The influence of patient engagement and self-efficacy on self-care in myeloproliferative neoplasms: A mediation analysis
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Le résumé fourni par la source
PURPOSE: To identify predictors of self-care in patients with myeloproliferative neoplasms (MPN) and test the role of self-efficacy in mediating the relationship between patient health engagement and self-care. METHODS: A cross-sectional study was carried out in 9 haematology centres across Italy. A sample of adult patients with essential thrombocythemia (ET), polycythaemia vera (PV), and myelofibrosis (MF) was recruited from outpatient settings. Participants completed a paper-based questionnaire assessing self-care (Self-Care in MyeloProliferative Neoplasms Inventory, SC-MPNI), self-efficacy (Self-Care Self-Efficacy Scale, SCSES), patient health engagement (Patient Health Engagement Scale, PHE-Scale), and socio-demographic and clinical characteristics. Regression analysis and structural equation modelling (SEM) were used. RESULTS: Participants were 282 patients with a diagnosis of PV (n = 78, 28.1 %), ET (n = 82, 29.5 %), and MF (n = 118, 42.4 %) (M = 60 years, SD = 13.5). Several predictors of self-care were identified, including level of education, working full-time, time since diagnosis, spirituality, and the haematologist's clarity on advising patients on what to do in daily life. The SEM showed that patient health engagement had a positive effect on self-efficacy (β = 0.40), which in turn had a positive impact on self-care maintenance (β = 0.32), self-care monitoring (β = 0.47), and self-care management (β = 0.51). Self-efficacy fully mediated the relationship between engagement and self-care. CONCLUSIONS: Higher patient health engagement can enhance self-care behaviours in people with MPNs by increasing their self-efficacy.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The influence of patient engagement and self-efficacy on self-care in myeloproliferative neoplasms: A mediation analysis
- Date Crossref
- 01/02/2026
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Bologna Department of Medical and Surgical Sciences - DIMEC pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera Ospedale Maggiore pays non établi dans la noticeÉtablissement de santé
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Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico pays non établi dans la noticeÉtablissement de santé
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Istituto di Ematologia di Bologna pays non établi dans la noticeStructure de recherche
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Azienda USL di Bologna pays non établi dans la noticeÉtablissement de santé
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Ospedale Maggiore Hematology Division pays non établi dans la noticeÉtablissement de santé
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Ospedale Garibaldi pays non établi dans la noticeÉtablissement de santé
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Agostino Gemelli University Polyclinic pays non établi dans la noticeÉtablissement de santé
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Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo pays non établi dans la noticeÉtablissement de santé
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Foundation Center pays non établi dans la noticeOrganisation à but non lucratif
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Hematology Unit pays non établi dans la noticeInstitution
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Italian Association of MPN Patients (AIPAMM) pays non établi dans la noticeOrganisation à but non lucratif
Department of Medical and Surgical Sciences - DIMEC — University of Bologna, Azienda Ospedaliera Ospedale Maggiore et Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.