Do health literacy and patient empowerment affect self-care behaviour? A survey study among Turkish patients with diabetes

Basit Öğe Kaydı
dc.authorid0000-0002-7531-9169en_US
dc.contributor.authorEyuboglu, Ezgi
dc.contributor.authorSchulz, Peter J.
dc.date.accessioned2024-07-12T21:45:16Z
dc.date.available2024-07-12T21:45:16Z
dc.date.issued2016en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractObjective This study aimed to assess the impact of health literacy and patient empowerment on diabetes self-care behaviour in patients in metropolitan Turkish diabetes centres. The conceptual background is provided by the psychological health empowerment model, which holds that health literacy without patient empowerment comes down to wasting health resources, while empowerment without health literacy can lead to dangerous or suboptimal health behaviour. Design, setting and participants A cross-sectional study was conducted with 167 patients over the age of 18 from one of two diabetes clinics in a major Turkish City. Self-administered questionnaires were distributed to eligible outpatients who had an appointment in one of the clinics. Health literacy was measured by a newly translated Turkish version of the Short Test of Functional Health Literacy in Adults (S-TOFHLA) and the Chew self-report scale. Patient empowerment was measured by a 12-item scale based on Spreitzer's conceptualisation of psychological empowerment in the workplace. Self-care behaviour was measured by the Self-care behaviours were measured by the Summary of Diabetes Self-Care Activities Measure (SDSCA). Level of diabetes knowledge was measured by Diabetes Knowledge Test. Results Two subscales of empowerment, impact and self-determination, predicted self-reported frequency of self-care behaviours. Neither health literacy nor diabetes knowledge had an effect on self-care behaviours. Conclusions Health literacy might be more effective in clinical decisions while empowerment might exert a stronger influence on habitual health behaviours.en_US
dc.description.sponsorshipLugano University Institute of Communication and Health; TUBITAK (Scientific and Technological Research Council of Turkey)en_US
dc.description.sponsorshipThe authors thank the Lugano University Institute of Communication and Health and TUBITAK (Scientific and Technological Research Council of Turkey) for funding this research. They are also thankful for the Turkish Diabetes Foundation's kind support during the data collection process.en_US
dc.identifier.doi10.1136/bmjopen-2015-010186
dc.identifier.issn2044-6055
dc.identifier.issue3en_US
dc.identifier.pmid26975936en_US
dc.identifier.scopus2-s2.0-84962567113en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://dx.doi.org/10.1136/bmjopen-2015-010186
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7818
dc.identifier.volume6en_US
dc.identifier.wosWOS:000374052300078en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherBMJ PUBLISHING GROUPen_US
dc.relation.ispartofBMJ OPENen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00441
dc.subjecthealth literacyen_US
dc.subjectpatient empowermenten_US
dc.subjectdiabetes management behaviorsen_US
dc.titleDo health literacy and patient empowerment affect self-care behaviour? A survey study among Turkish patients with diabetesen_US
dc.typeArticle
dspace.entity.typePublication

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