Socio-Ecological Determinants and Health Literacy: A Path Analysis of Self-Management Agency Among Patients With Diabetes Mellitus
This study aims to examine the relationships between socio-ecological determinants, health literacy, and self-management agency among patients with diabetes mellitus. Using a path analysis framework, the study investigates how multi-level socio-ecological factors and different dimensions of health literacy influence patients' capacity for diabetes self-management. Understanding these pathways will support the development of comprehensive, context-sensitive interventions to improve diabetes outcomes.
Conditions studied
Diabetes Mellitus (Type 1 and Type 2)
About this study
This study aims to examine the relationships between socio-ecological determinants, health literacy, and self-management agency among patients with diabetes mellitus. Using a path analysis framework, the study investigates how multi-level socio-ecological factors and different dimensions of health literacy influence patients' capacity for diabetes self-management. Understanding these pathways will support the development of comprehensive, context-sensitive interventions to improve diabetes outcomes.
Interventions
- Other: Questionnaire-based assessment — No clinical or behavioral intervention is applied. This observational study involves a questionnaire-based assessment to collect data on socio-ecological determinants, health literacy, and self-management agency among adult patients with diabetes mellitus.
Primary outcomes
- Self-management agency (Baseline (cross-sectional assessment))
Eligibility information
Study locations
- Alexandria University Hospital, Faculty of Nursing, Alexandria, Alexandria Governorate 21511 Egypt
- Faculty of Nursing, Alexandria University, Alexandria, Alexandria Governorate 21511 Egypt
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.