{"id":"https://openalex.org/W7225012332","doi":"https://doi.org/10.1038/s41598-026-74827-3","title":"Experiences of a food-based very low-calorie diet programme among Chinese adults with obesity and prediabetes or type 2 diabetes: a COM-B-guided qualitative study","display_name":"Experiences of a food-based very low-calorie diet programme among Chinese adults with obesity and prediabetes or type 2 diabetes: a COM-B-guided qualitative study","publication_year":2026,"publication_date":"2026-10-31","ids":{"openalex":"https://openalex.org/W7225012332","doi":"https://doi.org/10.1038/s41598-026-74827-3"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-026-74827-3","doi":"https://doi.org/10.1038/s41598-026-74827-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-74827-3","pdf_url":"https://www.nature.com/articles/s41598-026-74827-3.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-026-74827-3.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160277704","display_name":"Yanli Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yanli Wang","raw_affiliation_strings":["School of Nursing, Nanjing University of Chinese Medicine, No. 138, Xianlin Road, Nanjing, 210023, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Nanjing University of Chinese Medicine, No. 138, Xianlin Road, Nanjing, 210023, China","institution_ids":["https://openalex.org/I131434179"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160260167","display_name":"Rongjuan Guo","orcid":"https://orcid.org/0009-0002-8496-1599","observed_orcids":["https://orcid.org/0009-0002-8496-1599"]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Rongjuan Guo","raw_affiliation_strings":["School of Nursing, Nanjing University of Chinese Medicine, No. 138, Xianlin Road, Nanjing, 210023, China"],"raw_orcid":"https://orcid.org/0009-0002-8496-1599","affiliations":[{"raw_affiliation_string":"School of Nursing, Nanjing University of Chinese Medicine, No. 138, Xianlin Road, Nanjing, 210023, China","institution_ids":["https://openalex.org/I131434179"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160256598","display_name":"Junmei Ge","orcid":"https://orcid.org/0009-0003-0191-7021","observed_orcids":["https://orcid.org/0009-0003-0191-7021"]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Junmei Ge","raw_affiliation_strings":["School of Nursing, Nanjing University of Chinese Medicine, No. 138, Xianlin Road, Nanjing, 210023, China"],"raw_orcid":"https://orcid.org/0009-0003-0191-7021","affiliations":[{"raw_affiliation_string":"School of Nursing, Nanjing University of Chinese Medicine, No. 138, Xianlin Road, Nanjing, 210023, China","institution_ids":["https://openalex.org/I131434179"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160244305","display_name":"Guofang Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]},{"id":"https://openalex.org/I4210110502","display_name":"Jiangsu Provincial Academy of Traditional Chinese Medicine","ror":"https://ror.org/01a1w0r26","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210110502"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Guofang Chen","raw_affiliation_strings":["Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China","institution_ids":["https://openalex.org/I131434179","https://openalex.org/I4210110502"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101541699","display_name":"Shuhang Xu","orcid":"https://orcid.org/0000-0002-8619-5376","observed_orcids":["https://orcid.org/0000-0002-8619-5376"]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]},{"id":"https://openalex.org/I4210110502","display_name":"Jiangsu Provincial Academy of Traditional Chinese Medicine","ror":"https://ror.org/01a1w0r26","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210110502"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shuhang Xu","raw_affiliation_strings":["Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China"],"raw_orcid":"https://orcid.org/0000-0002-8619-5376","affiliations":[{"raw_affiliation_string":"Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China","institution_ids":["https://openalex.org/I131434179","https://openalex.org/I4210110502"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160267579","display_name":"Chao Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]},{"id":"https://openalex.org/I4210110502","display_name":"Jiangsu Provincial Academy of Traditional Chinese Medicine","ror":"https://ror.org/01a1w0r26","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210110502"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chao Liu","raw_affiliation_strings":["Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China","institution_ids":["https://openalex.org/I131434179","https://openalex.org/I4210110502"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146856508","display_name":"Doudou Li","orcid":"https://orcid.org/0000-0001-8498-5414","observed_orcids":["https://orcid.org/0000-0001-8498-5414"]},"institutions":[{"id":"https://openalex.org/I131434179","display_name":"Nanjing University of Chinese Medicine","ror":"https://ror.org/04523zj19","country_code":"CN","type":"education","lineage":["https://openalex.org/I131434179"]},{"id":"https://openalex.org/I4210110502","display_name":"Jiangsu Provincial Academy of Traditional Chinese Medicine","ror":"https://ror.org/01a1w0r26","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210110502"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Doudou Li","raw_affiliation_strings":["Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China"],"raw_orcid":"https://orcid.org/0000-0001-8498-5414","affiliations":[{"raw_affiliation_string":"Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, No. 