PMID- 37757607
OWN - NLM
STAT- MEDLINE
DCOM- 20231103
LR  - 20231106
IS  - 1873-5134 (Electronic)
IS  - 0738-3991 (Linking)
VI  - 117
DP  - 2023 Dec
TI  - Underlying mechanisms of diabetes knowledge influencing diabetes self-management 
      behaviors among patients with type II diabetes in rural China: Based on health 
      belief model.
PG  - 107986
LID - S0738-3991(23)00366-X [pii]
LID - 10.1016/j.pec.2023.107986 [doi]
AB  - OBJECTIVE: To investigate the association between diabetes knowledge and diabetes 
      self-management (DSM) behaviors and to explore the influence mechanism between 
      them among patients with type 2 diabetes mellitus (T2DM) based on health belief 
      model in rural China. METHODS: This cross-sectional study included 483 
      participants with T2DM from 8 villages of 3 townships in Jiangsu Province. All 
      participants completed a structured questionnaire, including demographic 
      information, diabetes knowledge, DSM behaviors, health beliefs, and cognitive 
      function. Multiple linear regression and mediation analysis were performed to 
      analyze the association between diabetes knowledge and DSM behaviors, furthermore 
      the mechanism between them. RESULTS: Diabetes knowledge and self-efficacy 
      positively influenced DSM behaviors. Health beliefs multiply mediated the 
      association between diabetes knowledge and DSM behaviors. Perceived behavioral 
      barriers mediated the relationship between diabetes knowledge and DSM behaviors, 
      where a suppression effect existed. A chain-mediated effect was found: diabetes 
      knowledge affected perceived benefits, followed by self-efficacy, and finally DSM 
      behaviors. CONCLUSION: Diabetes knowledge acquisition played an important role in 
      improving DSM behaviors, and health beliefs multiply mediated the relationship 
      between them. PRACTICE IMPLICATIONS: When designing interventions, health systems 
      and health providers should refocus on diabetes knowledge, emphasize the benefits 
      of self-management, and consider the barriers that patients may encounter.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier B.V. All rights reserved.
FAU - Wang, Xiaoying
AU  - Wang X
AD  - School of Social Development and Public Policy & Center for Behavioral Health, 
      Beijing Normal University, Beijing, China.
FAU - Tian, Bo
AU  - Tian B
AD  - School of Social Development and Public Policy & Center for Behavioral Health, 
      Beijing Normal University, Beijing, China.
FAU - Zhang, Shengfa
AU  - Zhang S
AD  - National Population Heath Data Center, Chinese Academy of Medical Sciences and 
      Peking Union Medical College, Beijing, China.
FAU - Li, Jina
AU  - Li J
AD  - School of Social Development and Public Policy & Center for Behavioral Health, 
      Beijing Normal University, Beijing, China.
FAU - Yang, Weiping
AU  - Yang W
AD  - Yancheng Dafeng People's Hospital, Jiangsu Province, China.
FAU - Gu, Linni
AU  - Gu L
AD  - School of Health Management, Inner Mongolia Medical University, Inner Mongolia 
      Autonomous Region, China.
FAU - Zhang, Weijun
AU  - Zhang W
AD  - School of Social Development and Public Policy & Center for Behavioral Health, 
      Beijing Normal University, Beijing, China. Electronic address: zwj@bnu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230921
PL  - Ireland
TA  - Patient Educ Couns
JT  - Patient education and counseling
JID - 8406280
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/therapy/psychology
MH  - *Self-Management
MH  - Cross-Sectional Studies
MH  - Health Behavior
MH  - China
MH  - Surveys and Questionnaires
MH  - Health Belief Model
MH  - Health Knowledge, Attitudes, Practice
OTO - NOTNLM
OT  - Diabetes Knowledge
OT  - Diabetes Self-management
OT  - Health Belief Model
OT  - Multiple Mediating Effects
OT  - Type 2 Diabetes Mellitus
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/09/28 00:42
MHDA- 2023/11/03 06:44
CRDT- 2023/09/27 18:05
PHST- 2023/03/28 00:00 [received]
PHST- 2023/09/18 00:00 [revised]
PHST- 2023/09/19 00:00 [accepted]
PHST- 2023/11/03 06:44 [medline]
PHST- 2023/09/28 00:42 [pubmed]
PHST- 2023/09/27 18:05 [entrez]
AID - S0738-3991(23)00366-X [pii]
AID - 10.1016/j.pec.2023.107986 [doi]
PST - ppublish
SO  - Patient Educ Couns. 2023 Dec;117:107986. doi: 10.1016/j.pec.2023.107986. Epub 
      2023 Sep 21.