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Abstract
Chronic diseases like diabetes and hypertension are significant public health challenges globally, especially in resource-limited rural settings like Barangay Damilag. An increasing incidence of these conditions with limited accessibility to healthcare necessitates effective self-management to improve their outcomes. This study aims to determine the correlation between health literacy, social support, psychological factors, and self-management among chronic disease patients. The study employed descriptive correlational and causal research design, and data were collected from 256 samples using a survey questionnaire. Findings revealed that health literacy (M = 3.55, SD = 0.72) - knowledge of disease (M = 3.60, SD = 0.82, r = 0.218, p = .001) , medication management skills (M = 4.07, SD = 0.553, r = 0.038, p = .550) , and access to health information (M = 2.97, SD = 0.788, r = 0.123, p = .05) -- significantly predicts self-management by enabling informed decision-making and improved treatment adherence. Social support (M = 3.37, SD = 0.853) , such as family (M = 4.04, SD = 0.824, r = 0.627, p = .000), and peers (M = 2.51, SD = 0.895, r = 0.006, p = .929), showed moderate barriers to self-care and improved emotional resilience. Psychological determinants (M = 3.50, SD = 0.858) - self-efficacy (M = 3.61, SD = 0.839, r = 0.714, p = .000), and motivation (M = 3.91, SD = 0.957, r = 0.451, p = .001) - emerged as the strongest predictors of self-management. Through regression and structural equation modeling analyses, the researcher identified causal pathways and the combined impact of these factors on self-management. The study contributes insight for healthcare practitioners, policymakers, and community organizations by highlighting the need for holistic interventions. Recommended strategies to address barriers and optimize self-management include integrating health education, social support systems, and psychological empowerment.
