{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:52:20Z","timestamp":1787014340661,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72071004"],"award-info":[{"award-number":["72071004"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71601004"],"award-info":[{"award-number":["71601004"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Self\u2010management is the intrinsically controlled ability of an active, responsible, informed and autonomous individual to live with the medical, role and emotional consequences of his chronic conditions in partnership with his social network and the healthcare providers. This study evaluated the self\u2010management behaviours of patients with rheumatoid arthritis and assess the association between health beliefs and self\u2010management behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study investigated 269 rheumatoid arthritis patients' self\u2010management behaviours using the Self\u2010Care Behaviours Scale with a score of 0\u20134 for each item and a total score of 0\u2013100 points, and health beliefs using the Arthritis Health Belief Inventory with a score of 1\u20135 for each item and a total score of 0\u2013165 points. Structural equation modelling with maximum likelihood method was used to explore the mediating effect of health beliefs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patients' mean score for self\u2010management behaviours was at the intermediate level (2.49\u2009\u00b1\u20090.60). Sex, marital status, per capita monthly income, payment of medical expenses, social status, disease staging, duration of morning stiffness, joint pain score, treatment, receiving health education, perceived severity, perceived benefits, cue to action and health motivation were significant predictors of the average score of self\u2010management behaviour of the rheumatoid arthritis patients. Perceived severity, perceived benefits, cues to action and health motivation directly affected self\u2010management behaviours; perceived severity influenced self\u2010management behaviours through the mediating effect of cues to action; and health motivation affected self\u2010management behaviours through the chain mediating effect of perceived benefits and cues to action.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010management behaviour of rheumatoid arthritis patients was at a moderate level, and health beliefs can effectively explain the differences in self\u2010management behaviour scores. Health providers should pay attention to patients with different sociodemographic characteristics and disease\u2010related characteristics, evaluate their health belief level, and develop targeted intervention measures to further improve patients' self\u2010management behaviour level and improve their disease prognosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.13320","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T01:39:18Z","timestamp":1737423558000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Self\u2010Management Behaviours in Rheumatoid Arthritis Patients: What Role Do Health Beliefs Play?"],"prefix":"10.1111","volume":"31","author":[{"given":"Huiling","family":"Hu","sequence":"first","affiliation":[{"name":"School of Nursing Peking University  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anqi","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenqing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Peking University Third Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology The People's Hospital of Peking University  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7407-5257","authenticated-orcid":false,"given":"Xue","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20146"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.64.3.205"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019817400200407"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2021.102758"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v8n3p1"},{"issue":"3","key":"e_1_2_11_7_1","first-page":"314","article-title":"NEAR Study: Needs and Expectations in Rheumatoid ARthritis \u2010 Do We Know our Patients Needs?","volume":"35","author":"Cunha\u2010Miranda L.","year":"2010","journal-title":"Acta Reumatol\u00f3gica Portuguesa"},{"key":"e_1_2_11_8_1","volume-title":"Development of an Instrument to Measure the Health Beliefs of Individuals With Arthrits","author":"Dean\u2010Barr S.","year":"1991"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2016.07.006"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2165\/00115677\u2010200816010\u201000003"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112138\u201020210616\u201000426"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010012\u20109366\u20105"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20108\u201033"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/17423953211049751"},{"key":"e_1_2_11_15_1","volume-title":"Public Participation in Medical Screening Programs : A Socio\u2010Psychological Study","author":"Hochbaum G. 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