100, Cross Street, Hongshan Road, Nanjing, 210028, China","institution_ids":["https://openalex.org/I131434179","https://openalex.org/I4210110502"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160269899","display_name":"Yi Zhou","orcid":"https://orcid.org/0009-0002-6349-0943","observed_orcids":["https://orcid.org/0009-0002-6349-0943"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Yi Zhou","raw_affiliation_strings":["Department of Endocrinology and Metabolism, Xiamen Hospital of Traditional Chinese Medicine, No. 1739, Xianyue Road, Huli District, Xiamen, 361015, China"],"raw_orcid":"https://orcid.org/0009-0002-6349-0943","affiliations":[{"raw_affiliation_string":"Department of Endocrinology and Metabolism, Xiamen Hospital of Traditional Chinese Medicine, No. 1739, Xianyue Road, Huli District, Xiamen, 361015, China","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5146856508","https://openalex.org/A5160269899"],"corresponding_institution_ids":["https://openalex.org/I131434179","https://openalex.org/I4210110502"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85816168,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.8862000107765198,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.8862000107765198,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12267","display_name":"Diet and metabolism studies","score":0.024900000542402267,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11542","display_name":"Behavioral Health and Interventions","score":0.014000000432133675,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/very-low-calorie-diet","display_name":"very low calorie diet","score":0.9860000014305115},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.6970000267028809},{"id":"https://openalex.org/keywords/prediabetes","display_name":"prediabetes","score":0.9750000238418579},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9419999718666077},{"id":"https://openalex.org/keywords/dietary-adherence","display_name":"dietary adherence","score":0.8080000281333923},{"id":"https://openalex.org/keywords/chinese-adults","display_name":"Chinese adults","score":0.847000002861023},{"id":"https://openalex.org/keywords/com-b-model","display_name":"COM-B model","score":0.8790000081062317},{"id":"https://openalex.org/keywords/self-control","display_name":"self-control","score":0.6000000238418579},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.8920000195503235},{"id":"https://openalex.org/keywords/physical-environment","display_name":"physical environment","score":0.503000020980835},{"id":"https://openalex.org/keywords/motivation","display_name":"motivation","score":0.4970000088214874},{"id":"https://openalex.org/keywords/lifestyle-management","display_name":"lifestyle management","score":0.5230000019073486},{"id":"https://openalex.org/keywords/diabetes-remission","display_name":"diabetes remission","score":0.6150000095367432}],"concepts":[{"id":"https://openalex.org/C2779668308","wikidata":"https://www.wikidata.org/wiki/Q2087205","display_name":"Prediabetes","level":4,"score":0.9330000281333923},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6898999810218811},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6711999773979187},{"id":"https://openalex.org/C2776289891","wikidata":"https://www.wikidata.org/wiki/Q1931511","display_name":"Neglect","level":2,"score":0.6290000081062317},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.6028000116348267},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5920000076293945},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.5248000025749207},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.505299985408783},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.4848000109195709},{"id":"https://openalex.org/C2910068830","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 Diabetes Mellitus","level":3,"score":0.47519999742507935},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.3652999997138977},{"id":"https://openalex.org/C2776263783","wikidata":"https://www.wikidata.org/wiki/Q5275067","display_name":"Dietary management","level":2,"score":0.3630000054836273},{"id":"https://openalex.org/C2982889124","wikidata":"https://www.wikidata.org/wiki/Q107439039","display_name":"Disease management","level":4,"score":0.3612000048160553},{"id":"https://openalex.org/C34320749","wikidata":"https://www.wikidata.org/wiki/Q17087302","display_name":"Weight management","level":4,"score":0.3582000136375427},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.3571000099182129},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3407000005245209},{"id":"https://openalex.org/C106399304","wikidata":"https://www.wikidata.org/wiki/Q868123","display_name":"Snowball sampling","level":2,"score":0.335999995470047},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.33250001072883606},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.33169999718666077},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3151000142097473},{"id":"https://openalex.org/C2781460075","wikidata":"https://www.wikidata.org/wiki/Q1399332","display_name":"Compliance (psychology)","level":2,"score":0.31150001287460327},{"id":"https://openalex.org/C2776933761","wikidata":"https://www.wikidata.org/wiki/Q4117674","display_name":"Self-management","level":2,"score":0.29919999837875366},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2971999943256378},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2953000068664551},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2818000018596649},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.27489998936653137},{"id":"https://openalex.org/C2987512134","wikidata":"https://www.wikidata.org/wiki/Q346799","display_name":"Life style","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.2581000030040741},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.25099998712539673}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1038/s41598-026-74827-3","doi":"https://doi.org/10.1038/s41598-026-74827-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-74827-3","pdf_url":"https://www.nature.com/articles/s41598-026-74827-3.