Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Jul 3, 2024
Date Accepted: May 27, 2025
Relationship between Stroke knowledge, Health Information Literacy, and Health Self- Management among patients with stroke: the mediating effect of Health Information Literacy
ABSTRACT
Background:
The World Health Organization has emphasised the importance of effective self-management in the prevention and control of chronic diseases. Disease progression can be effectively controlled through good self-management. In addition, Health Information Literacy (HIL) is seen by health professionals as an important aspect of health promotion, disease prevention and chronic disease management.
Objective:
This was a multicentre, cross-sectional design. To investigate the relationship between health information literacy (HIL), stroke knowledge and self-management in stroke patients.
Methods:
Stroke patients (n=514) from three large general hospitals in Chengdu, western China, were selected between September 2022 and March 2023. Questionnaires were administered to collect socio-demographic data and to assess HIL, stroke knowledge and self-management skills. Regression and correlation analyses were performed using SPSS 26.0 software to examine mediating effects.
Results:
Stroke patients had a mean score of 17.61±6.46 for stroke knowledge, 61.17+13.58 for HIL and 158.70±19.07 for self-management skills. Correlation analysis showed a positive correlation of stroke knowledge with both self-management (r=0.668; P<.001) and HIL (r=0.138; P<.001). The mediation test showed that HIL had a mediation effect value of 45.2% and thus served as a mediator between stroke knowledge and self-management ability.
Conclusions:
HIL partially mediates the relationship between knowledge and self-management in stroke patients. In order to improve patients' self-management skills, healthcare providers need to focus on improving the level of HIL in patients with limited knowledge of the disease.
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