How Social Factors and Health Literacy Affect Diabetes Self-Management
Uses questionnaires to study what shapes diabetes self-care in adults with diabetes.
Plain-language title generated from the registry record
Registry title: Socio-Ecological Determinants and Health Literacy: A Path Analysis of Self-Management Agency Among Patients With Diabetes Mellitus
Key facts
- Where
- Alexandria, EgyptSee the 2 sites
AI summary: who the study is looking for
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults with type 1 or type 2 diabetes who get follow-up care in outpatient or primary care. Taking part means answering questionnaires.
- Age
- 18 years and older
- Sex
- All sexes can join
- Disease stage
- Type 1 or type 2 diabetes mellitus
- Earlier treatment
- Must be getting follow-up care in outpatient or primary healthcare settings
Main reasons for not taking part
- Severe cognitive impairment
- Acute medical conditions that prevent taking part
- Pregnant women with gestational diabetes
- Cannot communicate verbally or give informed consent
Read by machine on 13 November 2026.
Where in Egypt
- Alexandria University Hospital, Faculty of NursingAlexandria, EgyptContact: Mohamed Fakhry Ahmed Salem, PhD Medical-Surgical NursingTaking people
- Faculty of Nursing, Alexandria UniversityAlexandria, EgyptContact: Mohamed Fakhry Ahmed Salem, phdNot yet recruiting
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorTrial details
- Who runs it
- Alexandria University
- Trial code
- NCT07591103
- Record updated
- 5 June 2026
- Original description
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.Read full original descriptionShow less
Socio-Ecological Determinants and Health Literacy as Predictors of Self-Management Agency Among Patients With Diabetes Mellitus: A Cross-Sectional Path Analysis 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.
Inclusion: - Adults aged 18 years and older; Diagnosed with type 1 or type 2 diabetes mellitus; Receiving follow-up care in outpatient or primary healthcare settings; Able to communicate verbally and provide informed consent.
Exclusion: - Patients with severe cognitive impairment; Patients with acute medical conditions preventing participation; Pregnant women diagnosed with gestational diabetes.