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Self-Care behaviors and their association with self-efficacy and health literacy among adolescents with type 1 diabetes mellitus in palestine: a cross-sectional study

Fida Ayed, Malakeh Z. Malak, Anas Shehadeh, Lubna Harazneh

BMC Psychology, 2025

156 participants · 6 citations

Abstract

Type 1 diabetes mellitus (T1DM) is the most common endocrine disorder during adolescence. Self-care behaviors are the cornerstone of diabetes management. Effective self-care behaviors require individuals to perform a range of complex daily tasks, including monitoring blood glucose, adhering to dietary recommendations, administering insulin, and recognizing symptoms of hypo- or hyperglycemia. Two critical psychosocial and cognitive factors that influence the success of self-management are self-efficacy and health literacy. There are limited studies on the factors related to self-efficacy and health literacy associated with self-care behaviors among adolescents with T1DM in the Arab World, including Palestine. Therefore, this study investigated the associations between self-efficacy, health literacy, select demographic variables, and self-care behaviors among adolescents with T1DM in Palestine. A cross-sectional correlational design was used, and 156 adolescents aged 14–18 years were selected by a convenience sampling method from primary healthcare settings in Palestine between February and June 2024. A self-reported questionnaire was used to collect data, which included demographic variables, the Diabetic Health Literacy Scale, the Self-Efficacy for Diabetes Scale, and the Self-Care Inventory. Descriptive statistics, Pearson’s and point biserial correlation tests, and multiple linear regression were used to examine the relationships between the study variables. Participants…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 156 participants or records.

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