The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes
Abstract Background This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices. Methods A total of 1143 individuals with type 2 diabetes mellitus...
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2024-12-01
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| Online Access: | https://doi.org/10.1186/s12875-024-02695-9 |
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| author | Maryam Peimani Anita L. Stewart Robabeh Ghodssi-Ghassemabadi Ensieh Nasli-Esfahani Afshin Ostovar |
| author_facet | Maryam Peimani Anita L. Stewart Robabeh Ghodssi-Ghassemabadi Ensieh Nasli-Esfahani Afshin Ostovar |
| author_sort | Maryam Peimani |
| collection | DOAJ |
| description | Abstract Background This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices. Methods A total of 1143 individuals with type 2 diabetes mellitus completed a cross-sectional survey assessing sociodemographic characteristics, data relating to diabetes clinical history, online DISB, eHL (eHealth Literacy Scale), aspects of patient-physician communication (IPC survey), patient self-care (Self-Care Inventory-Revised), and medication adherence (measure of adherence to prescribed diabetes medications). The data were analyzed using both bivariate (correlation) and multivariate (multiple linear regression) analyses using maximum likelihood estimation procedures in Mplus. Results Our results showed online DISB significantly predicted diabetes self-care (p < 0.001) and medication adherence behaviors (p = 0.005). Lower Hurried Communication (p < 0.001, p = 0.03), higher Elicited Concerns (p = 0.005, p = 0.03), higher Explained Results (p = 0.03, p = 0.008), and higher eHL (p = 0.02, p = 0.02) were significantly associated with better self-care and medication adherence. Explained Results and eHL moderated the relationship between online DISB and both self-care and medication adherence. Conclusions Findings support the role of patient eHL and patient-physician communication in amplifying the positive impact of online DISB on patients’ behavioral outcomes in diabetes. |
| format | Article |
| id | doaj-art-9e28c9483f8a447f9ebac8c292f0d2ba |
| institution | Kabale University |
| issn | 2731-4553 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj-art-9e28c9483f8a447f9ebac8c292f0d2ba2025-01-05T12:42:10ZengBMCBMC Primary Care2731-45532024-12-0125111210.1186/s12875-024-02695-9The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetesMaryam Peimani0Anita L. Stewart1Robabeh Ghodssi-Ghassemabadi2Ensieh Nasli-Esfahani3Afshin Ostovar4Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesCenter for Aging in Diverse Communities, Institute for Health & Aging, University of California San FranciscoOncostat, CESP, Inserm U1018, University Paris-Saclay, labeled Ligue Contre le Cancer, Gustave RoussyDiabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesAbstract Background This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices. Methods A total of 1143 individuals with type 2 diabetes mellitus completed a cross-sectional survey assessing sociodemographic characteristics, data relating to diabetes clinical history, online DISB, eHL (eHealth Literacy Scale), aspects of patient-physician communication (IPC survey), patient self-care (Self-Care Inventory-Revised), and medication adherence (measure of adherence to prescribed diabetes medications). The data were analyzed using both bivariate (correlation) and multivariate (multiple linear regression) analyses using maximum likelihood estimation procedures in Mplus. Results Our results showed online DISB significantly predicted diabetes self-care (p < 0.001) and medication adherence behaviors (p = 0.005). Lower Hurried Communication (p < 0.001, p = 0.03), higher Elicited Concerns (p = 0.005, p = 0.03), higher Explained Results (p = 0.03, p = 0.008), and higher eHL (p = 0.02, p = 0.02) were significantly associated with better self-care and medication adherence. Explained Results and eHL moderated the relationship between online DISB and both self-care and medication adherence. Conclusions Findings support the role of patient eHL and patient-physician communication in amplifying the positive impact of online DISB on patients’ behavioral outcomes in diabetes.https://doi.org/10.1186/s12875-024-02695-9Online health information seeking behaviorType 2 diabetes mellituse-Health literacyPatient physician communicationSelf-care |
| spellingShingle | Maryam Peimani Anita L. Stewart Robabeh Ghodssi-Ghassemabadi Ensieh Nasli-Esfahani Afshin Ostovar The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes BMC Primary Care Online health information seeking behavior Type 2 diabetes mellitus e-Health literacy Patient physician communication Self-care |
| title | The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes |
| title_full | The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes |
| title_fullStr | The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes |
| title_full_unstemmed | The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes |
| title_short | The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes |
| title_sort | moderating role of e health literacy and patient physician communication in the relationship between online diabetes information seeking behavior and self care practices among individuals with type 2 diabetes |
| topic | Online health information seeking behavior Type 2 diabetes mellitus e-Health literacy Patient physician communication Self-care |
| url | https://doi.org/10.1186/s12875-024-02695-9 |
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