The Mediation Effects of Self-Efficacy on the Relationship Between Diabetes-Related Content Exposure and Self-Management Among Older Diabetics: A Cross-Sectional Study

IF 3.5 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-02-03 DOI:10.1111/jocn.17630

Li Li, Xinning Peng, Ruiyang Xu, Qingyuan Ye, Fatema Ahmed, Chen Wu, Kefang Wang

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Abstract

Aims

To map the diabetes-related content exposure of older adults with Type 2 diabetes mellitus, and explore the association between the exposure and self-management and the mediation effects of self-efficacy.

Design

Cross-sectional study.

Methods

This study was conducted among 257 eligible older adults with Type 2 diabetes mellitus from five communities in China. Diabetes self-management and self-efficacy were measured with standardised assessment tools. The variable of diabetes-related content exposure was generated by the collection of all content exposure and the transformation of Q-methodology. Descriptive statistics and the relative mediation effect model were used to do the analyses.

Results

Among the participants, 61.1% had hyperbeneficial content exposure, 13.6% had hypobeneficial content exposure, 24.9% had irrelevant content exposure, and 0.4% had harmful content exposure. Compared with those with irrelevant content exposure, older adults with hyperbeneficial content exposure exhibited higher self-management scores (β = 0.448, 95% CI = 0.174–0.721); in the mediation model, the relative direct effect of hyperbeneficial content exposure on self-management remained significant (β = 0.377, 95% CI = 0.104–0.650), and self-efficacy significantly mediated this relationship (β = 0.071, 95% CI = 0.011–0.154). The relative mediation effect accounted for 15.8% of the relative total effect. Conversely, no significant effect of hypobeneficial content exposure on self-management was observed.

Conclusion

Social media can empower the self-management of older adults with Type 2 diabetes mellitus exposed to hyperbeneficial contents, with self-efficacy serving as a significant mediator. In contrast, exposure to hypobeneficial contents on social media did not lead to significant improvement in the self-management. This suggests that not all diabetes-related contents on social media are equally beneficial, and the relevance of information matters.

Implications

Healthcare providers should consider leveraging social media platforms in conjunction with traditional education programmes to enhance the self-management of older adults with Type 2 diabetes mellitus. Older adults with Type 2 diabetes mellitus may search positively diabetes-related hyperbeneficial contents on social media.

Reporting Method

The report of this study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement guidelines.

Patient or Public Contribution

No patient or public contribution.

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自我效能感在老年糖尿病患者糖尿病相关内容暴露与自我管理关系中的中介作用：一项横断面研究。

目的：绘制老年2型糖尿病患者的糖尿病相关内容暴露图谱，探讨暴露与自我管理的关系以及自我效能感的中介作用。设计：横断面研究。方法：本研究对来自中国5个社区的257名符合条件的老年2型糖尿病患者进行了研究。采用标准化评估工具测量糖尿病自我管理和自我效能。糖尿病相关内容暴露变量是通过收集所有内容暴露并对q -方法学进行转换而产生的。采用描述性统计和相关中介效应模型进行分析。结果：61.1%的参与者有超有益内容暴露，13.6%的参与者有低有益内容暴露，24.9%的参与者有无关内容暴露，0.4%的参与者有有害内容暴露。与不相关内容暴露的老年人相比，超有益内容暴露的老年人表现出更高的自我管理得分（β = 0.448, 95% CI = 0.174-0.721）；在中介模型中，超有益物质暴露对自我管理的相对直接影响仍然显著（β = 0.377, 95% CI = 0.104 ~ 0.650），自我效能感显著介导了这种关系（β = 0.071, 95% CI = 0.011 ~ 0.154）。相对中介效应占相对总效应的15.8%。相反，未观察到不良内容暴露对自我管理的显著影响。结论：社交媒体可以增强接触超有益内容的老年2型糖尿病患者的自我管理能力，自我效能感在其中起显著中介作用。相比之下，接触社交媒体上的不良内容并没有导致自我管理的显着改善。这表明，社交媒体上并非所有与糖尿病相关的内容都同样有益，信息的相关性很重要。意义：医疗保健提供者应考虑利用社会媒体平台与传统教育计划相结合，以增强老年2型糖尿病患者的自我管理。老年2型糖尿病患者可能会在社交媒体上积极搜索与糖尿病相关的超有益内容。报告方法：本研究的报告遵循加强流行病学观察性研究报告（STROBE）声明指南。患者或公众捐款：没有患者或公众捐款。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.