Structural equation modeling of the impact of disease activity on inflammatory bowel disease control: the mediating roles of self-efficacy and self-management behaviors.

However, the pathway where IBD activity influenced control through self-efficacy and subsequently self-management behavior showed only marginal significance ( P = 0.074).

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For instance, in Model A’s chain mediation pathway (disease activity → self-efficacy → self-management behavior → disease control, p = 0.007), the effect did not reach conventional significance but showed a marginally significant trend.

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