ArticlePloS one2025
Predicting dietary management intention of patients with chronic kidney disease using protection motivation theory.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Self-Management Intentions and Behaviors Among CKD Patients at Predialysis and Dialysis Stages: A Cross-Sectional Study Based on Protection Motivation Theory.Nursing research and practice · 2026Article
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4 authors.
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Abstract
backgroundPsychological 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).
methods500 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.
resultsThree PMT constructs, namely perceived severity [B = 0.198, P < 0.001], response efficacy [B = 0.331, P < 0.001], and self-efficacy [B = 0.325, P < 0.001], two demographic variables, namely single status [B = -0.180, P = 0.028] and education level [B = 0.080, P = 0.007], and a disease-related variable, namely CKD stage [B = .056, P = 0.001], predicted 39.3% of the variance of the CKD DMI. No significant effect on CKD DMI was observed for other predictor variables (P > 0.05).
conclusionsApplying 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.
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