Evidence map›Paper›PMID 40340903›Full record

ArticleBMC public health2025

The influence of patient self-efficacy on value co-creation behavior and outcomes in chronic disease management: a cross-sectional study.

Jiamin Tang, Jie Jia, Yuan Gao, Weixiao Yu, ZhengNan Meng, Hailong Zhu, Xianhong Huang

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jiamin TangDepartment of Health Policy and Management, School of Public Administration, Hangzhou Normal University, Hangzhou, 311121, China.
Jie JiaDepartment of Health Policy and Management, School of Public Administration, Hangzhou Normal University, Hangzhou, 311121, China.
Yuan GaoChildren's Hospital Zhejiang University School of Medicine, Hangzhou, 311121, China.
Weixiao YuDepartment of Health Policy and Management, School of Public Administration, Hangzhou Normal University, Hangzhou, 311121, China.
ZhengNan MengDepartment of Health Policy and Management, School of Public Administration, Hangzhou Normal University, Hangzhou, 311121, China.
Hailong ZhuDepartment of Sociology, School of Public Administration, Hangzhou Normal University, Hangzhou, 311121, China.
Xianhong HuangDepartment of Health Policy and Management, School of Public Administration, Hangzhou Normal University, Hangzhou, 311121, China. hxh974291@163.com.

Funding

the Philosophy and Social Science Project of Zhejiang Province 23YJRC11ZDthe Philosophy and Social Science Project of Zhejiang Province 23YJRC11ZD-3YB
6 · The paper itself

Abstract

backgroundIn the medical field, value co-creation involves patients' active involvement. By collaborating with service providers, patients can contribute to the creation of more targeted and effective value. Patients' self-efficacy and behavior are crucial in this process, as their active participation and support can enhance their service experience. This study investigated the impact of chronic disease patients' self-efficacy and value co-creation behaviors on the outcomes of value co-creation.

methodsRelevant data were acquired through a questionnaire survey using statistical methods, such as the t-test, analysis of variance, and stratified linear regression. This approach was used to examine the current conditions and factors influencing value co-creation outcomes among community-dwelling patients with chronic diseases. Additionally, a structural equation model was employed to systematically investigate and validate the impact pathways and mechanisms related to the influence of self-efficacy and value co-creation behaviors on value co-creation outcomes. We also explored the moderating effect of digital health technology application capabilities on the relationship between self-efficacy and value co-creation behaviors.

resultsSelf-efficacy, information search, interactive collaboration, feedback provision, and shared decision-making exert significant positive influences on the value co-creation outcomes among individuals with chronic diseases. The path analysis of the structural equation model indicates that self-efficacy and value co-creation behaviors may directly impact value co-creation outcomes. Concurrently, value co-creation behaviors partially mediate the association between self-efficacy and value co-creation outcomes. Furthermore, the digital health technology application capability exhibits a negative moderating effect in the pathway from self-efficacy to value co-creation behaviors.

conclusionsThe implementation of health education and social support measures by healthcare institutions and communities may augment patient self-efficacy, facilitate doctor-patient interactions, and promote shared decision-making. These initiatives could enhance the value of chronic disease services and optimize patient experiences. Additionally, healthcare institution managers are encouraged to focus on optimizing internet hospital platforms, organizing digital health training for patients, and bolstering patients' proficiency in digital health technology applications. This strategy aims to instill a sense of health responsibility among patients with chronic diseases by fostering positive behaviors in interactive collaboration, information search, feedback provision, and other dimensions.

Indexed as

Disease ManagementPatient ParticipationSelf EfficacyAdultAgedChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesChronic patientsPerceived valueSatisfactionSelf-EfficacyValue Co-creation behavior

Identifiers

PMID40340903
PMCPMC12062995

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.