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The Evaluation of the Role of Diabetes Health Literacy and Health Locus of Control on Quality of Life Among Type 2 Diabetes Using the Path Analysis Publisher Pubmed



Jafari A1 ; Zadehahmad Z2 ; Armanmehr V6 ; Talebi M3 ; Tehrani H4, 5
Authors
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Authors Affiliations
  1. 1. Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
  2. 2. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Community and Family Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  4. 4. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  5. 5. Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
  6. 6. Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

Source: Scientific Reports Published:2023


Abstract

Quality of life (QOL) in patients with diabetes is affected by multiple factors, and this study aimed to determine the effect of health locus of control points (HLOC) and diabetes health literacy (DHL) on QOL in Iranian patients with type 2 diabetes. This cross-sectional study was conducted between October 2021 and February 2022 among 564 people with type 2 diabetes. Patients were selected using proportional stratified sampling and simple random sampling methods. Data were collected using three questionnaires: (1) Multidimensional Health Locus of Control scale (form C), (2) World Health Organization Quality of Life Scale, and (3) Diabetes Health Literacy Scale. Data were analyzed by software’s of SPSS V22 and AMOS V24. There was a positive and significant correlation between DHL and QOL. There was a positive and significant correlation between the subscales of internal HLOC, and doctors HLOC with QOL. According to the Path analysis results, all variables showed 58.93% of the direct effects and 41.07% of indirect effects of the final model. Numerate health literacy, informational health literacy, communicative health literacy, internal HLOC, other powerful people HLOC, chance HLOC, and doctors HLOC were able to predicted 49% variance of diabetes QOL (R2 = 0.49). The subscales of communicative health literacy, informational health literacy, internal HLOC, doctors HLOC, and chance HLOC had the greatest impact on QOL of people with diabetes. Based on the results of Path analysis, diabetes health literacy and HLOC play an effective role in QOL of diabetic. Therefore, there is a need to design and implement programs to improve the health literacy of patients as well as HLOC to improve QOL of patients. © 2023, The Author(s).
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4. The Effect of Culturally Appropriate Self-Care Intervention on Health Literacy, Health-Related Quality of Life and Glycemic Control in Iranian Patients With Type 2 Diabetes: A Controlled Randomized Clinical Trial, Iranian Journal of Nursing and Midwifery Research (2023)
5. Design and Development of a Mobile-Based Self-Care Application for Patients With Type 2 Diabetes, Journal of Diabetes Science and Technology (2022)
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