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| 1 | Role of illness perception and self-efficacy in lifestyle modification among non-alcoholic fatty liver disease patients显示文摘AIM To describe the relationships between non-alcoholic fatty-liver disease(NAFLD) patient's disease consequences and treatment perceptions, self-efficacy, and healthy lifestyle maintenance. METHODS A cross-sectional study among 146 ultrasound diagnosed NAFLD patients who visited the fatty liver clinic at the TelAviv Medical Center. Eighty-seven of these individuals, participated in a clinical trial of physical activity and underwent fasting blood tests, analyzed at the same lab. Exclusion criteria included positivity for serum HBsA g or anti-HCV antibodies; fatty liver suspected to be secondary to hepatotoxic drugs; excessive alcohol consumption(≥ 30 g/d in men or ≥ 20 g/d in women) and positive markers of genetic or immune-mediated liver diseases. Patients were asked to complete a selfreport structured questionnaire, assembled by the Israeli Center for Disease Control. Nutrition habits were measured using six yes/no questions(0 = no, 1 = yes) adopted from the national survey questionnaire. Participants in the clinical trial completed a detailed semi-quantitative food frequency questionnaire(FFQ) reporting their habitual nutritional intake during the past year. Self-efficacy was assessed by the Self-Efficacy Scale questionnaire, emotional representation, degree of illness understanding, timeline perception, treatment perception and symptoms were measured by the Brief Illness Perception questionnaire. Illness consequences were measured by the Personal Models of Diabetes Interview questionnaire. A path analysis was performed to describe the interrelationships between the patients' illness perceptions, and assess the extent to which the data fit a prediction of nutritional habits.RESULTS The study sample included 54.1% men, with a mean age of 47.76 ± 11.68 years(range: 20-60) and mean body mass index of 31.56 ± 4.6. The average perceived nutrition habits score was 4.73 ± 1.45 on a scale between 0-6, where 6 represents the healthiest eating habits. Most of the study participants(57.2%) did not feel they fully understood what NAFLD is. Better nutritional habits were positively predicted by the degree of illness understanding(β = 0.26; P = 0.002) and selfefficacy(β = 0.25; P = 0.003). Perceptions of more severe illness consequences were related with higher emotional representation(β = 0.55; P < 0.001), which was related with lower self-efficacy(β =-0.17; P = 0.034). The perception of treatment effectiveness was positively related with self-efficacy(β = 0.32; P < 0.001). In accordance with the correlation between self-efficacy and the perceived nutrition habits score, self-efficacy was also correlated with nutrient intake evaluated by the FFQ; negatively with saturated fat(percent of saturated fat calories from total calories)(r =-0.28, P = 0.010) and positively with fiber(r = 0.22, P = 0.047) and vitamin C intake(r = 0.34, P = 0.002). In a sub analysis of the clinical trial participants, objectively measured compliance to physical activity regimen was positively correlated with the self-efficacy level(r = 0.34, P = 0.046). CONCLUSION Self-efficacy and illness understanding are major determinants of lifestyle-modification among NAFLD patients. This information can assist clinicians in improving compliance with lifestyle changes among these patients. | Shira Zelber-Sagi Shiran Bord Gali Dror-Lavi Matthew Lee Smith Samuel D Towne Jr Assaf Buch Muriel Webb Hanny Yeshua Assy Nimer Oren Shibolet | 2017 | World Journal of Gastroenterology2017，23，10： | 6 |
| 2 | Estimat- ing global impacts from climate change 显示文摘 | SAMUEL HITZ JOEL SMITH | 2004 | Global Environmental Change2004，14，3： | 1 |
| 3 | Support for the Homeobox Transcription Factor Gene ENGRAILED 2 as an Autism Spectrum Disorder Susceptibility Locus显示文摘 | Rym Benayed Neda Gharani Ian Rossman Vincent Mancuso Gloria Lazar Silky Kamdar Shannon E. Bruse Samuel Tischfield Brett J. Smith Raymond A. Zimmerman Emanuel DiCicco-Bloom Linda M. Brzustowicz James H. Millonig | 2005 | The American Journal of Human Genetics2005，，5： | 1 |
