{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T10:52:10Z","timestamp":1775559130775,"version":"3.50.1"},"reference-count":67,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify a serial multiple mediation effect of social support in online health communities and collective empowerment on the relationship between diabetes\u2010related burden (DRB) and self\u2010efficacy, among mothers using a continuous glucose monitoring device for children with type 1 diabetes (T1D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A secondary analysis, cross\u2010sectional, descriptive study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were obtained from 198 mothers of children with T1D via a web survey, from August to September 2020. Measures used were the Collective Empowerment in the Online Health Community Scale, a modified version of the Multidimensional Scale of Perceived Social Support, Problem Areas in Diabetes Survey\u2014Parent Revised version and a modified version of the Maternal Self\u2010efficacy for Diabetes Management Scale. Data were analysed using SPSS 25.0, and PROCESS MACRO for SPSS v3.5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A serial multiple mediation model was used. The indirect effects of both social support in online health communities and collective empowerment were identified in the relationship between DRB and diabetes self\u2010efficacy (DSE). However, there was no indirect effect of social support in online health communities on these relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that online social support alone has a limited role in chronic disease management self\u2010efficacy. Collective empowerment should be a strategic component in intervention development using online health communities to strengthen DSE in mothers of children with T1D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study provides novel insights into the functional mechanism of online health communities for T1D. Peer mentor coaching by parents of children with T1D effectively helps other children's parents with its recent diagnosis. The findings recognize a need for strategies enhancing collective empowerment among parents of children with T1D. Along with peer coaching, these strategies should strengthen knowledge of resources and methods to impact social change as well as resource mobilization for collective actions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15242","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T06:03:24Z","timestamp":1650607404000},"page":"3225-3234","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Online social support and collective empowerment: Serial mediation effect on self\u2010efficacy among mothers of children with type 1 diabetes"],"prefix":"10.1111","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0561-9756","authenticated-orcid":false,"given":"Ju\u2010Yeon","family":"Uhm","sequence":"first","affiliation":[{"name":"Department of Nursing Pukyong National University  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1773-1374","authenticated-orcid":false,"given":"Myoung Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Nursing Pukyong National University  Busan South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2020.151317"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773816688940"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.5812\/ijem.74356"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/14392"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2016.09.006"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.37.2.122"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.8"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-839X.00024"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296816645365"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4615-4193-6_10"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12405"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-7924.2012.00213.x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jspn.12118"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.2307\/3090233"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101497.2004.30359.x"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17155375"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12956"},{"key":"e_1_2_13_20_1","volume-title":"Scale development: Theory and applications","author":"DeVellis R. F.","year":"2016"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/FCH.0000000000000162"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2005.35.1.154"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06988-y"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0102\u2010311x2009000100007"},{"key":"e_1_2_13_25_1","unstructured":"Gibson C. H.(1993).A study of empowerment in mothers of chronically ill children. Dissertation\/thesis"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-018-2012-2"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296817721938"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20105448.2010.00661.x"},{"key":"e_1_2_13_29_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression\u2010based approach","author":"Hayes A. F.","year":"2017"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/0090-5550.46.4.382"},{"key":"e_1_2_13_31_1","volume-title":"Parent distress in life with a child with type 1 diabetes (Doctoral dissertation)","author":"Johnson L. N.","year":"2013"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1108\/ITP-02-2013-0040"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13410-020-00799-3"},{"key":"e_1_2_13_34_1","volume-title":"Structural equation Modelling for well\u2010being of mothers of children with diabetes (Doctoral dissertation)","author":"Kim D.","year":"2015"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010021\u201002569\u20104"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-200109000-00008"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0882\u20105963(98)80049\u20103"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pubrev.2015.09.001"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/02739615.2014.849957"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u20105491.2011.03434.x"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839904266790"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201012\u2010157"},{"issue":"6","key":"e_1_2_13_43_1","first-page":"303","article-title":"Parental self\u2010efficacy and online support among parents of children diagnosed with type 1 diabetes mellitus","volume":"38","author":"Merkel R. M.","year":"2012","journal-title":"Pediatric Nursing"},{"key":"e_1_2_13_44_1","volume-title":"From January 1, the purchase of diabetes management devices will also be covered by medical benefits","author":"Ministry of Health and Welfare","year":"2020"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.im.2020.103404"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u201010\u2010115"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.89.6.852"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl\u20102010\u2010000058"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13300"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsw072"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2011.567449"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2016.0183"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2014.01.008"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12244"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296819850187"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/1948550617715068"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721717712457"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsi076"},{"key":"e_1_2_13_59_1","doi-asserted-by":"publisher","DOI":"10.1177\/014572170403000319"},{"key":"e_1_2_13_60_1","volume-title":"Using multivariate statistics","author":"Tabachnick B. G.","year":"2019"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp.2017.10.04"},{"key":"e_1_2_13_62_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892\u2010017\u20100870\u20107"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12779"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721712445216"},{"key":"e_1_2_13_65_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsu006"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.1990.9674095"},{"key":"e_1_2_13_67_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf02506983"},{"key":"e_1_2_13_68_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4615-4193-6_2"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15242","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.15242","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T23:39:19Z","timestamp":1708126759000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.15242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,22]]},"references-count":67,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1111\/jan.15242"],"URL":"https:\/\/doi.org\/10.1111\/jan.15242","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.15242\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15242\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15242\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15242\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15242\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15242\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15242\/v2\/decision1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,22]]},"assertion":[{"value":"2021-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}