{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:11:14Z","timestamp":1790334674331,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000296","name":"British Skin Foundation","doi-asserted-by":"publisher","award":["012\/R\/22"],"award-info":[{"award-number":["012\/R\/22"]}],"id":[{"id":"10.13039\/501100000296","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    To examine how self\u2010management attitudes, illness perceptions and preventive behaviours relate to adherence to pressure injury prevention in people with spinal cord injury (PwSCI) using a theory\u2010informed framework. A cross\u2010sectional survey of 184 wheelchair\u2010users with a SCI within community and specialist SCI centres. Preventive behaviours (pressure relief, skin inspection), self\u2010management domains (concordance, perceived benefits, perceived negatives, practical barriers) and illness perceptions (mBIPQ) were assessed. Associations and subgroup differences by pressure injury history and education were analysed. Participants reported high perceived benefit of pressure\u2010relief activities (4.02\u2009\u00b1\u20090.62) but only moderate concordance (3.05\u2009\u00b1\u20090.79) and persistent practical barriers (3.22\u2009\u00b1\u20090.75), indicating a gap between awareness and routine behaviour. Concordance was positively associated with pressure\u2010relief activity (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.49,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and negatively with barriers (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009\u22120.56,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Prior pressure injury education and experience were associated with more positive attitudes and greater engagement. Older age (\u2265\u200955\u2009years), but not injury duration, was associated with higher adherence. Despite high awareness, adherence to preventive routines remains constrained by perceptual and practical barriers. This study provides quantitative evidence explaining why awareness does not consistently translate into preventive behaviour, highlighting the need to address real\u2010world barriers beyond education alone.\n                  <\/jats:p>","DOI":"10.1111\/iwj.71049","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:34:36Z","timestamp":1789792476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging the Gap Between Awareness and Behaviour in Pressure Injury Prevention: A Cross\u2010Sectional Survey of Self\u2010Management in People With Spinal Cord Injury"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6358-1637","authenticated-orcid":false,"given":"Liang Qin","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Nursing and Midwifery, Faculty of Health, Social Care and Education Middlesex University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8575-1609","authenticated-orcid":false,"given":"Evangeline","family":"Martinez","sequence":"additional","affiliation":[{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital  Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4183-248X","authenticated-orcid":false,"given":"Jacinta","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, Faculty of Health, Social Care and Education Middlesex University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9391-0385","authenticated-orcid":false,"given":"Helen","family":"Allan","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, Faculty of Health, Social Care and Education Middlesex University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-2081","authenticated-orcid":false,"given":"Sarah","family":"Knight","sequence":"additional","affiliation":[{"name":"London Spinal Cord Injury Centre Royal National Orthopaedic Hospital  Stanmore UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization \u201cSpinal Cord Injury: Fact Sheet \u201d(2024) accessed November 10 2025 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/spinal\u2010cord\u2010injury."},{"key":"e_1_2_12_3_1","unstructured":"Spinal Injuries Association \u201cPressure Ulcers\u2014The Basics. 2nd ed. Body Matters Series \u201d(2018) https:\/\/www.spinal.co.uk\/wp\u2010content\/uploads\/2022\/06\/SIA_Pressure_Ulcers_Factsheet_v2.pdf."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772313Y.0000000103"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2015.74"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010020\u201003369\u20100"},{"key":"e_1_2_12_7_1","unstructured":"European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Panel Pan Pacific Pressure Injury Alliance \u201cPrevention and Treatment of Pressure Ulcers\/Injuries: Clinical Practice Guideline \u201d(2019) http:\/\/www.epuap.org."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2025.100881"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2025.100886"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2016.07.001"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2018.1474682"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2019.06.001"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky084"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2012.21.6.261"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2020.05.002"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.05.023"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2017.1313931"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2014.11.014"},{"key":"e_1_2_12_19_1","first-page":"94","article-title":"Why People Use Health Services","volume":"66","author":"Rosenstock I. 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