{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:47:15Z","timestamp":1782798435991,"version":"3.54.5"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011019","name":"Nemzeti Kutat\u00e1si Fejleszt\u00e9si \u00e9s Innov\u00e1ci\u00f3s Hivatal","doi-asserted-by":"publisher","award":["K 138372"],"award-info":[{"award-number":["K 138372"]}],"id":[{"id":"10.13039\/501100011019","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015763","name":"Szegedi Tudom\u00e1nyegyetem","doi-asserted-by":"publisher","award":["8109"],"award-info":[{"award-number":["8109"]}],"id":[{"id":"10.13039\/501100015763","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>When reaching health-related personal strivings, consistent self-management is crucial, which can be supported by digital technology use and online resources. Prior research highlights the importance of self-efficacy, emotional balance, and internet and digital empowerment as distinct but partly related resources; however, little is known about how these resources interact with each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The current study aimed to explore how internet and digital empowerment, self-efficacy, and affective balance interact to support health-related personal strivings among IBD patients and a community sample. We hypothesized that these factors would form different and meaningful patterns that are differentially associated with psychological factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 308 participants (151 from a community sample and 157 with IBD) completed questionnaires assessing health-related personal strivings, internet and digital empowerment, self-efficacy, emotional balance, life satisfaction, depression, anxiety, stress, and health behaviors. Latent Class Analysis (LCA) was used to identify subgroups. Group comparisons were conducted using ANCOVA, adjusted for demographic and health-related covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We found four latent profiles: \"Highly Empowered Achievers\u201d (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200955), \"Moderately Empowered Strugglers\u201d (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009106), \"Balanced but IDT Avoiders\u201d (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200967), and \"Vulnerable and Disempowered group\u201d (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200980). Highly Empowered Achievers showed significantly higher life satisfaction (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200913.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.001, \u03c9\u00b2\u2009=\u20090.092), lower perceived stress (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u20095.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.001, \u03c9\u00b2\u2009=\u20090.038), lower anxiety (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u20094.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.006, \u03c9\u00b2\u2009=\u20090.028), and greater health goal realization (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200925.65,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.001, \u03c9\u00b2\u2009=\u20090.191) than other groups. Participants with IBD were more likely to belong to the Vulnerable and Disempowered group (OR\u2009=\u20092.21, 95% CI\u2009=\u20091.04\u20134.67,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.039) and less likely to be in the Highly Empowered Achievers group (OR\u2009=\u20090.12, 95% CI\u2009=\u20090.04\u20130.34,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Internet and digital empowerment, self-efficacy, and affective balance formed four latent profiles associated with subjective health, psychological well-being, and goal attainment. Chronic disease management interventions could benefit from boosting digital competencies and emotional coping resources. Internet-based cognitive behavioral interventions may help address emotional balance and digital empowerment, though longitudinal studies are still needed to evaluate causal relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fdgth.2026.1710921","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:41:44Z","timestamp":1782798104000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Empowering healthier lifestyles: patterns of digital tool use, self-efficacy, and affective balance in IBD-patients and a community sample"],"prefix":"10.3389","volume":"8","author":[{"given":"Blanka","family":"Fest\u0151","sequence":"first","affiliation":[{"name":"Doctoral School of Clinical Medicine, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrix","family":"Rafael","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Orvostudomanyi Kar","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1bel","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Sz\u0171cs","sequence":"additional","affiliation":[{"name":"Doctoral School of Clinical Medicine, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e1ra Imola","family":"Csuka","sequence":"additional","affiliation":[{"name":"Department of Personality, Clinical and Health Psychology, Institute of Psychology, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanela","family":"T\u00f3th-Njers","sequence":"additional","affiliation":[{"name":"Department of Cognitive and Neuropsychology, Institute of Psychology, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anett","family":"D\u00e1vid","sequence":"additional","affiliation":[{"name":"Albert Szent-Gy\u00f6rgyi Medical School, Department of Internal Medicine, Center of Gastroenterology, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Horv\u00e1t","sequence":"additional","affiliation":[{"name":"Department of Personality, Clinical and Health Psychology, Institute of Psychology, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viola","family":"Sallay","sequence":"additional","affiliation":[{"name":"Department of Personality, Clinical and Health Psychology, Institute of Psychology, University of Szeged","place":["Szeged, Hungary"]},{"name":"Faculty of Psychotherapy Science, Sigmund Freud Private University","place":["Paris, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Albert Szent-Gy\u00f6rgyi Medical School, Department of Internal Medicine, Center of Gastroenterology, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Martos","sequence":"additional","affiliation":[{"name":"Department of Personality, Clinical and Health Psychology, Institute of Psychology, University of Szeged","place":["Szeged, Hungary"]},{"name":"Faculty of Psychotherapy Science, Sigmund Freud Private University","place":["Paris, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1037\/0022-3514.51.5.1058","article-title":"Personal strivings: an approach to personality and subjective well-being","volume":"51","author":"Emmons","year":"1986","journal-title":"J Pers Soc Psychol"},{"key":"B2","first-page":"270","article-title":"Pers\u00f6nliche ziele und lebenspl\u00e4ne: subjektives wohlbefinden und proaktive entwicklung im lebenslauf","volume-title":"Entwicklungspsychologie der Lebensspanne. 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