{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:03:18Z","timestamp":1777384998236,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Office of the Vice President for Research at University of South Carolina"},{"name":"National Institue of Health","award":["U01 CA272977-01"],"award-info":[{"award-number":["U01 CA272977-01"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Patients with Ulcerative Colitis (UC) seek a variety of methods to manage the physical and psychosocial burdens of illness on daily life. This study examines how individuals with UC: (1) utilize treatment and self-management methods and (2) make decisions regarding their use of these methods throughout the disease course. Adults living with UC \u22655\u00a0years and experienced \u22651 disease flare, participated in individual, semi-structured qualitative interviews. Transcripts were thematically analyzed using a constant comparative approach in NVivo12\n                    <jats:sup>\u00ae<\/jats:sup>\n                    . Participants (N = 21) described their decisions to utilize medical, lifestyle, and complementary methods, which were shaped by sources of information, attitudes toward self-management, and personal motivations. The poor quality of life associated with the daily burden of living with UC emerged as a primary motive for exploration and utilization of treatment and management methods. Participants reported primarily utilizing treatment and management methods as reactive responses to flares instead of preventive measures. Results provide insight into patient decision-making and may inform individualized patient care, improve patient\u2013provider communication, and guide interdisciplinary efforts to support self-management among patients with UC. Findings highlight a need for greater focus on promoting preventive self-management lifestyle behaviors to protect against disease activity and progressive impairment.\n                  <\/jats:p>","DOI":"10.1177\/15598276241243300","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T02:34:15Z","timestamp":1712111655000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Use of Treatment and Self-Management Methods: Perspectives and Decisions of Patients With Ulcerative Colitis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2310-8845","authenticated-orcid":false,"given":"Kelli E.","family":"DuBois","sequence":"first","affiliation":[{"name":"Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA (KED)"},{"name":"Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA (KED, CEB, CR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine E.","family":"Blake","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA (KED, CEB, CR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Rudisill","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA (KED, CEB, CR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayward E.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Arts and Sciences, University of South Carolina, Columbia, SC, USA (SEH)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James R.","family":"H\u00e9bert","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA (JRH)"},{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA (JRH)"},{"name":"Department of Nutrition, Connecting Health Innovations, LLC, Columbia, SC, USA (JRH)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"bibr1-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.07.017"},{"key":"bibr2-15598276241243300","volume-title":"Medical and Psychosocial Aspects of Chronic Illness and Disability","author":"Falvo DR","year":"2018","edition":"6"},{"key":"bibr3-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1370\/afm.245"},{"key":"bibr4-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjy024"},{"key":"bibr5-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315580463"},{"key":"bibr6-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1097\/SGA.0000000000000120"},{"key":"bibr7-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000001911"},{"key":"bibr8-15598276241243300","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-017-0294-0"},{"key":"bibr9-15598276241243300","unstructured":"QSR International. 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