Socio-Ecological Determinants and Health Literacy: A Path Analysis of Self-Management Agency Among Patients With Diabetes Mellitus
2026年6月4日 更新者：Mohamed Fakhry Ahmed Salem、Alexandria University
Socio-Ecological Determinants and Health Literacy as Predictors of Self-Management Agency Among Patients With Diabetes Mellitus: A Cross-Sectional Path Analysis Study
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.
研究概览
详细说明
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.
研究类型
观察性的
注册 (估计的)
400
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Mohamed Fakhry Ahmed Salem, PhD
- 电话号码：+201286038014
- 邮箱：Mohamed.Fakhry@alexu.edu.eg
研究联系人备份
- 姓名：Ahmed Salem
- 邮箱：Mohamed.Fakhry@alexu.edu.eg
学习地点
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Alexandria Governorate
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Alexandria、Alexandria Governorate、埃及、21511
- 招聘中
- Alexandria University Hospital, Faculty of Nursing
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首席研究员：
- Mohamed Fakhry Ahmed Salem, PhD in Medical-Surgical Nursin
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接触：
- Mohamed Fakhry Ahmed Salem, PhD Medical-Surgical Nursing
- 电话号码：01286038014
- 邮箱：Mohamed.Fakhry@alexu.edu.eg
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Alexandria、Alexandria Governorate、埃及、21511
- 尚未招聘
- Faculty of Nursing, Alexandria University
-
首席研究员：
- Mohamed Fakhry Ahmed Salem, PhD in Medical-Surgical Nursin
-
接触：
- Mohamed Fakhry Ahmed Salem, PhD
- 电话号码：01286038014
- 邮箱：Mohamed.Fakhry@alexu.edu.eg
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
不
取样方法
非概率样本
研究人群
Adult patients diagnosed with type 1 or type 2 diabetes mellitus and attending outpatient clinics or primary healthcare centers.
描述
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.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
Patients with Diabetes Mellitus
Adult patients diagnosed with type 1 or type 2 diabetes mellitus receiving outpatient follow-up care and participating in a cross-sectional observational assessment.
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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.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Self-management agency
大体时间：Baseline (cross-sectional assessment)
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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).
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Baseline (cross-sectional assessment)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Health literacy
大体时间：At enrollment
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Health literacy levels measured using the adapted All Aspects of Health Literacy Scale (AAHLS), including functional, communicative, and critical domains.
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At enrollment
|
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Socio-ecological determinants of diabetes self-management
大体时间：At enrollment
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Socio-ecological determinants measured across individual, interpersonal, organizational, community, and policy levels using a researcher-developed assessment tool.
|
At enrollment
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Mohamed Fakhry Ahmed Salem、Alexandria University
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2026年5月15日
初级完成 (估计的)
2026年7月1日
研究完成 (估计的)
2026年7月30日
研究注册日期
首次提交
2026年5月7日
首先提交符合 QC 标准的
2026年5月9日
首次发布 (实际的)
2026年5月15日
研究记录更新
最后更新发布 (实际的)
2026年6月5日
上次提交的符合 QC 标准的更新
2026年6月4日
最后验证
2026年5月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.