{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:27:24Z","timestamp":1786688844015,"version":"build-2736575974"},"reference-count":80,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by recurrent relapse and remission, requiring effective patient-led self-management. However, current self-management interventions often lack a systematic behavioral framework to support long-term behavior change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This perspective article proposes a behaviorally informed self-management framework for UC based on the Behavior Change Wheel (BCW). The framework was developed by integrating clinical guidelines, published literature, behavioral theory, and clinical observations. The Capability, Opportunity, Motivation-Behavior (COM-B) model was applied to identify behavioral barriers and guide intervention design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proposed framework integrates five key self-management behaviors, including medication adherence, dietary management, symptom monitoring, stress management, and regular follow-up. These behaviors are linked to COM-B-based barrier assessment, BCW intervention functions, behavior change techniques, blended delivery pathways, and an iterative closed-loop feedback system involving behavioral, clinical, psychological, and process monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The BCW-guided framework provides a theoretically grounded approach for developing individualized and adaptive self-management support in UC. Although the model remains conceptual and requires empirical validation, it may offer a structured pathway for future behavioral interventions and multidisciplinary chronic disease management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1857587","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T05:34:03Z","timestamp":1786685643000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Applying the behavior change wheel to ulcerative colitis self-management: a conceptual closed-loop behavioral support framework"],"prefix":"10.3389","volume":"13","author":[{"given":"Zheng-ri","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hongqi Hospital Affiliated to Mudanjiang Medical University","place":["Mudanjiang, 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