{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:16:17Z","timestamp":1777882577117,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"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":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of the study was to explore the motivators and barriers influencing health behavior change and perceptions of public hospital services among mothers living with cardiometabolic diseases (CMDs) in Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive approach was employed using in-depth interviews with 30 mothers diagnosed with CMDs, including hypertension, type 2 diabetes mellitus, and cardiovascular conditions. Participants were recruited from public hospitals in Thailand between April and June 2025. Data were analyzed thematically using QCAmap software to identify recurring patterns and themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five major categories of motivators emerged: concern for family and children, awareness of health risks, support from health care providers, peer and social support, and personal beliefs and self-motivation. Key barriers included time and role constraints, financial limitations, limited knowledge and misconceptions, and emotional and psychological challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mothers with CMDs are motivated by family responsibility and personal health goals but face significant structural and emotional barriers. For collectivistic culture, family-centered interventions and strengthened public health services are essential to support sustainable health behavioral change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106251397923","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T13:04:52Z","timestamp":1766063092000},"page":"76-87","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Motivators and Barriers for Health Behavioral Change Among Mothers With Cardiometabolic Diseases: Qualitative Evidence in Thailand"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0662-0003","authenticated-orcid":false,"given":"Chonlatis","family":"Darawong","sequence":"first","affiliation":[{"name":"Graduate College of Management, Sripatum University, Chonburi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0918-403X","authenticated-orcid":false,"given":"Natthapon","family":"Waewpanyasil","sequence":"additional","affiliation":[{"name":"Phanatnikhom Hospital, Chonburi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-10678-z"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu15051135"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2014.06.013"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/26350106251337487"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/26350106241304422"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2016.04.023"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2016.03.027"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2017.02.020"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2020.107688"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2977-1"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0176408"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2018.04.009"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v7.24023"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018002203"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.1002066"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.33546\/bnj.3639"},{"key":"e_1_3_3_18_2","volume-title":"Burden of Disease Attributable to Risk Factors in Thailand 2019","author":"Thai Health Promotion Foundation","year":"2023","unstructured":"Thai Health Promotion Foundation. Burden of Disease Attributable to Risk Factors in Thailand 2019. International Health Policy Program; 2023."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-9-52"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.2337\/ds16-0043"},{"key":"e_1_3_3_22_2","volume-title":"Qualitative Research & Evaluation Methods: Integrating Theory and Practice","author":"Patton MQ.","year":"2014","unstructured":"Patton MQ. Qualitative Research & Evaluation Methods: Integrating Theory and Practice. Sage Publications; 2014."},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_24_2","volume-title":"Approaches to Qualitative Research in Mathematics Education","author":"Mayring P.","unstructured":"Mayring P. 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