{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T22:02:12Z","timestamp":1792533732156,"version":"4.5.0"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psoriasis is an inflammatory skin disease that places a heavy burden on patients and society. Lifestyle can affect the occurrence and progression of psoriasis and its associated comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore facilitators and barriers to health-promoting lifestyles among patients with psoriasis using the capability, opportunity, motivation behavior (COM-B) model and the Social Ecological Model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive qualitative study was conducted using semi-structured interviews with 16 patients recruited via a WeChat group of Psoriasis Patients' Home. Data were collected and analyzed using content analysis in NVivo software (version 14).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At the individual level, barriers included limited knowledge and awareness, excessive dietary restrictions, symptom burden, difficulty changing habits, ineffective behaviors, enjoying life in time, self-awareness of controllable conditions, food temptation, and inappropriate self-image; facilitators were disease knowledge, healthy diet attention, avoidance of side effects of medicine, effective behavioral change, proactive information seeking, self-feeling of aggravating skin lesions by bad habits, improved body image, self-pleasure, and overall health promotion. At the interpersonal level, barriers were social contact needs, while facilitators included peer and family support and patient role models. At the organizational\/community level, barriers were work and life pressure and unhealthy workplace eating, whereas facilitators were community network support. At the societal level, barriers were stigmatization and lack of disease-specific health promotion guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the multi-level factors influencing health-promoting lifestyles among patients with psoriasis and underscores the need for interventions that enhance individual capability and motivation while fostering supportive social and environmental contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1695306","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:31:52Z","timestamp":1764138712000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Barriers and facilitators to adopting health-promoting lifestyles in patients with psoriasis in China: a qualitative study using the COM-B and SEM"],"prefix":"10.3389","volume":"13","author":[{"given":"Liyuan","family":"Xing","sequence":"first","affiliation":[{"name":"Department of Nursing, Henan Provincial People's Hospital","place":["Zhengzhou, China"]},{"name":"Department of Nursing, Zhengzhou University People's Hospital","place":["Zhengzhou, China"]},{"name":"Henan Provincial Intelligent Nursing and Transformation Engineering Research Center","place":["Zhengzhou, China"]},{"name":"Henan Provincial Key Medicine Laboratory of Nursing","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiqian","family":"Yu","sequence":"additional","affiliation":[{"name":"Dermatology Department, Henan Provincial People's Hospital","place":["Zhengzhou, China"]},{"name":"Dermatology Department, Zhengzhou University People's Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sisi","family":"Wang","sequence":"additional","affiliation":[{"name":"Dermatology Department, Henan Provincial People's Hospital","place":["Zhengzhou, China"]},{"name":"Dermatology Department, Zhengzhou University People's Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuya","family":"Huang","sequence":"additional","affiliation":[{"name":"Dermatology Department, Henan Provincial People's Hospital","place":["Zhengzhou, China"]},{"name":"Dermatology Department, Zhengzhou University People's Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongwei","family":"Liu","sequence":"additional","affiliation":[{"name":"Dermatology Department, Henan Provincial People's Hospital","place":["Zhengzhou, China"]},{"name":"Dermatology Department, Zhengzhou University People's Hospital","place":["Zhengzhou, 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