TY - JOUR ID - 18707 TI - Application of the Social Cognitive Theory to Predict Self-Care Behavior among Type 2 Diabetes Patients with Limited Health Literacy JO - Journal of Health Literacy JA - JHL LA - en SN - - AU - Reisi, Mahnoush AU - Fazeli, Hamid AU - Mahmoodi, Marzieh AU - Javadzadeh, Homamodin AD - Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran AD - Department of Epidemiology and Bio-Statistics, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran AD - Bushehr University of Medical SciencesDepartment of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran Y1 - 2021 PY - 2021 VL - 6 IS - 2 SP - 21 EP - 32 KW - self-care behavior KW - Health Literacy KW - Diabetes KW - Social cognitive theory DO - 10.22038/jhl.2021.57503.1161 N2 - Background and Objective: Although compliance with self-care behaviors is necessary for the successful management of diabetes, patients with diabetes often refuse favorable self-care. This study was conducted to determine the factors influencing self-care behaviors among type-2 diabetic patients who had limited health literacy based on social cognitive theory (SCT). Materials and Methods: A cross-sectional study was conducted among 293 diabetic patients with limited health literacy that was identified by S-TOFHLA. The data were collected using the summary of diabetes self-care activities, diabetes management self-efficacy scale, outcome expectancies questionnaire, and a researcher-made questionnaire for collecting data related to self-regulation and social support constructs. Data were analyzed by SPSS ver.22 using multiple linear regression to determine the predictors of self-care behaviors.  Results: In the case of patient’s adherence to self-care tasks, they had the best adherence to medication regime and the worst adherence to physical activity. Employment status (p <0.032, β=3.57), supplementary insurance (p <0.018, β=1.74), and history of participating in diabetes education classes (p <0.044, β=1.63) were predictors of self-care behaviors in the studied patients. Among the SCT constructs, perceived self-efficacy (p <0.001, β=0.21) predicted self-care ability. The mean score of self-care increased around 0.21 by increasing one single unit of self-efficacy. Overall, these factors predicted 67% (R2 = 0.67) of self-care changes. Conclusions: The results of this study showed that self-efficacy and demographic variables are significant predictors to improve self-care ability among diabetic patients with limited health literacy.   UR - https://literacy.mums.ac.ir/article_18707.html L1 - https://literacy.mums.ac.ir/article_18707_3e2571cd63776fe48dcea3d800e160cc.pdf ER -