Peimani Maryam, Stewart Anita L, Ghodssi-Ghassemabadi Robabeh, Nasli-Esfahani Ensieh, Ostovar Afshin
Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, No. 10 Al-E-Ahmad and Chamran Highway Intersection, Tehran, 1411713136, Iran.
Center for Aging in Diverse Communities, Institute for Health & Aging, University of California San Francisco, San Francisco, CA, USA.
BMC Prim Care. 2024 Dec 30;25(1):442. doi: 10.1186/s12875-024-02695-9.
This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices.
A total of 1143 individuals with type 2 diabetes mellitus completed a cross-sectional survey assessing sociodemographic characteristics, data relating to diabetes clinical history, online DISB, eHL (eHealth Literacy Scale), aspects of patient-physician communication (IPC survey), patient self-care (Self-Care Inventory-Revised), and medication adherence (measure of adherence to prescribed diabetes medications). The data were analyzed using both bivariate (correlation) and multivariate (multiple linear regression) analyses using maximum likelihood estimation procedures in Mplus.
Our results showed online DISB significantly predicted diabetes self-care (p < 0.001) and medication adherence behaviors (p = 0.005). Lower Hurried Communication (p < 0.001, p = 0.03), higher Elicited Concerns (p = 0.005, p = 0.03), higher Explained Results (p = 0.03, p = 0.008), and higher eHL (p = 0.02, p = 0.02) were significantly associated with better self-care and medication adherence. Explained Results and eHL moderated the relationship between online DISB and both self-care and medication adherence.
Findings support the role of patient eHL and patient-physician communication in amplifying the positive impact of online DISB on patients' behavioral outcomes in diabetes.
本研究探讨了电子健康素养（eHL）和医患沟通在在线糖尿病信息寻求行为（在线DISB）与自我护理实践之间关系中的调节作用。
共有1143名2型糖尿病患者完成了一项横断面调查，评估社会人口学特征、糖尿病临床病史数据、在线DISB、eHL（电子健康素养量表）、医患沟通方面（IPC调查）、患者自我护理（修订版自我护理量表）以及药物依从性（规定糖尿病药物的依从性测量）。使用Mplus中的最大似然估计程序，通过双变量（相关性）和多变量（多元线性回归）分析对数据进行分析。
我们的结果表明，在线DISB显著预测了糖尿病自我护理（p < 0.001）和药物依从行为（p = 0.005）。较低的匆忙沟通（p < 0.001，p = 0.03）、较高的引发关注（p = 0.005，p = 0.03）、较高的解释结果（p = 0.03，p = 0.008）以及较高的eHL（p = 0.02，p = 0.02）与更好的自我护理和药物依从性显著相关。解释结果和eHL调节了在线DISB与自我护理和药物依从性之间的关系。
研究结果支持患者eHL和医患沟通在增强在线DISB对糖尿病患者行为结果的积极影响方面的作用。
