Health Literacy As a Mediator Between Gender, Illness Identity, and Self-Efficacy

The goal of this observational study is to understand the role of health literacy in shaping the relationship between gender differences, illness identity, and self-efficacy in geriatric patients with cardiac diseases. The main question it aims to answer is:

Does health literacy mediate the relationship between gender, illness identity, and self-efficacy in elderly cardiac patients?

Participants with diagnosed cardiac conditions, will complete online surveys assessing their health literacy, illness identity, and self-efficacy over a one-year period. Structural Equation Modeling (SEM) will be used to analyze the relationships among these variables.

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Key information

Conditions

Cardiac Diseases Cardiovascular Diseases Heart Diseases

Age range

30 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Adults aged 30 years or older.
Diagnosed with a cardiac disease (e.g., heart failure, coronary artery disease, arrhythmia).
Able to provide informed consent.
Sufficient health literacy to complete surveys in the study language.
Currently under regular medical care for their cardiac condition.

Exclusion criteria

Individuals with a cognitive impairment or diagnosis of dementia that could interfere with survey participation.
Patients with co-morbid terminal illnesses that significantly impact life expectancy (e.g., advanced cancer).

Treatment and study plan

Primary outcomes

Illness Identity Questionnaire (IIQ)

Time frame: 1 month

Description: The Illness Identity Questionnaire (IIQ) is a 25-item, self-report, paper-and-pencil questionnaire that was initially used and validated in adolescents and young adults with type 1 diabetes mellitus. Patients are asked to indicate how much they agree with 25 statements, using a 5-point Likert scale ranging from 1-5 (strongly disagree to strongly agree). The IIQ consists of a 5-item rejection scale (items 1-5); 5-item acceptance scale (items 6-10); an 8-item engulfment scale (items 11-18); and 7-item enrichment scale (items 19-25).

Secondary outcomes

Cardiac Self-Efficacy Scale

Time frame: 1 month

The Cardiac Self-Efficacy Scale (CSES) is a valuable tool used to assess how confident individuals with heart conditions feel about managing their illness and maintaining daily activities. This scale provides insight into two main areas of self-efficacy: the ability to control symptoms, such as chest pain or fatigue, and the capacity to maintain physical and emotional well-being despite the challenges posed by their condition.

Study contacts

Contact information is provided by the study sponsor or research team.

Mohammed ElSayed Zaky Principle Investigator, Ph.D

CONTACT

[email protected]

01000553254

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

The Mediating Role of Health Literacy in the Relationship Between Gender Differences, Illness Identity, and Self-Efficacy Patients with Cardiac Diseases: a Structural Equation Model

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2025
First posted: Nov 27, 2024
Registry last updated: Nov 29, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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