Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being

Background: Understanding the determinants of self-care self-efficacy (SS) is essential to improving health outcomes in patients facing advanced disease. This study contributes to the field by examining the direct and indirect effects of quality of care (QC), patient-centered communication (PCC), pe...

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Autores principales: Ramos‐Vera, Cristian, Basauri-Delgado, Miguel, Krikorian, Alicia, Calizaya Milla, Yaquelin Eveling, Saintila, Jacksaint
Formato: Artículo
Lenguaje:inglés
Publicado: 2025
Materias:
Palliative care
Quality Of Health Care
Patient-centered Care
Health Status
Self-efficacy
Self-care
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author Ramos‐Vera, Cristian
Basauri-Delgado, Miguel
Krikorian, Alicia
Calizaya Milla, Yaquelin Eveling
Saintila, Jacksaint
author_browse Basauri-Delgado, Miguel
Calizaya Milla, Yaquelin Eveling
Krikorian, Alicia
Ramos‐Vera, Cristian
Saintila, Jacksaint
author_facet Ramos‐Vera, Cristian
Basauri-Delgado, Miguel
Krikorian, Alicia
Calizaya Milla, Yaquelin Eveling
Saintila, Jacksaint
author_sort Ramos‐Vera, Cristian
collection Producción científica
description Background: Understanding the determinants of self-care self-efficacy (SS) is essential to improving health outcomes in patients facing advanced disease. This study contributes to the field by examining the direct and indirect effects of quality of care (QC), patient-centered communication (PCC), perceived health (PH), and emotional well-being (EW) on SS in American adults with knowledge of palliative care. Methods: A predictive-crossover design study was conducted. Data from N = 1154 adult respondents to the 2018 Health Information National Trends Survey (HINTS) 5, cycle 2 were used. Structural Equation Modeling (SEM) was used to report the direct and indirect effects for the proposed mediation model. Results: QC had a strong, significant association with PCC (β =0.930, p <0.001). PCC was significantly associated with PH (β =0.104, p <0.01) and EW (β =0.098, p <0.01), but not directly with SS (β =0.030, p >0.05). SS was significantly predicted by PH (β =0.659, p <0.001) and EW (β =0.178, p <0.001). Indirect effects of PCC on SS via PH and EW were confirmed. Conclusion: These findings highlight the importance of promoting perceived health and emotional well-being as key mechanisms by which care quality and communication impact self-efficacy. This study underscores the need to prioritize patient perceptions in palliative care interventions aimed at enhancing self-care capacity.
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spelling oai:cris.upeu.edu.pe:20.500.15037/2582026-11-02T12:57:04ZPredictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-BeingRamos‐Vera, CristianBasauri-Delgado, MiguelKrikorian, AliciaCalizaya Milla, Yaquelin EvelingSaintila, JacksaintPalliative careQuality Of Health CarePatient-centered CareHealth StatusSelf-efficacySelf-careBackground: Understanding the determinants of self-care self-efficacy (SS) is essential to improving health outcomes in patients facing advanced disease. This study contributes to the field by examining the direct and indirect effects of quality of care (QC), patient-centered communication (PCC), perceived health (PH), and emotional well-being (EW) on SS in American adults with knowledge of palliative care. Methods: A predictive-crossover design study was conducted. Data from N = 1154 adult respondents to the 2018 Health Information National Trends Survey (HINTS) 5, cycle 2 were used. Structural Equation Modeling (SEM) was used to report the direct and indirect effects for the proposed mediation model. Results: QC had a strong, significant association with PCC (β =0.930, p <0.001). PCC was significantly associated with PH (β =0.104, p <0.01) and EW (β =0.098, p <0.01), but not directly with SS (β =0.030, p >0.05). SS was significantly predicted by PH (β =0.659, p <0.001) and EW (β =0.178, p <0.001). Indirect effects of PCC on SS via PH and EW were confirmed. Conclusion: These findings highlight the importance of promoting perceived health and emotional well-being as key mechanisms by which care quality and communication impact self-efficacy. This study underscores the need to prioritize patient perceptions in palliative care interventions aimed at enhancing self-care capacity.Articlehttps://pubmed.ncbi.nlm.nih.gov/41035619https://www.dovepress.com/article/download/107334https://doi.org/10.2147/ppa.s529645PMC1248293710.2147/ppa.s529645https://hdl.handle.net/20.500.15037/25841035619W4414508109enPatient Preference and Adherence1177-889X2025-09-012026-06-13T08:08:57Z2026-06-13T08:08:57Z
spellingShingle Palliative care
Quality Of Health Care
Patient-centered Care
Health Status
Self-efficacy
Self-care
Ramos‐Vera, Cristian
Basauri-Delgado, Miguel
Krikorian, Alicia
Calizaya Milla, Yaquelin Eveling
Saintila, Jacksaint
Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being
title Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being
title_full Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being
title_fullStr Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being
title_full_unstemmed Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being
title_short Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being
title_sort predictors of self care self efficacy in adults familiar with palliative care the role of patient centered communication health and well being
topic Palliative care
Quality Of Health Care
Patient-centered Care
Health Status
Self-efficacy
Self-care
topic_facet Palliative care
Quality Of Health Care
Patient-centered Care
Health Status
Self-efficacy
Self-care
url https://pubmed.ncbi.nlm.nih.gov/41035619
https://www.dovepress.com/article/download/107334
https://doi.org/10.2147/ppa.s529645
https://hdl.handle.net/20.500.15037/258
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