The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study
BackgroundChildbirth readiness is an important component of maternal and child health. Therefore, it is imperative to understand identify the factors influencing childbirth readiness to develop interventions for improving women's wellbeing. In the current digital age, it is crucial to explore t...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1561855/full |
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| author | Ningying Zhou Danni Wu Min Liu Shanshan Hu Feng Zhang Yuqing Zan Fei Sun |
| author_facet | Ningying Zhou Danni Wu Min Liu Shanshan Hu Feng Zhang Yuqing Zan Fei Sun |
| author_sort | Ningying Zhou |
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| description | BackgroundChildbirth readiness is an important component of maternal and child health. Therefore, it is imperative to understand identify the factors influencing childbirth readiness to develop interventions for improving women's wellbeing. In the current digital age, it is crucial to explore the link between eHealth literacy and childbirth readiness. However, few studies have investigated this relationship. Here, we explored the effect of eHealth literacy on childbirth readiness and examined the mediating role of self-efficacy in this relationship.MethodsA total of 350 third-trimester pregnant women were enrolled in this survey from April to June 2023 at the outpatient departments of the Affiliated Women's Hospital of Jiangnan University, China. Four questionnaires were used to collect data from participants: the General Information Questionnaire, eHealth Literacy Scale (eHEALS), General Self-Efficacy Scale (GSES), and Childbirth Readiness Scale (CRS). The associations among variables were determined through Pearson correlation analysis, and the Amos 26.0 software was employed to analyze the mediating role of self-efficacy.ResultsA total of 350 surveys were distributed to the participants, and 338 eligible questionnaires were finally collected, translating to a response rate of 96.57%. The average score of participants was 27.39 ± 6.40 on the GSES, 32.15 ± 6.16 on the eHEALS, and 74.26 ± 8.81 on the CRS. The eHEALS scores exhibited a strong positive association with self-efficacy (r = 0.509, P < 0.01), which in turn was positively correlated with childbirth readiness (r = 0.505, P < 0.01). Self-efficacy mediated the relationship between eHealth literacy and childbirth readiness, accounting for 33.02% of the total effect.ConclusionsE-health literacy is a positive predictor of childbirth readiness among pregnant women, with self-efficacy mediating the association. These findings provide a basis for developing targeted interventions to improve childbirth readiness. |
| format | Article |
| id | doaj-art-aa0f97c6a37341ba9e51ecff25d77825 |
| institution | OA Journals |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-aa0f97c6a37341ba9e51ecff25d778252025-08-20T02:16:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-04-011310.3389/fpubh.2025.15618551561855The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional studyNingying Zhou0Danni Wu1Min Liu2Shanshan Hu3Feng Zhang4Yuqing Zan5Fei Sun6Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaDepartment of Nursing, Affiliated Women's Hospital of Jiangnan University, Wuxi, Jiangsu, ChinaDepartment of Nursing, Affiliated Women's Hospital of Jiangnan University, Wuxi, Jiangsu, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaDepartment of Obstetrical, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, ChinaBackgroundChildbirth readiness is an important component of maternal and child health. Therefore, it is imperative to understand identify the factors influencing childbirth readiness to develop interventions for improving women's wellbeing. In the current digital age, it is crucial to explore the link between eHealth literacy and childbirth readiness. However, few studies have investigated this relationship. Here, we explored the effect of eHealth literacy on childbirth readiness and examined the mediating role of self-efficacy in this relationship.MethodsA total of 350 third-trimester pregnant women were enrolled in this survey from April to June 2023 at the outpatient departments of the Affiliated Women's Hospital of Jiangnan University, China. Four questionnaires were used to collect data from participants: the General Information Questionnaire, eHealth Literacy Scale (eHEALS), General Self-Efficacy Scale (GSES), and Childbirth Readiness Scale (CRS). The associations among variables were determined through Pearson correlation analysis, and the Amos 26.0 software was employed to analyze the mediating role of self-efficacy.ResultsA total of 350 surveys were distributed to the participants, and 338 eligible questionnaires were finally collected, translating to a response rate of 96.57%. The average score of participants was 27.39 ± 6.40 on the GSES, 32.15 ± 6.16 on the eHEALS, and 74.26 ± 8.81 on the CRS. The eHEALS scores exhibited a strong positive association with self-efficacy (r = 0.509, P < 0.01), which in turn was positively correlated with childbirth readiness (r = 0.505, P < 0.01). Self-efficacy mediated the relationship between eHealth literacy and childbirth readiness, accounting for 33.02% of the total effect.ConclusionsE-health literacy is a positive predictor of childbirth readiness among pregnant women, with self-efficacy mediating the association. These findings provide a basis for developing targeted interventions to improve childbirth readiness.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1561855/fullpregnant womenchildbirth readinesseHealth literacyself-efficacymediating effect |
| spellingShingle | Ningying Zhou Danni Wu Min Liu Shanshan Hu Feng Zhang Yuqing Zan Fei Sun The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study Frontiers in Public Health pregnant women childbirth readiness eHealth literacy self-efficacy mediating effect |
| title | The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study |
| title_full | The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study |
| title_fullStr | The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study |
| title_full_unstemmed | The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study |
| title_short | The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study |
| title_sort | mediating role of self efficacy in the relationship between ehealth literacy and childbirth readiness among pregnant women a cross sectional study |
| topic | pregnant women childbirth readiness eHealth literacy self-efficacy mediating effect |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1561855/full |
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