Evidence map›Paper›PMID 32028930›Full record

ArticleBMC public health2020

Applying the information-motivation-behavioral model to explore the influencing factors of self-management behavior among osteoporosis patients.

Lhakpa Tsamlag, Huwen Wang, Qiuming Shen, Yue Shi, Shuxian Zhang, Ruijie Chang, Xiyu Liu, Tian Shen, Yong Cai

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06028243 (Assessment of the Effectiveness of the Healthy Living Awareness Program for the Prevention of Osteoporosis Based on the Information- Motivation- Behavioral Skills Model in University Students), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06028243 nacompletednot on this mapstarted 2021, after this paper: background citation

Assessment of the Effectiveness of the Healthy Living Awareness Program for the Prevention of Osteoporosis Based on the Information- Motivation- Behavioral Skills Model in University Students: A Randomized Controlled Trial

TypeinterventionalSponsorAnkara Yildirim Beyazıt UniversityRan2021 to 2021Enrolled87ConditionsOsteoporosis, University Students, Healthy LifestyleArmsThe Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Information stage, The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Motivation stage, The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Behavior skills stage
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Beyond COVID-19: Behavioral Drivers of Pandemic Prevention in Ghana's Informal Urban Settlements.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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  12. How Women with Endometriosis Use Social Media for Support and Self-Management: An Analysis of Reddit Content.International journal of environmental research and public health · 2025
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  14. [Influencing factors of responsive caregiving among infant mothers in Weifang City].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lhakpa TsamlagDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Huwen WangDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Qiuming ShenDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Yue ShiDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Shuxian ZhangDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Ruijie ChangDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Xiyu LiuDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China.
Tian ShenDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China. pedyshen@126.com.
Yong CaiDepartment of Community Health and Behavioral Medicine, School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 South Chongqing Road, Shanghai, 200025, China. caiyong202028@hotmail.com.ORCID http://orcid.org/0000-0002-5706-7906

Funding

the Youth Science Fund Project of the National Science Foundation of China 71603167
6 · The paper itself

Abstract

backgroundThe prevalence of osteoporosis (OP) is rapidly increasing. Healthy behaviors are crucial for the management of OP. Application of the information-motivation-behavioral skills (IMB) model has been verified in various chronic diseases, but this model has not been investigated for behavioral interventions among people with OP. This study aimed to examine factors influencing OP self-management behavior and their interaction paths based on the IMB model.

methodsWe conducted a cross-sectional study using a convenience sampling method in 20 community health service centers in Shanghai, China. Predictive relationships between IMB model variables and self-management behaviors were evaluated using an anonymous questionnaire. Structural equation modeling was used to test the IMB model.

resultsIn total, 571 participants completed the questionnaire, of which 461 (80.7%) were female. Participants' mean age was 68.8 ± 10.1 years. Only 101 (17.7%) participants were classified as having better OP self-management behaviors. The model demonstrated the data had an acceptable fit. Paths from information to self-efficacy (β = 0.156, P < 0.001) and self-management behaviors (β = 0.236, P < 0.001), from health beliefs to self-efficacy (β = 0.266, P < 0.001), from medical system support to self-efficacy (β = 0.326, P < 0.001) and self-management behaviors (β = 0.230, P < 0.001), and from self-efficacy to self-management behaviors (β = 0.376, P < 0.001) were all significant and in the predicted direction.

conclusionThis study validated the utility of the IMB model for OP self-management behaviors in this population. Middle-aged and older adult patients with OP have poor self-management behaviors. Enhanced knowledge about OP and is important for improving self-management behaviors.

Indexed as

Health Knowledge, Attitudes, PracticeModels, PsychologicalAgedChinaCommunity Health CentersCross-Sectional StudiesFemaleHumansMaleMiddle AgedMotivationOsteoporosisSelf EfficacySelf-ManagementSurveys and QuestionnairesBehavioral skills model (IMB)MotivationOsteoporosis, self-management behaviors, information

Identifiers

PMID32028930
PMCPMC7006415

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.