The influence of patient self-efficacy on value co-creation behavior and outcomes in chronic disease management: a cross-sectional study

作者：Jiamin Tang, Jie Jia, Yuan Gao, Wenwen Yu, Zhengnan Meng, Hailong Zhu, Xianhong Huang · 发表于：BMC Public Health · 年份：2025 · DOI：10.1186/s12889-025-22917-8 · 被引用次数：11 · 研究领域：Service and Product Innovation、Technology Adoption and User Behaviour、Innovation and Socioeconomic Development

BACKGROUND: In the medical field, value co-creation involves patients' active involvement. By collaborating with service providers, patients can contribute to the creation of more targeted and effective value. Patients' self-efficacy and behavior are crucial in this process, as their active participation and support can enhance their service experience. This study investigated the impact of chronic disease patients' self-efficacy and value co-creation behaviors on the outcomes of value co-creation. METHODS: Relevant data were acquired through a questionnaire survey using statistical methods, such as the t-test, analysis of variance, and stratified linear regression. This approach was used to examine the current conditions and factors influencing value co-creation outcomes among community-dwelling patients with chronic diseases. Additionally, a structural equation model was employed to systematically investigate and validate the impact pathways and mechanisms related to the influence of self-efficacy and value co-creation behaviors on value co-creation outcomes. We also explored the moderating effect of digital health technology application capabilities on the relationship between self-efficacy and value co-creation behaviors. RESULTS: Self-efficacy, information search, interactive collaboration, feedback provision, and shared decision-making exert significant positive influences on the value co-creation outcomes among individuals with chronic diseases. The path analysis of th...