Diabetes Mellitus (Type 1 and Type 2)
Conditions
Keywords
Diabetes Mellitus, Health Literacy, Self-Management, Socio-Ecological Determinants, Self-Care Agency
Brief summary
This study aims to examine the relationships between socio-ecological determinants, health literacy, and self-management agency among patients with diabetes mellitus. Using a path analysis framework, the study investigates how multi-level socio-ecological factors and different dimensions of health literacy influence patients' capacity for diabetes self-management. Understanding these pathways will support the development of comprehensive, context-sensitive interventions to improve diabetes outcomes.
Detailed description
Diabetes mellitus is a chronic condition requiring sustained self-management behaviors influenced by individual capacities, social support systems, healthcare structures, community resources, and health policies. This observational study adopts the Social Ecological Model and Orem's Self-Care Deficit Theory to evaluate the combined effects of socio-ecological determinants and health literacy on self-management agency. Data will be collected using structured questionnaires, including adapted health literacy and self-care agency scales, along with researcher-developed instruments assessing socio-demographic variables and socio-ecological determinants. Path analysis will be employed to examine direct and indirect relationships among study variables.
Interventions
No clinical or behavioral intervention is applied. This observational study involves a questionnaire-based assessment to collect data on socio-ecological determinants, health literacy, and self-management agency among adult patients with diabetes mellitus.
Sponsors
Alexandria University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \- Adults aged 18 years and older. * Diagnosed with type 1 or type 2 diabetes mellitus. * Receiving follow-up care in outpatient or primary healthcare settings. * Able to communicate verbally and provide informed consent.
Exclusion criteria
* \- Patients with severe cognitive impairment. * Patients with acute medical conditions preventing participation. * Pregnant women diagnosed with gestational diabetes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-management agency | Baseline (cross-sectional assessment) | The level of self-management agency among adult patients with diabetes mellitus, measured using the adapted Appraisal of Self-Care Agency Scale-Revised (ASAS-R). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health literacy | At enrollment | Health literacy levels measured using the adapted All Aspects of Health Literacy Scale (AAHLS), including functional, communicative, and critical domains. |
| Socio-ecological determinants of diabetes self-management | At enrollment | Socio-ecological determinants measured across individual, interpersonal, organizational, community, and policy levels using a researcher-developed assessment tool. |
Countries
Egypt
Contacts
CONTACTMohamed Fakhry Ahmed Salem, phd
CONTACTAhmed Salem
PRINCIPAL_INVESTIGATORMohamed Fakhry Ahmed Salem
Alexandria University
Outcome results
None listed