The Mediating Role of Self-Efficacy in the Relationship Between Sociodemographic and Clinical Factors and Quality of Life in Individuals with Multimorbidity
Gülyeter Erdoğan Yüce, Kemal GörgülüBackground:
Multimorbidity may reduce quality of life due to physical limitations, treatment burden, and self-management challenges. Although self-efficacy is associated with improved quality of life in chronic conditions, its role in multimorbidity remains unclear.
Objective:
This study aimed to examine the relationship between self-efficacy and quality of life in individuals with multimorbidity and to evaluate the role of sociodemographic and clinical factors in this relationship.
Methods:
This cross-sectional study was conducted at a single center in Türkiye with 366 participants. Data were collected face-to-face using a patient information form, the Short Form-12 Health Questionnaire, and the Chronic Diseases Self-Efficacy Scale. Relationships between variables were analyzed using correlation analysis and structural equation modeling.
Results:
Self-efficacy was strongly associated with both physical (β = 0.661;
Conclusions:
Self-efficacy was strongly associated with both physical and mental components of quality of life and played a mediating role in the associations between sociodemographic and clinical factors and quality of life. Interventions targeting self-efficacy may help improve the quality of life in individuals with multimorbidity.