Self-management and health literacy in diabetes: how social factors shape what patients can do
Official title: Socio-Ecological Determinants and Health Literacy as Predictors of Self-Management Agency Among Patients With Diabetes Mellitus: A Cross-Sectional Path Analysis Study
Run by Alexandria University · NCT07591103 · Data updated 2026-11-12
This study tests how people’s surroundings and their health literacy affect their ability to manage diabetes on a day-to-day basis.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Alexandria University Academic / other |
| Locations | 2 sites (Alexandria, Alexandria Governorate and 1 other locations) |
| Status | Recruiting |
| Started | May 15, 2026 |
| Main results expected | July 1, 2026 |
| Study ends | July 30, 2026 |
| Registry record updated | June 5, 2026 |
| Trial ID | NCT07591103 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with type 1 or type 2 diabetes receiving care in outpatient or primary healthcare settings.
✕Probably not a fit
Patients without access to social support or adequate health literacy may see limited benefit from this observational work.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study uses a path-analysis approach to explore how multi-level socio-ecological factors and health literacy relate to diabetes self-management agency. Grounded in the Social Ecological Model and Orem’s Self-Care Deficit Theory, it examines direct and indirect pathways influencing self-management behaviors. Data will be collected through questionnaires measuring health literacy, self-care agency, and socio-ecological determinants, plus demographics. The goal is to identify context-sensitive targets for interventions that support better diabetes management in outpatient and primary care settings.
Why it matters
Potential benefit: Findings could help design more effective, tailored interventions to improve diabetes self-management.
How similar studies have gone: Previous work has shown meaningful links between health literacy, social environment, and self-management in diabetes, supporting this study’s approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * \- 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 Criteria: * \- Patients with severe cognitive impairment. * Patients with acute medical conditions preventing participation. * Pregnant women diagnosed with gestational diabetes.
Where it's running
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Alexandria University Hospital, Faculty of Nursing
Alexandria, Alexandria Governorate, Egypt Recruiting -
Faculty of Nursing, Alexandria University
Alexandria, Alexandria Governorate, Egypt Not yet recruiting
Study contacts
- Principal investigator: Mohamed Fakhry Ahmed Salem — Alexandria University
- Study coordinator: Mohamed Fakhry Ahmed Salem, phd
- Email: Mohamed.Fakhry@alexu.edu.eg
- Phone: +201286038014
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.