{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:24Z","timestamp":1787019324785,"version":"build-2736575974"},"reference-count":67,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Ministry of Innovation and Technology of Hungary from the National Research, Development and Innovation Fund","award":["K 138372"],"award-info":[{"award-number":["K 138372"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therap Adv Gastroenterol"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Inflammatory bowel disease (IBD) is a chronic condition that significantly affects patients\u2019 physical, mental, and social health, as well as their overall quality of life. Effective management of the disease demands self-management skills, enabling patients to navigate the daily challenges associated with IBD, such as unpredictable flare-ups, frequent hospitalization, severe symptoms, pain, and physical changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study examines the motivational aspects of self-management for patients with IBD and focuses on the role of autonomy and directive support from healthcare professionals in enhancing their self-concordance and self-efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>From November 2022 to February 2023, a cross-sectional questionnaire study was conducted at the IBD Center of Internal Medicine Clinic in Szeged, Hungary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 374 adult patients with IBD completed the paper\u2013pencil questionnaire, of whom 241 patients (64.4%) had Crohn\u2019s disease, and 133 patients (35.6%) had ulcerative colitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Based on the findings of the path analysis (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      (8)\u2009=\u200918.914, p\u2009=\u20090.01, comparative fit index\u2009=\u20090.935, TLI\u2009=\u20090.837, root mean squared error of approximation\u2009=\u20090.06), autonomy support positively predicted self-concordance (\u03b2\u2009=\u20090.48) and self-efficacy (\u03b2\u2009=\u20090.02), particularly during disease relapse. In addition, self-concordance and self-efficacy predicted more positive (\u03b2s\u2009=\u20090.28 and 0.35) and fewer negative emotional experiences (\u03b2s\u2009=\u2009\u22120.09 and \u22120.20). The model\u2019s associations varied between the relapse and remission groups, indicating distinct impacts on different states of the disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overall, autonomy support from healthcare professionals has been shown to enhance self-management in patients with IBD, particularly during disease relapse. Meanwhile, self-concordance and self-efficacy act as positive internal factors, thus reducing negative emotional experiences, especially during remission. In sum, this study underscores the need for further exploration of the motivational aspects of self-management and provides insights into developing interventions that promote the health behaviors of patients with IBD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17562848241275315","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T21:26:52Z","timestamp":1726262812000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Enhancing self-management of patients with inflammatory bowel disease: the role of autonomy support in health goal pursuit"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2518-2096","authenticated-orcid":false,"given":"Barbara","family":"Horv\u00e1t","sequence":"first","affiliation":[{"name":"Doctoral School of Clinical Medicine, University of Szeged, Dugonics t\u00e9r 13, Szeged 6725, 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