{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T03:02:51Z","timestamp":1784516571935,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the factors related to medication adherence in patients with chronic hepatitis B (CHB) infection by considering the theory of planned behavior (TPB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study, medication adherence information was collected from outpatients with CHB in China. Pearson correlation analysis was performed to evaluate the association between medication adherence and TPB items. A structural equation model was established to further assess the effects of the latent TPB variables on medication adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 225 patients with CHB recruited from the outpatient department of Qingdao Public Health Clinical Center were included, 67.6% of whom reported moderate medication adherence, as assessed using Morisky Adherence Assessment Score. Medication adherence was significantly positively correlated with behavioral intention (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.51,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001), perceived behavioral control (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.63,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001), and subjective norms (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.52,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Perceived behavioral control both directly and indirectly affected medication adherence, with the correlation coefficients being 0.14 and 0.32, respectively. The structural equation model revealed behavioral attitude and subjective norms as the strongest predictors of medication adherence, both of which indirectly affected behavior (correlation coefficients: 0.13\u2009\u00d7\u20090.66\u2009=\u20090.09 and 0.39\u2009\u00d7\u20090.66\u2009=\u20090.25, respectively). The optimal fitted model of TPB variables explained 58.5% of the variance in medication adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Moderate medication adherence was discovered among Chinese adults with CHB. Behavioral attitude, subjective norms, and perceived behavioral control indirectly affected medication adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261470051","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T02:49:08Z","timestamp":1784515748000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Medication adherence in Chinese adults with chronic hepatitis B based on theory of planned behavior"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8673-9522","authenticated-orcid":false,"given":"Yumei","family":"WANG","sequence":"first","affiliation":[{"name":"Qingdao Public Health Clinical Center, Qingdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiqing","family":"HUANG","sequence":"additional","affiliation":[{"name":"Qingdao Centers for Disease Control and Prevention, Qingdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"GE","sequence":"additional","affiliation":[{"name":"Qingdao Centers for Disease Control and Prevention, Qingdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"CHEN","sequence":"additional","affiliation":[{"name":"Qingdao Centers for Disease Control and Prevention, Qingdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"XU","sequence":"additional","affiliation":[{"name":"Qingdao Municipal Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2011.613995"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S401666"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773816688940"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.5964\/ejop.v16i3.3107"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2308-x"},{"issue":"12","key":"e_1_3_3_7_1","first-page":"938","article-title":"Guideline of prevention and treatment for chronic hepatitis B","volume":"27","author":"Chinese Society of Infectious Diseases, Chinese Medical Association","year":"2019","unstructured":"Chinese Society of Infectious Diseases, Chinese Medical Association (2019). Guideline of prevention and treatment for chronic hepatitis B. Zhonghua Gan Zang Bing Za Zhi, 27(12), 938\u2013961. https:\/\/pubmed.ncbi.nlm.nih.gov\/31941257\/","journal-title":"Zhonghua Gan Zang Bing Za Zhi"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2893.2011.01494.x"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22683-7"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105318824795"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315626787"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep4.1247"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000571"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000000345"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.730845"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01419-w"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-021-02399-3"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.06.013"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0062775"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2023-330691"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7176.2008.07572.x"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.29320"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.13253"},{"issue":"5","key":"e_1_3_3_24_1","first-page":"769","article-title":"Guidelines for prevention and treatment of chronic hepatitis B","volume":"9","author":"Wang G.","year":"2021","unstructured":"Wang G., Duan Z. (2021). Guidelines for prevention and treatment of chronic hepatitis B. J Clin Transl Hepatol, 9(5), 769\u2013791. Epub 2021\/11\/02. https:\/\/doi.org\/10.14218\/JCTH.2021.00209","journal-title":"J Clin Transl Hepatol"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.20.3.281"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-088756"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2018.1433987"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261470051","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20473087261470051","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20473087261470051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T02:49:15Z","timestamp":1784515755000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20473087261470051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,19]]},"references-count":26,"alternative-id":["10.1177\/20473087261470051"],"URL":"https:\/\/doi.org\/10.1177\/20473087261470051","relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,19]]},"article-number":"20473087261470051"}}