{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T05:03:26Z","timestamp":1764392606666,"version":"3.46.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"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 Viral Hepatitis"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Over 250 million individuals live with chronic hepatitis B worldwide. More work is needed to address care gaps associated with chronic hepatitis B. Behavioural theories can assist in understanding gaps and aid in the development of effective interventions to reach elimination goals. Using the COM\u2010B model, a sample of HBV\u2010related direct messages from social media platforms from 2021 to 2023 was collected from individuals directly impacted by hepatitis B. Qualitative analysis was employed for social media messages using a guided codebook and the COM\u2010B model. A sample of 168 unique data points were analysed using thematic analysis. The themes that emerged corresponded to five COM\u2010B subcomponents and represented barriers relating to psychological capability, physical opportunity, social opportunity, reflective motivation and automatic motivation. Within each of the five subcomponents were subthemes, such as limited knowledge; challenges accessing diagnostics, expert care, clinical trials, and treatment; as well as the social and cultural impacts of stigma, discrimination and quality of life. Future hepatitis B interventions should focus on addressing identified gaps and consider behavioural interventions as methods to address identified barriers. While this study further validated previously identified barriers, it also newly identified motivation among those with hepatitis B to seek out information related to care, management and prolonging life.<\/jats:p>","DOI":"10.1111\/jvh.70041","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T08:29:34Z","timestamp":1749112174000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Person\u2010Centered Hepatitis B Approach Using the\n                    <scp>COM<\/scp>\n                    \u2010B Model to Understand Barriers and Facilitators of Hepatitis B Testing, Management and Treatment"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1876-2105","authenticated-orcid":false,"given":"Catherine","family":"Freeland","sequence":"first","affiliation":[{"name":"Hepatitis B Foundation  Doylestown Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quinn","family":"Plunkett","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University College of Population Health  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shruti","family":"Sirapu","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University College of Population Health  Philadelphia Pennsylvania USA"},{"name":"Sidney Kimmel Medical College at Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chari","family":"Cohen","sequence":"additional","affiliation":[{"name":"Hepatitis B Foundation  Doylestown Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"World Health Organization \u201cHepatitis B Key Facts \u201dhttps:\/\/www.who.int\/en\/news\u2010room\/fact\u2010sheets\/detail\/hepatitis\u2010b."},{"key":"e_1_2_14_3_1","unstructured":"World Health Organization (WHO) \u201cAction for Access in Low\u2010 and Middle\u2010Income Countries \u201d(2024) https:\/\/iris.who.int\/."},{"volume-title":"Guidelines for the Prevention, Diagnosis, Care and Treatment for People With Chronic Hepatitis B Infection","year":"2024","author":"World Health Organization","key":"e_1_2_14_4_1"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20104\u201040"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20106\u201042"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.16\u20100398"},{"volume-title":"The Discovery of Grounded Theory; 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