{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:53:41Z","timestamp":1781841221567,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["501100003725"],"award-info":[{"award-number":["501100003725"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of the study was to examine a hypothetical model of medication-taking behavior in individuals with type 2 diabetes based on the information-motivation-behavioral skills (IMB) model and to investigate pathways depending on the presence of depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study employed a theory-driven, cross-sectional correlational design and used path analysis to examine the hypothesized relationships. Participants comprised 325 adults with type 2 diabetes mellitus who attended a university-affiliated hospital in South Korea. Structured questionnaires were used to measure IMB-model-driven variables: medication knowledge (information), health beliefs about medication (cognitive motivation), depressive symptoms (affective motivation), medication self-efficacy (behavioral skills), and medication-taking behavior (behavioral change). Path analysis was conducted using AMOS 26.0, and multigroup analysis examined structural pathway differences between individuals with and without depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Medication self-efficacy and health beliefs about medication directly influenced medication-taking behavior, and depressive symptoms had an indirect effect through self-efficacy. The path from medication self-efficacy to medication-taking behavior was significantly stronger among individuals with depressive symptoms compared to those without depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The findings provide empirical support for the model, demonstrating that behavioral skills are a crucial mediator in the relationships between motivation and medication-taking behavior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106261434496","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T10:36:21Z","timestamp":1777718181000},"page":"219-228","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Application of the Information-Motivation-Behavioral Skills Model of Medication-Taking Behavior in People With Diabetes"],"prefix":"10.1177","volume":"52","author":[{"given":"Shinae","family":"Seo","sequence":"first","affiliation":[{"name":"College of Nursing, CHA University, Pocheon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3808-306X","authenticated-orcid":false,"given":"Hee Sun","family":"Kang","sequence":"additional","affiliation":[{"name":"Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7594-5418","authenticated-orcid":false,"given":"Chun-Ja","family":"Kim","sequence":"additional","affiliation":[{"name":"College of Nursing and Research Institute of Nursing Science, Ajou University, Suwon, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7361-1951","authenticated-orcid":false,"given":"Elizabeth A.","family":"Schlenk","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Magliano DJ Boyko EJ International Diabetes Federation. 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International Diabetes Federation; 2021. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK581934"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0145721720978154"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2021.107931"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-98488-6"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14603"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211044040"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0274971"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2021.10.018"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1037\/\/0278-6133.13.3.238"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107756"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2018.05.046"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10081536"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.13067"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-1828"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2021.11.001"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0273327"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.25048\/tudod.1149785"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2020.03.026"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.69418"},{"key":"e_1_3_3_21_2","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline RB","year":"2023","unstructured":"Kline RB. 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