ArticleNursing open2025
Barriers and Facilitators to the Symptom Self-Management in Patients With Decompensated Cirrhosis: A Qualitative Study Using Capability, Opportunity, Motivation-Behaviour Model.
Article in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Pain, uncertainty, and lack of clinical support drive emergency department utilization in cirrhosis: A qualitative study.Hepatology communications · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo systematically investigate the barriers and facilitators of symptom self-management behaviour in patients with decompensated cirrhosis.
designThis study adopted a qualitative descriptive design, which was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.
methodsOne-on-one, face-to-face, semi-structured interviews were conducted with 33 stakeholders, including nine patients, nine family caregivers and 15 healthcare professionals. Interview transcripts were analysed using the Capability, Opportunity, Motivation-Behaviour (COM-B) model, integrating dyadic interview analysis and qualitative content analysis.
resultsWe identified 11 barriers to symptom self-management relating to capability (poor illness perception, limited health literacy, difficulties in information acquisition and physical dysfunction); opportunity (cultural conflicts, heavy economic burden and inadequate resource support) and motivation (diminished sense of meaning in life, insufficient internal drive, delayed perception of therapeutic benefit and low self-efficacy). Conversely, we also identified eight facilitators relating to capability (progressive cognitive restructuring and adequate health literacy); opportunity (supportive environments, family cohesion and diversified information channels); and motivation (proactive adaptation, high intrinsic motivation and sustained reinforcement of therapeutic benefit).
conclusionsThis study identified key barriers and facilitators to symptom self-management in patients with decompensated cirrhosis, providing an evidence base for developing intervention strategies in the future. PATIENT AND PUBLIC CONTRIBUTION: Patients, family caregivers and healthcare professionals contributed to the study through interviews during the research process and member checks during analysis.
trial registrationThis clinical trial (registration number: ChiCTR2500097867) is registered in the Chinese Clinical Trial Registry as "Core symptoms and self-management among decompensated cirrhosis patients: a cross-sectional study". The trial registration link is https://www.chictr.org.cn/showproj.html?proj=252931.
Indexed as
Identifiers
What OpenQuestion holds
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.