intervention development using online health communities to strengthen DSE in mothers of children with T1D.
This study provides novel insights into the functional mechanism of online health communities for T1D. Peer mentor coaching by parents of children with T1D effectively helps other children's parents with its recent diagnosis. The findings recognize a need for strategies enhancing collective empowerment among parents of children with T1D. Along with peer coaching, these strategies should strengthen knowledge of resources and methods to impact social change as well as resource mobilization for collective actions.
在使用连续血糖监测仪的 1 型糖尿病（T1D）患儿的母亲中，确定在线健康社区中的社会支持和集体赋权对糖尿病相关负担（DRB）与自我效能之间关系的连续多重中介效应。
二次分析，横断面，描述性研究。
2020 年 8 月至 9 月，通过网络调查从 198 名 T1D 患儿的母亲那里获得数据。使用的措施包括在线健康社区的集体赋权量表、多维感知社会支持量表的修订版、糖尿病问题区域量表-父母修订版和糖尿病管理的母亲自我效能感量表的修订版。使用 SPSS 25.0 和 PROCESS MACRO for SPSS v3.5 分析数据。
使用了一个序列多重中介模型。在 DRB 与糖尿病自我效能（DSE）之间的关系中，在线健康社区中的社会支持和集体赋权的间接效应均得到了确定。然而，在线健康社区中的社会支持对这些关系没有间接影响。
这些发现表明，在线社会支持在慢性病管理自我效能方面的作用有限。集体赋权应该成为利用在线健康社区进行干预开发的战略组成部分，以增强 T1D 患儿母亲的 DSE。
本研究为 T1D 的在线健康社区的功能机制提供了新的见解。T1D 患儿的父母的同伴导师辅导有效地帮助了其他孩子的父母，因为他们最近被诊断出患有 T1D。研究结果认识到需要制定增强 T1D 患儿父母集体赋权的策略。除了同伴辅导外，这些策略还应加强对资源和方法的了解，以影响社会变革以及为集体行动进行资源动员。
