Health Literacy As a Mediator Between Gender, Illness Identity, and Self-Efficacy

The Mediating Role of Health Literacy in the Relationship Between Gender Differences, Illness Identity, and Self-Efficacy Patients with Cardiac Diseases: a Structural Equation Model

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06707116

Enrollment

100

Registered

2024-11-27

Start date

2025-01-01

Completion date

2025-05-01

Last updated

2024-11-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiac Diseases

Keywords

Health Literacy, Gender Differences

Brief summary

The goal of this observational study is to understand the role of health literacy in shaping the relationship between gender differences, illness identity, and self-efficacy in geriatric patients with cardiac diseases. The main question it aims to answer is: Does health literacy mediate the relationship between gender, illness identity, and self-efficacy in elderly cardiac patients? Participants with diagnosed cardiac conditions, will complete online surveys assessing their health literacy, illness identity, and self-efficacy over a one-year period. Structural Equation Modeling (SEM) will be used to analyze the relationships among these variables.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

30 Years to No maximum

Healthy volunteers

Inclusion criteria

* Adults aged 30 years or older. * Diagnosed with a cardiac disease (e.g., heart failure, coronary artery disease, arrhythmia). * Able to provide informed consent. * Sufficient health literacy to complete surveys in the study language. * Currently under regular medical care for their cardiac condition.

Exclusion criteria

* Individuals with a cognitive impairment or diagnosis of dementia that could interfere with survey participation. * Patients with co-morbid terminal illnesses that significantly impact life expectancy (e.g., advanced cancer).

Design outcomes

Primary

Measure	Time frame	Description
Illness Identity Questionnaire (IIQ)	1 month	Description: The Illness Identity Questionnaire (IIQ) is a 25-item, self-report, paper-and-pencil questionnaire that was initially used and validated in adolescents and young adults with type 1 diabetes mellitus. Patients are asked to indicate how much they agree with 25 statements, using a 5-point Likert scale ranging from 1-5 (strongly disagree to strongly agree). The IIQ consists of a 5-item rejection scale (items 1-5); 5-item acceptance scale (items 6-10); an 8-item engulfment scale (items 11-18); and 7-item enrichment scale (items 19-25).

Secondary

Measure	Time frame	Description
Cardiac Self-Efficacy Scale	1 month	The Cardiac Self-Efficacy Scale (CSES) is a valuable tool used to assess how confident individuals with heart conditions feel about managing their illness and maintaining daily activities. This scale provides insight into two main areas of self-efficacy: the ability to control symptoms, such as chest pain or fatigue, and the capacity to maintain physical and emotional well-being despite the challenges posed by their condition.

Contacts

Primary ContactMohammed ElSayed Zaky Principle Investigator, Ph.D

Mohammed.Zaky@cu.edu.eg01000553254

Outcome results