ArticleBMC geriatrics2026
The mediating role of self-efficacy in health literacy and chronic disease self-management in older individuals.
Article in BMC geriatrics, 2026. 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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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.
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Abstract
backgroundChronic disease self-management (CDSM) is a vital component of healthy ageing, yet the interplay between its key determinants remains insufficiently understood. Health literacy and self-efficacy are widely recognized as important influences on older adults’ ability to manage chronic conditions; however, the pathways linking these factors have received limited attention. This study examined the mediating role of general self-efficacy in the relationship between health literacy and CDSM among older adults with chronic diseases in Türkiye.
methodsA cross-sectional survey was conducted with 183 individuals aged 65 years and older. Participants completed the Health Literacy Scale, the General Self-Efficacy Scale, and the Chronic Disease Self-Management Scale. Data were analysed using descriptive statistics, Pearson correlation, and mediation analysis via Hayes’ PROCESS macro with bootstrapping.
resultsThe mean age of participants was 71.6 years (SD = 6.9), and 51.4% were female. Health literacy, self-efficacy, and CDSM were all positively correlated (p < .001). Mediation analysis demonstrated that self-efficacy fully mediated the relationship between health literacy and CDSM, accounting for 64.7% of the total effect. These findings highlight the role of self-efficacy as a psychological mechanism through which health literacy influences self-management behaviours.
conclusionsPublic health and health promotion initiatives targeting older adults should address both cognitive and psychosocial dimensions, aiming to strengthen self-efficacy alongside health literacy to support sustainable self-management and healthy ageing.
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