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Disease Knowledge, Self-Efficacy, and Quality of Life in Patients with Chronic Diseases

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Guest Editor
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei 10051, Taiwan
Interests: occupational therapy in mental health; the development of evaluation tools; Rasch measurement model; model of human occupation; medical education

Special Issue Information

Dear Colleagues,

People with chronic conditions have a variety of needs across their lifespan. Whether they are recovering from a mental or physical illness, they strive to live life to the fullest. The aim of this Special Issue is to publish the latest scientific discoveries to maintain and improve their well-being and quality of life.

We welcome articles related to disease awareness, self-efficacy, or quality of life that contribute to the health and well-being of people with chronic conditions. We also welcome articles on measures of well-being or quality of life for people with chronic conditions. I look forward to receiving your contributions to this Special Issue.

Dr. Ay-Woan Pan
Guest Editor

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Keywords

  • disease knowledge
  • self efficacy
  • quality of life
  • chronic disease
  • well being

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Published Papers (3 papers)

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Research

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13 pages, 599 KiB  
Article
Association of Parental Oral Health Knowledge and Self-Efficacy with Early Childhood Caries and Oral Health Quality of Life in Texas Schoolchildren
by Shreela V. Sharma, Jeanette E. Deason, Mengxi Wang, Alejandra Garcia-Quintana, Ru-Jye Chuang, Kila Johnson, Shalisa Garner, Steven Kelder and Jose-Miguel Yamal
Int. J. Environ. Res. Public Health 2025, 22(4), 513; https://doi.org/10.3390/ijerph22040513 - 27 Mar 2025
Viewed by 345
Abstract
Improving children’s oral health is a national priority. Parental knowledge and self-efficacy influence children’s health behaviors; however, the relationship between parental oral health-related knowledge, self-efficacy, child oral health-related quality of life (OHQoL), and dental caries remains unclear, especially among low-income, ethnically diverse U.S. [...] Read more.
Improving children’s oral health is a national priority. Parental knowledge and self-efficacy influence children’s health behaviors; however, the relationship between parental oral health-related knowledge, self-efficacy, child oral health-related quality of life (OHQoL), and dental caries remains unclear, especially among low-income, ethnically diverse U.S. families. This study assesses the relationship between parental oral health-related knowledge, self-efficacy, child dental caries, and OHQoL. This cross-sectional seco ndary analysis uses baseline data from a school-based cluster-randomized controlled trial among children (kindergarten–second grade). Dental assessments were conducted using the International Caries Detection and Assessment System (ICDAS) on site in schools at baseline (n = 34 schools, n = 1084 consenting parent–child dyads). Child OHQoL, parental knowledge, and self-efficacy were measured using validated self-report surveys. Associations between exposures and outcomes (child dental caries prevalence, child OHQoL) were evaluated by univariate and multivariable logistic and linear regressions, respectively. After adjusting for covariates, higher parental self-efficacy was associated with lower child OHQoL (lower score indicates higher quality of life) [beta = −0.16, 95% CI: −0.24, −0.09, p < 0.01] and lower odds of active dental caries [Adj OR: 0.95, 95% CI: 0.9, 0.99, p = 0.02]. No significant associations were noted for parental knowledge. These findings can inform future research, understanding how parental psychosocial factors influence dental caries prevention behaviors and risk, and inform interventions for children. Full article
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15 pages, 294 KiB  
Article
The Association Between Health Belief Model Components and Self-Care Practices Among Black/African American Men with Type 2 Diabetes
by Jeong-Hui Park, Ledric D. Sherman, Matthew Lee Smith, Megan S. Patterson and Tyler Prochnow
Int. J. Environ. Res. Public Health 2025, 22(3), 414; https://doi.org/10.3390/ijerph22030414 - 12 Mar 2025
Viewed by 1620
Abstract
This study investigates the impact of the Health Belief Model (HBM) constructs on self-care behaviors among Black/African American men with Type 2 Diabetes (T2D). A cross-sectional survey was conducted from February to June 2024, involving 1225 Black/African American men aged 21 years or [...] Read more.
This study investigates the impact of the Health Belief Model (HBM) constructs on self-care behaviors among Black/African American men with Type 2 Diabetes (T2D). A cross-sectional survey was conducted from February to June 2024, involving 1225 Black/African American men aged 21 years or older who self-reported a T2D diagnosis. The survey included HBM constructs, and self-care behaviors measured using established scales. Statistical analyses, including multiple linear regression, were performed to assess the relationships between HBM components and self-care practices, adjusted by demographic factors such as age, education, and income. The study found that self-efficacy was the strongest predictor of self-care behaviors across all domains (β = 0.055, p < 0.001). Perceived susceptibility was positively associated with healthful eating (β = 0.042, p = 0.038), glucose monitoring (β = 0.117, p < 0.001), and foot care (β = 0.140, p < 0.001). Perceived severity was positively linked to diet adherence (β = 0.015, p < 0.001) and glucose monitoring (β = 0.028, p < 0.001). Perceived barriers were negatively associated with self-care practices, including glucose monitoring (β = −0.047, p < 0.001). However, perceived benefits did not significantly impact overall self-care behaviors (β = 0.001, p = 0.893). Self-efficacy, perceived susceptibility, and perceived severity were significant predictors of self-care behaviors among Black/African American men with T2D. In particular, interventions aimed at enhancing self-efficacy, addressing barriers, and promoting awareness of diabetes risks may improve diabetes management and self-care behaviors in this population. Full article

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10 pages, 2334 KiB  
Systematic Review
Raynaud’s Phenomenon of the Nipple: Epidemiological, Clinical, Pathophysiological, and Therapeutic Characterization
by Thaís Gomes Moreira, Giovana Mamede Castro and Jucier Gonçalves Júnior
Int. J. Environ. Res. Public Health 2024, 21(7), 849; https://doi.org/10.3390/ijerph21070849 - 28 Jun 2024
Cited by 1 | Viewed by 2561
Abstract
Raynaud’s phenomenon of the nipple is a possible cause of pain and breastfeeding cessation in lactating women. However, there are still few studies on the characterization of this manifestation. Thus, we aim to develop a systematic review of the literature carried out between [...] Read more.
Raynaud’s phenomenon of the nipple is a possible cause of pain and breastfeeding cessation in lactating women. However, there are still few studies on the characterization of this manifestation. Thus, we aim to develop a systematic review of the literature carried out between January 1992 and January 2024 in PubMed, Scopus, Web of Science, Virtual Health Library (VHL), and Portal de Periódicos da CAPES. Of the 438 articles, 19 met the eligibility criteria. The findings were divided by heuristic questions into two groups: “Epidemiological, pathophysiological, and clinical characterization of Raynaud’s Phenomenon of the nipple” and “Treatment of Raynaud’s Phenomenon of the nipple”. Raynaud’s phenomenon of the nipple is commonly primary, being more prevalent in the postpartum period, in women with a mean age of 32 years. The main triggers appear to be stress and temperature change. Generally, it is associated with a change in color and pain during breastfeeding. A calcium channel blocker was the most used medication with or without non-pharmacological measures. Full article
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