Evidence mapPaperPMID 41345933Full record

SynthesisBMC public health2025

Exploring the mechanism of self-management: the role of social support, self-efficacy, and health literacy based on meta-analytic structural equation modeling.

Jiaju Ren, Yanbo Zhu, Jiayi Lin, Jiaxin Fang, Ruiqi Huang

Abstract readMeta-Analysis
In one paragraph

Synthesis 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Jiaju RenSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, China.
Yanbo ZhuSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, China. yanbo.zhu@bucm.edu.cn.
Jiayi LinSchool of Management, Beijing University of Chinese Medicine, Beijing, 102488, China.
Jiaxin FangSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 102488, China.
Ruiqi HuangNantong Third People's Hospital, Nantong, 226000, China.

Funding

Beijing Municipal Natural Science Foundation No.7222282Open Bidding for Selecting the Best Candidates Project of Beijing University of Chinese Medicine of JIE BANG GUA SHUAI Project 2022-JYB-JBZR-036
6 · The paper itself

Abstract

backgroundElevating levels of self-management (sm) is conducive to the timely detection, control, and prevention of diseases, thereby enhancing overall quality of life. A substantial body of literature has elucidated a robust association between self-management and factors such as social support (ss), self-efficacy (se), and health literacy (hl). However, current research has not been able to comprehensively and deeply explore the mechanism that influences self-management by integrating the above three factors due to limitations in research content and methods. Additionally, there exists a necessity to comprehend the modulatory influence of the external environment and individual behavioral motivation on self-management. Therefore, this study proposes, constructs, and validates a model elucidating the mechanisms impacting self-management levels, furnishing a framework for researching and intervening in self-management behavior.

methodsFollowing the application of precise inclusion criteria, multiple databases were systematically searched to identify research literature related to social support, self-efficacy, health literacy, and self-management, encompassing their interrelationships. The extracted data included correlation coefficients and sample sizes from the identified research relationships. Employing the meta-analytic structural equation method, the study constructed a rational model elucidating the optimization's role in self-management across diverse demographics, inclusive of both elderly and middle-aged populations. Additionally, the random effects model was employed to estimate pooled effect sizes between different variables.

resultsA total of 162 valid literature were included for analysis. The findings indicate that improving health literacy is associated with enhanced self-management, particularly among the elderly population compared to the middle-aged population (ES

conclusionIrrespective of the age group, be it the elderly or middle-aged, health literacy significantly and positively influences self-management. Both health literacy and social support contribute positively to self-management by bolstering self-efficacy, with health literacy assuming a primary role in this relationship.

Indexed as

Health LiteracySelf EfficacySelf-ManagementSocial SupportFemaleHumansLatent Class AnalysisMaleMiddle AgedHealth literacyMeta-analytic structural equationSelf-efficacySelf-managementSocial support

Identifiers

PMID41345933
PMCPMC12797755

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.