Guan Qing, Dong Rui, Zhang Mengting, Chang Dongchun, Zhang Ru, Wang Yunqi, Zhang Wei, Wang Jie
Department of Fundamental and Community Nursing, School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China.
School of Nursing and Midwifery, Jiangsu College of Nursing, Huaian, Jiangsu, China.
J Nutr Educ Behav. 2025 Apr;57(4):274-284. doi: 10.1016/j.jneb.2024.12.010. Epub 2025 Jan 26.
To explore the knowledge-action gap regarding health behaviors and their influencing factors among patients with metabolic dysfunction-associated fatty liver disease (MAFLD), using the Health Belief Model as a theoretical framework.
A qualitative approach was adopted, involving semistructured interviews with individuals with MAFLD.
Participants were recruited from a community hospital and a tertiary hospital in Nanjing, China, between July and October 2022.
A purposive sample of 21 adults with MAFLD, who were primarily overweight or obese (86%), males (52%), and aged ≥ 60 years (52%).
This study focused on the knowledge-action gap in health behaviors among MAFLD patients.
Data were analyzed using content analysis, with the Health Belief Model guiding the identification of themes and categorization of specific domains.
This study found that perceptions of disease susceptibility and severity, perceived barriers to healthy lifestyles, and various modifying factors impeded the adoption of healthy behaviors. In contrast, perceived benefits, cues to action, and self-efficacy facilitated the implementation of these behaviors.
This research highlights the factors contributing to the knowledge-action gap in health behaviors among MAFLD patients. The findings suggest potential targets for interventions aimed at enhancing the alignment between patients' knowledge and their actions, ultimately promoting better health outcomes.
以健康信念模型为理论框架，探讨代谢功能障碍相关脂肪性肝病（MAFLD）患者在健康行为方面的知行差距及其影响因素。
采用定性研究方法，对MAFLD患者进行半结构化访谈。
2022年7月至10月期间，在中国南京的一家社区医院和一家三级医院招募参与者。
选取21名MAFLD成年患者作为目的抽样样本，这些患者主要为超重或肥胖者（86%）、男性（52%）且年龄≥60岁（52%）。
本研究聚焦于MAFLD患者健康行为中的知行差距。
采用内容分析法对数据进行分析，以健康信念模型指导主题识别和特定领域的分类。
本研究发现，对疾病易感性和严重性的认知、健康生活方式的感知障碍以及各种调节因素阻碍了健康行为的采用。相比之下，感知到的益处、行动提示和自我效能促进了这些行为的实施。
本研究突出了导致MAFLD患者健康行为知行差距的因素。研究结果表明了干预的潜在目标，旨在加强患者知识与行动之间的一致性，最终促进更好的健康结果。
