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  • Liuchang T, Jinran L
  • How does PCC reduce the probability of chronic diseases in adults? The sequential mediation role of PEHR and health literacy.v
  • JMIR Formative Research
  • DOI: 10.2196/11848
  • PMID: 30303485
  • PMCID: 6352016
Preprints Accepted Manuscript

How does PCC reduce the probability of chronic diseases in adults? The sequential mediation role of PEHR and health literacy.v

Abstract

Research has demonstrated links between patient-centered communication (PCC) and patients’ health outcomes. However, little is known about the links between PCC and specific chronic diseases. Besides, research has also demonstrated links between personal electronic health record (PEHR)usage and health literacy, while little is known about the two variables as mediators in the relationship between PCC and chronic disease. This study is one of the first to examine the influence of PCC on adults’ chronic disease through sequential mediators: PEHR and health literacy. With a general basis of Street et al.’s pathway model, we proposed and tested sequential mediation pathways linking patient-centered communication to the adult population’s chronic disease, mediated by PEHR and sequentially mediated by PEHR and health literacy. Data from the 2022 iteration (updated May 16, 2023) of the Health Information National Trends Survey (HINTS6) were used for this study. This study focused on adults aged 18 and above. Results indicated that after controlling participants’ age, gender, education, and income, PCC is related to adult people’s chronic disease outcomes either directly or indirectly. Specifically, PEHR significantly mediates the associations between PCC and the adults’ chronic disease probabilities. Noteworthily, findings from this study also revealed that PEHR and health literacy sequentially mediate the relationship between PCC and chronic disease probabilities.

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Citation

Please cite as:

Liuchang T, Jinran L

How does PCC reduce the probability of chronic diseases in adults? The sequential mediation role of PEHR and health literacy.v

JMIR Formative Research

DOI: 10.2196/14886

URL: https://preprints.jmir.org/preprint/11848

PMID: 31789598

PMCID: 6352016

How does PCC reduce the probability of chronic diseases in adults? The sequential mediation role of PEHR and health literacy.v

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