Health related self efficacy and associated factors among patients with chronic diseases at university of Gondar comprehensive specialize hospital.

Authors

Abdisa Gemedi Jara, Banchamlak Teferi Mekonen, Aschalew Mulatu Tefera, Leila Kenzu Kemal, Fasil Bayafers Tamene, Blen Hamus Mekuria, Mezgebu Sewnet Ayalew, Dagim Zelalem Amare, Ermias Solomon Yalew, Faisel Dula Sema, Wagaye Atalay Taye

Published in

Scientific reports. Jul 13, 2026. Epub Jul 13, 2026.

Abstract

Chronic diseases result from the interaction of genetic, physiological, environmental, and behavioral factors. The death rate from chronic diseases has been increasing, and they are the leading cause of disability and preventable deaths. Behavioral risk factors are central to the progression of chronic diseases, and strong Health-related self-efficacy (HRSE) is crucial for reducing burdens through effective measures of self-management. This study aimed to assess HRSE and associated factors among patients with chronic disease at the University of Gondar Comprehensive Specialized Hospital (UOGCSH). A cross-sectional study was conducted at the UOGCSH chronic outpatient department from October 24 to December 30, 2024, among patients with chronic disease who had regular follow-up. Data were collected using the health-related self-efficacy tool and an interviewer-administered method. Adjusted Odds Ratios with 95% confidence intervals were used to report the strength of associations. Significance was set at P-value < 0.05. The Hosmer-Lemeshow goodness-of-fit test was used to assess the model's fit. A total of 410 patients (response rate 97.16%) participated in this study, with a mean ± SD age of 49.7 ± 13.77 years. Of all participants, 105 (25.6%, 95% CI: 21.2-30) had a good HRSE. Participants reported higher confidence in resisting alcohol. The multivariable binary logistic regression indicated that higher educational levels and comorbidities (AOR = 0.524, 95% CI: 0.309-0.88) are associated with higher odds of good HRSE. However, patients diagnosed with epilepsy (AOR = 0.081, 95% CI: 0.01-0.659) have lower HRSE than diabetes patients. Only one-quarter of patients with chronic diseases have good HRSE. Educational level, type of diagnosed disease, and comorbidities were associated with HRSE. Healthcare services should strengthen their strategies to improve HRSE through patient education and counseling, which might improves the management of behavioral risk factors among patients with chronic diseases.

PMID:
42437778
Bibliographic data and abstract were imported from PubMed on 13 Jul 2026.

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