ArticleRisk management and healthcare policy2024
The Serial Mediation Effects of Social Support and Self-Efficacy on Health Literacy and Self-Management Behaviors Among Young and Middle-Aged Cardiac Patients After Percutaneous Coronary Intervention: A Cross-Sectional Study in China.
Article in Risk management and healthcare policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Investigating the effects of implementing the family health nurse model on the self-management of elderly individuals with hypertension: a randomized controlled trial.BMC primary care · 2025Trial
- Article
- Self-efficacy, health literacy, and chronic disease self-management among South-South adult migrants.BMC psychology · 2026Article
- The mediating role of self-efficacy in the relationship between self-management and health-promoting behaviors in post-PCI patients.PloS one · 2026Article
- Research on the influencing factors of using health science popularization short videos on the self-management behavior of older adult patients with chronic diseases.Frontiers in public health · 2026Article
- How perceived risk of recurrence strengthens health management awareness in stroke patients: the chain mediating role of risk fear and health literacy.Frontiers in public health · 2025Article
- Exploring challenges to medication adherence aacmong young and middle-aged adults with coronary heart disease in China: a qualitative study.Frontiers in cardiovascular medicine · 2025Article
- Association between social support and life space mobility in older patients after percutaneous coronary intervention: mediating roles of health literacy and intrinsic capacity.Frontiers in public health · 2025Observational
- The mediating role of psychological resilience in the relationship between health literacy and health promotion behaviors among older adult patients undergoing PCI in China.Frontiers in public health · 2025Article
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Authors and funding
4 authors.
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Abstract
Background: Coronary heart disease (CHD) is a significant public health concern affecting an increasing number of young and middle-aged adults. Effective self-management is essential to promote the recovery and quality of life of patients with CHD after percutaneous coronary intervention (PCI), and is closely related to health literacy. However, little is known about the underlying mechanisms of this association. Objective: This study aimed to investigate the mediating effects of social support and self-efficacy in the relationship between health literacy and self-management behaviors among young and middle-aged patients with CHD after PCI. Methods: A cross-sectional study was conducted among 360 CHD patients aged 18-59 who after PCI within 1 to 3 months. The data were collected from September 2022 to July 2023 in a tertiary hospital in China. The questionnaires were utilized to gather data on demographic characteristics, social support, self-efficacy, health literacy, and self-management behaviors. The serial mediation model was examined via bootstrapping techniques using SPSS PROCESS v.4.3 macros (Model 6). Results: Participants health literacy was associated with self-management behaviors both directly (β=0.334, P<0.001) and indirectly through social support (β=0.149, P<0.001) and self-efficacy (β=0.095, P<0.001). Social support and self-efficacy serially mediated the association between health literacy and self-management behaviors (β=0.226, P<0.001), with the total indirect effects accounting for 44.3%, these three mediating paths account for 24.8%, 15.8%, and 3.7% of the overall effect, respectively. Conclusion: Health literacy influences self-management behaviors that the study's findings suggest were significant. Social support and self-efficacy act as mediators in the relationship between health literacy and self-management behaviors. Our findings provide helpful guidance for the future development of targeted and effective psychosocial interventions to enhance CHD patients' self-management, ultimately improving prognosis and quality of life.
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