| 4 | The incidence of mismatch repair gene defects in colorectal liver metastases显示文摘 | Raul Alvarado?Bachmann Adrian Smith Justin Gundara Samuel Kuo Anthony Gill Jaswinder Samra Thomas Hugh | 2014 | Molecular Medicine Reports2014，，2： | 1 |
| 5 | Adiponectin gene activation by thiazolidinediones requires PPARγ2, but not C/EBPα—evidence for differential regulation of the aP2 and adiponectin genes显示文摘 | Birgit Gustafson Maia M Jack Samuel W Cushman Ulf Smith | 2003 | Biochemical and Biophysical Research Communications2003，，4： | 1 |
| 6 | Exploiting spin echo decay in the detection of nuclear quadrupole resonance signals显示文摘 | Samuel D Somassundaram Andreas Jakobsson Jotm A S Smith Kaspar Althoefer | 2007 | IEEE Transactions on Geoscience and Remote Sensing2007，45，4： | 1 |
| 7 | Light out-coupling efficiencies of organic light-emitting diode structures and the effect of photoluminescence quantum yield显示文摘 | Smith L H Wasey J A E Samuel D W | 2005 | Advanced Functional Material2005，15，11： | 1 |
| 8 | Cloning and characterization of the rainbow trout(Oncorhynchus mykiss)type Ⅱinterleukin-1 receptor Cdna显示文摘 | Amaia Sangrador-Vegas Samuel Martin A M Terry Smith J | 2000 | Eur J Biochem2000，267，： | 1 |
| 9 | Aluminum accumulation in critically ill children on sucralfate therapy 显示文摘 | Thorburn K Samuel M Smith EA | 2001 | Pediatr Crit Care Med2001，2，3： | 1 |
| 10 | Comparative effects of eight varieties of blackberry on mutagenesis 显示文摘 | Patricia Tate Amal Kuzmar Samuel W Smith | 2003 | Nutrition Research2003，23，： | 1 |
| 11 | A Global Profile of Germline Gene Expression in C. elegans显示文摘 | Valerie Reinke Harold E. Smith Jeremy Nance John Wang Carrie Van Doren Rebecca Begley Steven J.M. Jones Elizabeth B. Davis Stewart Scherer Samuel Ward Stuart K. Kim | 2000 | Molecular Cell2000，，3： | 1 |
| 12 | Yield management at American Airlines显示文摘 | Smith B Leimkuhler J Darrow R Samuels J | 1992 | Interfaces1992，22，： | 1 |
| 13 | Gut microbiota, tight junction protein expression, intestinal resistance, bacterial translocation and mortality following cholestasis depend on the genetic background of the host显示文摘 | Samuel M. Alaish Alexis D. Smith Jennifer Timmons Jose Greenspon Daniel Eyvazzadeh Ebony Murphy Terez Shea-Donahue Shana Cirimotich Emmanuel Mongodin Aiping Zhao Alessio Fasano James P. Nataro Alan S Cross | 2013 | Gut Microbes2013，，4： | 1 |
| 14 | Laparoscopic Transumbilical Cholecystectomy Without Visible Abdominal Scars显示文摘 | Ninh T. Nguyen Kevin M. Reavis Marcelo W. Hinojosa Brian R. Smith Samuel E. Wilson | 2009 | Journal of Gastrointestinal Surgery2009，，6： | 1 |
| 15 | Acute herniated nucleus bulposus with cauda equina compression syndrome following chemonucleolysis显示文摘 | Samuel Smith lyal G Leirock | 1987 | J Neurosurg1987，66，： | 1 |
| 16 | The preparation and chemistry of dicationically active polymers of tetrahydrofuran显示文摘 | Samuel Smith Allen J Hubin | 1973 | J Macromol Sci:Chem A71973，，7： | 1 |
| 17 | Models for Integrating Rehabilitation and Primary Care: A Scoping Study显示文摘 | Mary Ann McColl Samuel Shortt Marshall Godwin Karen Smith Kirby Rowe Patti O’Brien Catherine Donnelly | 2009 | Archives of Physical Medicine and Rehabilitation2009，，9： | 1 |
| 18 | Costly Signaling and Cooperation显示文摘 | Ginits Herbert Eric Alden Smith Samuel Bowles | | 0，，： | 1 |
| 19 | A standardized method for measuring in- tracranial arterial stenosis显示文摘 | Samuels O B Joseph G J Lynn M J Smith H A Chi- mowitz M I | 2000 | AJNR Am J Neuroradi- ol2000，21，： | 1 |
| 20 | A Review of Safety, Efficacy, and Utilization of Erythropoietin, Darbepoetin, and Peginesatide for Patients with Cancer or Chronic Kidney Disease: A Report from the Southern Network on Adverse Reactions (SONAR)显示文摘 | Charles Bennett David Spiegel Iain Macdougall LeAnn Norris Zaina Qureshi Oliver Sartor Stephen Lai Martin Tallman Dennis Raisch Sheila Smith Samuel Silver Alanna Murday James Armitage David Goldsmith | 2012 | Semin Thromb Hemost2012，，08： | 1 |
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