[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100637172":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":19,"centralContacts":23,"locations":31,"responsibleParty":61,"collaborators":10,"id":63,"slug":10,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":10,"eligibilityCriteria":68,"healthyVolunteers":64,"sex":69,"minAge":70,"maxAge":10,"enrollmentInfo":71,"targetDuration":10,"studyType":74,"phases":10,"briefSummary":75,"conditions":76,"keywords":78,"overallStatus":34,"whyStopped":10,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Alexandria University","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Patients with Diabetes Mellitus",null,"Adult patients diagnosed with type 1 or type 2 diabetes mellitus receiving outpatient follow-up care and participating in a cross-sectional observational assessment.",[13],"Other: Questionnaire-based assessment",[15],{"type":6,"name":16,"description":17,"armGroupLabels":18,"otherNames":10},"Questionnaire-based assessment","No clinical or behavioral intervention is applied. This observational study involves a questionnaire-based assessment to collect data on socio-ecological determinants, health literacy, and self-management agency among adult patients with diabetes mellitus.",[9],[20],{"name":21,"affiliation":5,"role":22},"Mohamed Fakhry Ahmed Salem","PRINCIPAL_INVESTIGATOR",[24,29],{"name":25,"role":26,"phone":27,"phoneExt":10,"email":28},"Mohamed Fakhry Ahmed Salem, phd","CONTACT","+201286038014","Mohamed.Fakhry@alexu.edu.eg",{"name":30,"role":26,"phone":10,"phoneExt":10,"email":28},"Ahmed Salem",[32,52],{"facility":33,"status":34,"city":35,"state":36,"zip":37,"country":38,"countryCode":39,"cosmosGeoPoint":40,"geoPoint":45,"contacts":46},"Alexandria University Hospital, Faculty of Nursing","RECRUITING","Alexandria","Alexandria Governorate","21511","Egypt","EG",{"type":41,"coordinates":42},"Point",[43,44],29.91582,31.20176,{"lat":44,"lon":43},[47,50],{"name":48,"role":26,"phone":49,"phoneExt":10,"email":28},"Mohamed Fakhry Ahmed Salem, PhD Medical-Surgical Nursing","01286038014",{"name":51,"role":22,"phone":10,"phoneExt":10,"email":10},"Mohamed Fakhry Ahmed Salem, PhD in Medical-Surgical Nursin",{"facility":53,"status":54,"city":35,"state":36,"zip":37,"country":38,"countryCode":39,"cosmosGeoPoint":55,"geoPoint":57,"contacts":58},"Faculty of Nursing, Alexandria University","NOT_YET_RECRUITING",{"type":41,"coordinates":56},[43,44],{"lat":44,"lon":43},[59,60],{"name":25,"role":26,"phone":49,"phoneExt":10,"email":28},{"name":51,"role":22,"phone":10,"phoneExt":10,"email":10},{"type":22,"investigatorFullName":21,"investigatorTitle":62,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"Lecturer of Medical-Surgical Nursing","100637172",false,"NCT07591103","Socio-Ecological Determinants and Health Literacy: A Path Analysis of Self-Management Agency Among Patients With Diabetes Mellitus","Socio-Ecological Determinants and Health Literacy as Predictors of Self-Management Agency Among Patients With Diabetes Mellitus: A Cross-Sectional Path Analysis Study","Inclusion Criteria:\n\n* \\- Adults aged 18 years and older.\n* Diagnosed with type 1 or type 2 diabetes mellitus.\n* Receiving follow-up care in outpatient or primary healthcare settings.\n* Able to communicate verbally and provide informed consent.\n\nExclusion Criteria:\n\n* \\- Patients with severe cognitive impairment.\n* Patients with acute medical conditions preventing participation.\n* Pregnant women diagnosed with gestational diabetes.","ALL","18 Years",{"count":72,"type":73},400,"ESTIMATED","OBSERVATIONAL","This study aims to examine the relationships between socio-ecological determinants, health literacy, and self-management agency among patients with diabetes mellitus. Using a path analysis framework, the study investigates how multi-level socio-ecological factors and different dimensions of health literacy influence patients' capacity for diabetes self-management. Understanding these pathways will support the development of comprehensive, context-sensitive interventions to improve diabetes outcomes.",[77],"Diabetes Mellitus (Type 1 and Type 2)",[79,80,81,82,83],"Diabetes Mellitus","Health Literacy","Self-Management","Socio-Ecological Determinants","Self-Care Agency","2026-06-04",{"date":86,"type":87},"2026-06-05","ACTUAL",{"date":89,"type":87},"2026-05-15",{"date":91,"type":73},"2026-07-30",{"name":5,"class":6},2]