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:e65942fef7844235a8ce948a5f723bd0","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/e65942fef7844235a8ce948a5f723bd0","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scientific Reports, Vol 16, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41598-026-74827-3","doi":"https://doi.org/10.1038/s41598-026-74827-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-74827-3","pdf_url":"https://www.nature.com/articles/s41598-026-74827-3.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320321605","display_name":"Government of Jiangsu Province","ror":"https://ror.org/004svx814"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225012332.pdf","grobid_xml":"https://content.openalex.org/works/W7225012332.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W2101609104","https://openalex.org/W2134293572","https://openalex.org/W2136608905","https://openalex.org/W2138664283","https://openalex.org/W2282105470","https://openalex.org/W2309974746","https://openalex.org/W2528781334","https://openalex.org/W2582181708","https://openalex.org/W2738645055","https://openalex.org/W2773791657","https://openalex.org/W2898896656","https://openalex.org/W2940974223","https://openalex.org/W2954910114","https://openalex.org/W3004110213","https://openalex.org/W3020528808","https://openalex.org/W3040499085","https://openalex.org/W3059516216","https://openalex.org/W3162207963","https://openalex.org/W3179214322","https://openalex.org/W3200679388","https://openalex.org/W4200026682","https://openalex.org/W4220926348","https://openalex.org/W4224273703","https://openalex.org/W4308989102","https://openalex.org/W4310963015","https://openalex.org/W4317910367","https://openalex.org/W4375856471","https://openalex.org/W4388735421","https://openalex.org/W4390350900","https://openalex.org/W4396750046","https://openalex.org/W4399050553","https://openalex.org/W4399204837","https://openalex.org/W4400926565","https://openalex.org/W4401321825","https://openalex.org/W4401352698","https://openalex.org/W4401667968"],"related_works":["https://openalex.org/W2602280781","https://openalex.org/W7133713747","https://openalex.org/W4292657044","https://openalex.org/W2738645055","https://openalex.org/W7135866337","https://openalex.org/W4289688023","https://openalex.org/W3111481352","https://openalex.org/W4212956345","https://openalex.org/W3029679196","https://openalex.org/W4401472827"],"abstract_inverted_index":{"Very":[0],"low-calorie":[1],"diets":[2],"(VLCDs)":[3],"can":[4],"halt":[5],"the":[6,40,63,99,136,148],"progression":[7],"of":[8,43,109,138,150,159],"type":[9],"2":[10],"diabetes":[11,197],"mellitus":[12],"(T2DM)":[13],"and":[14,27,47,80,89,131,161,170,187,196],"induce":[15],"remission.":[16],"However,":[17],"they":[18],"currently":[19],"face":[20],"significant":[21],"adherence":[22,112,178],"challenges,":[23],"limited":[24,117],"long-term":[25],"efficacy,":[26],"acceptability":[28],"issues":[29],"among":[30],"Chinese":[31],"populations":[32],"due":[33],"to":[34,38,113,147,174,192],"cultural":[35],"differences.":[36],"Aiming":[37],"explore":[39],"perceptions,":[41],"experiences":[42,172],"individuals":[44],"with":[45],"obesity":[46],"prediabetes":[48],"or":[49],"T2DM":[50],"who":[51],"are":[52],"consuming":[53],"VLCDs,":[54],"this":[55],"descriptive":[56],"qualitative":[57],"study":[58],"was":[59],"conducted":[60],"guided":[61],"by":[62],"Capability,":[64],"Opportunity,":[65],"Motivation-Behaviour":[66],"(COM-B)":[67],"model.":[68],"Purposeful":[69],"sampling":[70],"selected":[71],"participants":[72,97],"at":[73],"two":[74],"hospitals":[75],"in":[76,122],"China":[77],"between":[78],"July":[79],"August":[81],"2024.":[82],"Data":[83],"were":[84],"collected":[85],"through":[86],"semi-structured":[87],"interviews":[88],"analyzed":[90],"via":[91],"a":[92],"COM-B\u2013guided":[93],"framework":[94],"analysis.":[95],"Fourteen":[96],"completed":[98],"interviews,":[100],"revealing":[101],"8":[102],"subthemes:":[103],"(1)":[104],"Capability":[105],"factors:":[106,127,155],"A":[107],"lack":[108],"self-control":[110],"hinders":[111],"dietary":[114,175,194],"routines,":[115],"whereas":[116,141,168],"physical":[118,129],"ability":[119],"restricts":[120],"engagement":[121],"daily":[123],"exercise;":[124],"(2)":[125],"Opportunity":[126],"Supportive":[128],"environments":[130],"strong":[132],"social":[133],"networks":[134],"facilitate":[135],"maintenance":[137],"health":[139,151],"behaviours,":[140],"competing":[142],"life":[143],"priorities":[144],"often":[145],"lead":[146],"neglect":[149],"management;":[152],"(3)":[153],"Motivation":[154],"The":[156],"perceived":[157],"threat":[158],"disease":[160],"positive":[162],"treatment":[163],"feedback":[164],"enhance":[165,193],"behavioural":[166],"motivation,":[167],"discomfort":[169],"negative":[171],"related":[173],"restriction":[176],"undermine":[177],"sustainability.":[179],"Future":[180],"research":[181],"should":[182],"focus":[183],"on":[184],"developing":[185],"targeted":[186],"sustainable":[188],"lifestyle":[189],"management":[190,198],"programmes":[191],"compliance":[195],"outcomes.":[199]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-11-01T00:00:00"}
