ArticleFrontiers in public health2025
Barriers and facilitators to adopting health-promoting lifestyles in patients with psoriasis in China: a qualitative study using the COM-B and SEM.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Lifestyle interventions targeting adiposity in adults with psoriasis: a systematic review and network meta-analysis.Frontiers in nutrition · 2026Pooled it
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: 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. Objectives: 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. Methods: 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). Results: 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. Conclusions: 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.
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