Socio-Ecological Determinants and Health Literacy as Predictors of Self-Management Agency Among Patients With Diabetes Mellitus: A Cross-Sectional Path Analysis Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Alexandria University
- Enrollment
- 400
- Locations
- 2
Study Overview
Brief Summary
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.
Study Design
- Study Type
- Observational
- Observational Model
- Other
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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.
Arms & Interventions
Patients with Diabetes Mellitus
Adult patients diagnosed with type 1 or type 2 diabetes mellitus receiving outpatient follow-up care and participating in a cross-sectional observational assessment.
Intervention: Questionnaire-based assessment (Other)
Investigators
Mohamed Fakhry Ahmed Salem
Lecturer of Medical-Surgical Nursing
Alexandria University