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Aim: In recent years, the critical role of health literacy in diabetes management has become increasingly prominent. The aim of this study was to investigate the impact of social support on health literacy among patients with diabetes, to test the mediating role of self-efficacy and empowerment between social support and health literacy, and the moderating role of eHealth literacy.
Design: A cross-sectional study conducted between August 2023 and June 2024.
Methods: This study adopted the cluster sampling method and conducted a questionnaire survey among 251 patients with diabetes in a tertiary hospital in Wuhu City, Anhui Province. The questionnaires included the Social Support Rating Scale, the Self-Efficacy for Diabetes scale, the Health Empowerment Scale, the eHealth Literacy Scale and the Diabetes Health Literacy Scale.
Results: Social support was positively associated with health literacy in patients with diabetes. Self-efficacy and empowerment mediated the relationship and formed chained mediation pathways respectively. eHealth literacy has a moderating role between self-efficacy and empowerment.
Conclusion: The results revealed that social support influences health literacy among patients with diabetes through the mediating pathways of self-efficacy and empowerment, and that this process is moderated by eHealth literacy. These findings provide a theoretical basis and practical insights for improving health literacy among patients with diabetes.
Implications: Enhancing health literacy among people with diabetes by strengthening social support, self-efficacy and empowerment levels, while focusing on the technology-enabling role of eHealth literacy in this context.
Reporting Method: This study adheres to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.
Patient Or Public Contribution: We thank all patients who participated in the study for their understanding and support.
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http://dx.doi.org/10.1111/jocn.70056 | DOI Listing |
J Nurs Scholarsh
September 2025
Bern University of Applied Sciences, Department of Health Professions, Bern, Switzerland.
Introduction: The climate crisis impacts global health and is exacerbated by the healthcare sector's emissions. Nurses, as the largest professional group, are key to promoting climate-resilient, low-carbon health systems. Integrating climate change and sustainable development into nursing education is crucial, yet gaps remain in understanding their representation in curricula and practice.
View Article and Find Full Text PDFInt J Obstet Anesth
August 2025
Department of Liver Transplant Anaesthesia, Institute of Liver and Biliary Sciences, New Delhi, India.
Background: Epidural analgesia is the gold standard for labor pain relief, yet performing patient education remains challenging due to time constraints, language barriers, and variable health literacy. Traditional educational approaches often fail to ensure adequate patient understanding. Artificial intelligence (AI) interactive avatars offer a novel solution for delivering standardized, empathetic, and accessible patient education.
View Article and Find Full Text PDFJ Public Health (Oxf)
September 2025
Alte University, International School of Medicine, 2 University St, Tbilisi, Georgia, 0177.
Background: Parental vaccine hesitancy (VH) remains a public health concern in Georgia, where misinformation and distrust continue to hinder routine childhood immunization. VH is shaped by psychological, sociocultural, and informational factors, including trust in science, public authorities, and religious institutions. This study examined whether trust-related variables were stronger predictors of VH than traditional sociodemographic characteristics.
View Article and Find Full Text PDFPatient Educ Couns
August 2025
Department of Medical Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand. Electronic address:
Objective: To evaluate the efficacy of an individual and family health literacy enhancement program for older adults with hypertension and Type 2 diabetes.
Methods: A total of 140 community participants were randomly assigned to either the individual and family health literacy enhancement program group (n = 70) or the usual care group (n = 70). Outcomes were measured at baseline, at 2-month follow-up (self-management), and at 3-month follow-up (treatment burden, symptom burden).
Am J Health Promot
September 2025
Faculty of Health, Southern Cross University, Coffs Harbour, NSW, Australia.
ObjectiveThis scoping review aimed to synthesise research on the relationships between health literacy and adherence to physical activity guidelines in adults.Data SourceA search of MEDLINE, ProQuest, Scopus, CINAHL, Web of Science (Core Collection), PubMed, and PsycINFO was conducted using keywords. Observational and intervention studies written in English were reviewed.
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