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March 19, 2026BMC GeriatricsOpen Access

Predictors of self-management in older adults with chronic disease: a structural equation model

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Authors

YSYujiao ShaoBengbu Medical CollegeXYXiumu YangBengbu Medical CollegeQCQin ChenAnhui Medical University

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Implication

Surveys explore factors affecting self-management in older adults, highlighting intervention opportunities.

Key Points

  • The study aims to explore how digital health literacy, self-efficacy, and psychological distress mediate social support's impact on self-management in older adults.
  • Conducted surveys with 536 older adults from three hospitals using various validated scales.
  • Measured self-management, digital health literacy, psychological distress, and social support.
  • Analyzed relationships and effects using structural equation modeling.
  • Self-management scores averaged 20.87 ± 10.37.
  • Positive correlations observed between self-management and social support (r = 0.391), digital health literacy (r = 0.536), and self-efficacy (r = 0.423).
  • Negative correlation with psychological distress (r = -0.265).
  • Social support demonstrated a significant total effect on self-management behavior (P < 0.001).
  • Mediators accounted for 72.26% of the total effect on self-management.

Cite This Study

Shao et al. (2026) studied this question.

synapsesocial.com/papers/69bb9212496e729e6297f59ehttps://doi.org/10.1186/s12877-026-07335-8
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