{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:51:47Z","timestamp":1788479507456,"version":"build-2803163510"},"reference-count":71,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["SHSLCZDZK04201"],"award-info":[{"award-number":["SHSLCZDZK04201"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>\nBackground\n<\/jats:title>\n<jats:p>Psychological determinants underlying the dietary management intention (DMI) of Chinese patients with chronic kidney disease (CKD) are not well understood. This hinders the development of theory-informed dietary interventions targeting this population. The aim of this study was to identify factors influencing DMI of Chinese patients with CKD through the lens of Protection Motivation Theory (PMT).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>\nMethods\n<\/jats:title>\n<jats:p>500 patients with CKD from a nephrology ward of a large teaching hospital in China completed a survey including measures of PMT constructs (i.e., perceived vulnerability, perceived severity, intrinsic and extrinsic rewards, self-efficacy, response efficacy, and response cost) using validated scales adapted from previous studies. Data were analyzed using confirmatory factor analysis and multiple linear regression.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>\nResults\n<\/jats:title>\n<jats:p>Three PMT constructs, namely perceived severity [B\u2009=\u20090.198, <jats:italic>P<\/jats:italic> &lt;\u20090.001], response efficacy [B\u2009=\u20090.331, <jats:italic>P<\/jats:italic>\u2009 &lt;\u20090.001], and self-efficacy [B\u2009=\u20090.325, <jats:italic>P<\/jats:italic>\u2009 &lt;\u20090.001], two demographic variables, namely single status [B\u2009=\u2009-0.180, <jats:italic>P<\/jats:italic>\u2009=\u20090.028] and education level [B\u2009=\u20090.080, <jats:italic>P<\/jats:italic>\u2009=\u20090.007], and a disease-related variable, namely CKD stage [B\u2009=\u2009.056, <jats:italic>P<\/jats:italic>\u2009=\u20090.001], predicted 39.3% of the variance of the CKD DMI. No significant effect on CKD DMI was observed for other predictor variables (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>\nConclusions\n<\/jats:title>\n<jats:p>Applying the PMT, significant predictors of DMI in Chinese patients with CKD were identified, which should be targeted in behavior change initiatives aimed at promoting dietary management.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0320340","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T17:39:27Z","timestamp":1742319567000},"page":"e0320340","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predicting dietary management intention of patients with chronic kidney disease using protection motivation theory"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3125-2860","authenticated-orcid":true,"given":"Huijie","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueyi","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8452-8165","authenticated-orcid":true,"given":"Yitong","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Blake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"issue":"10302","key":"pone.0320340.ref001","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S0140-6736(21)00519-5","article-title":"Chronic kidney disease","volume":"398","author":"K Kalantar-Zadeh","year":"2021","journal-title":"The Lancet"},{"issue":"9","key":"pone.0320340.ref002","doi-asserted-by":"crossref","first-page":"2810","DOI":"10.1093\/ndt\/gfn132","article-title":"Moderately decreased renal function negatively affects the health-related quality of life among the elderly Korean population: a population-based study","volume":"23","author":"HJ Chin","year":"2008","journal-title":"Nephrol Dial Transplant"},{"issue":"10 Suppl","key":"pone.0320340.ref003","first-page":"S163","article-title":"All-cause costs increase exponentially with increased chronic kidney disease stage","volume":"23","author":"L Golestaneh","year":"2017","journal-title":"Am J Manag Care"},{"issue":"7","key":"pone.0320340.ref004","doi-asserted-by":"crossref","first-page":"e0158765","DOI":"10.1371\/journal.pone.0158765","article-title":"Global Prevalence of Chronic Kidney Disease - 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