{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:38:16Z","timestamp":1792798696992,"version":"4.5.0"},"reference-count":45,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"unspecified","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Chongqing Science and health joint medical research project","award":["2020FYYX052"],"award-info":[{"award-number":["2020FYYX052"]}]},{"name":"Army Medical University Excellent Youth Fund","award":["XZ-2019-505-054"],"award-info":[{"award-number":["XZ-2019-505-054"]}],"id":[{"id":"https:\/\/ror.org\/05w21nn13","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,11,13]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore challenges to nutrition intervention adherence using the Capability, Opportunity and Motivation-Behaviour (COM-B) model among wet age-related macular degeneration (AMD) patients. These factors should be considered in the development of potential support and intervention programmes to address these problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study was conducted with one-to-one and face-to-face interviews with wet AMD patients using a semi-structured question guide. Data were analysed based on COM-B model: capability (physical and psychological), opportunity (physical and social) and motivation (reflective and automatic).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Southwest Hospital of Chongqing Province in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A convenient and purposive sample of 24 wet AMD patients were recruited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The themes and subthemes were identified: psychological capability: (1) insufficient knowledge of nutrition; (2) misconceptions about the disease and treatment; (3) knowledge conflict; physical capability: (1) physical restriction; (2) limited access to nutrition knowledge; physical opportunity: (1) communication between providers and patients; (2) health insurance and extra charges; (3) food environment; social opportunity: (1) stigma of disease; (2) family influence; reflective motivation: (1) self-efficacy; (2) attitude; (3) outcome expectancies; (4) lack of professional support; automatic motivation: (1) difficulties in changing eating habits; (2) mindset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Medical staff should pay much attention to the process of patients\u2019 nutrition intervention. In addition, it is also necessary to develop professional and internet-based intervention to modify the dietary behaviour and improve the management skills of the patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-064892","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T10:55:29Z","timestamp":1669719329000},"page":"e064892","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring challenges to nutrition intervention adherence using COM-B model among patients with wet age-related macular degeneration: a qualitative study"],"prefix":"10.1136","volume":"12","author":[{"given":"Wei","family":"Bian","sequence":"first","affiliation":[{"name":"School of Nursing, Third Military Medical University\/Army Medical University, Chongqing, China"},{"name":"Southwest Eye Hospital, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6405-4305","authenticated-orcid":false,"given":"Zonghua","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junli","family":"Wan","sequence":"additional","affiliation":[{"name":"Southwest Eye Hospital, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Southwest Eye Hospital, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuemei","family":"Wu","sequence":"additional","affiliation":[{"name":"Southwest Eye Hospital, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Li","sequence":"additional","affiliation":[{"name":"Southwest Eye Hospital, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3566-3766","authenticated-orcid":false,"given":"Yu","family":"Luo","sequence":"additional","affiliation":[{"name":"School of Nursing, Third Military Medical University\/Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"2025121403431032000_12.11.e064892.1","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1111\/ceo.13580","article-title":"Prevalence of age\u2010related macular degeneration in Chinese populations worldwide: a systematic review and meta\u2010analysis","volume":"47","author":"Jin","year":"2019","journal-title":"Clin Experiment Ophthalmol"},{"key":"2025121403431032000_12.11.e064892.2","doi-asserted-by":"publisher","DOI":"10.1159\/000433448"},{"key":"2025121403431032000_12.11.e064892.3","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-011504","article-title":"How does age-related macular degeneration affect real-world visual ability and quality of life? 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