ArticleJournal of diabetes and metabolic disorders2025
Longitudinal association of family support, health literacy, and self-management behavior in patients with newly diagnosed type 2 diabetes mellitus: an analysis based on cross-lag model.
Article in Journal of diabetes and metabolic disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study investigates the interplay between family support, health literacy, and self-management behaviors in newly diagnosed patients with type 2 diabetes mellitus (T2DM). Methods: A cohort of 354 newly diagnosed patients with T2DM participated in this longitudinal study. Health literacy, self-management behavior, and family support were assessed using the Health Literacy Scale, Diabetes Self-Management Behavior Scale, and Family Support Scale at baseline, 3 months, and 6 months post-diagnosis. Results: Health literacy and self-management abilities demonstrated significant correlations at both 0-3 months (β = 0.32; β = 0.23) and 3-6 months (β = 0.37; β = 0.28). Family support was a significant predictor of health literacy during the 0-3 month period (β = 0.23), with a reduced effect size at 3-6 months (β = 0.18). Conclusions: Health literacy and self-management abilities in newly diagnosed patients with T2DM follow a co-evolutionary spiral model, with family support serving as a key driver in the initial phase. Clinical interventions should establish a dual-core "education-behavior" linkage system, focusing on enhancing family empowerment in the early stage (0-3 months) and transitioning to a cognitive improvement model driven by behavioral feedback in the later stages (3-6 months).
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