Why the study?
Health literacy and acceptance of illness may contribute to hypertension self-management, but whether acceptance of illness mediates the effects of health literacy on pharmacological and non-pharmacological management behaviour was unclear.
Does acceptance of illness mediate the effect of health literacy on self-management behaviour in patients with hypertension?
Does acceptance of illness mediate the effect of health literacy on self-management behaviour in patients with hypertension?
Acceptance of illness mediates the relationship between health literacy and self-management behaviors in hypertensive patients, suggesting interventions should target both to improve disease management.
Suggests targeting illness acceptance alongside health literacy may improve hypertension self-management; leaves open whether such combined.
BACKGROUND: Self-management is crucial for blood pressure control and subsequent disease prevention. Health literacy and acceptance of illness may contribute to self-management behaviour; in addition, acceptance of illness may mediate the effects of health literacy on self-management behaviour among patients with hypertension. OBJECTIVE: The aims of the research were to examine whether health literacy and acceptance of illness were associated with both pharmacological and non-pharmacological management behaviour and examine the possible mediating effects of the acceptance of illness in patients with hypertension. METHODS: Hierarchical regression analysis was conducted to analyse the relationships between health literacy, acceptance of illness, pharmacological and non-pharmacological management behaviours. Mediation effects were examined by the PROCESS macro. RESULTS: This was a cross-sectional study. A total of 478 hypertensive patients completed measures of health literacy, acceptance of illness, self-management, social support, depression, physical function and demographic and clinical characteristics. Functional, communicative, critical health literacy and acceptance of illness showed positive associations to pharmacological and non-pharmacological management behaviour. Acceptance of illness mediated the relationships between three types of health literacy, pharmacological and non-pharmacological management but the effects size and pathway differed. In detail, functional health literacy influenced pharmacological and non-pharmacological management behaviour mainly by indirect effects mediated by the acceptance of illness, but communicative and critical health literacy influenced pharmacological and non-pharmacological management behaviour mainly by direct effects. CONCLUSIONS: Acceptance of illness mediated the relationships between three types of health literacy and self-management. Health literacy and acceptance of illness should be addressed when taking measures to improve patients' self-management behaviour.
No takes yet. Share an insight, caveat, or question.
Qiu et al. (2019) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: