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This study aims to evaluate the effectiveness of a Social Cognitive Theory-based education program on self-efficacy, healthy lifestyle behaviors, and health literacy in older adults aged 65 years and over attending primary care centers. Participants will be assigned to either an intervention group receiving a structured education program or a control group receiving routine care. The intervention consists of three face-to-face educational sessions delivered weekly. Outcomes will be assessed at baseline and 4-6 weeks after the intervention using validated scales. The findings are expected to contribute to improving health behaviors and health literacy among older adults in primary care settings.
This study is designed as a randomized controlled trial to evaluate the impact of a Social Cognitive Theory-based educational intervention on self-efficacy, healthy lifestyle behaviors, and health literacy among older adults. The study will be conducted in a primary care setting and will include individuals aged 65 years and older who meet the inclusion criteria and provide informed consent.
Participants will be randomly assigned to either the intervention group or the control group. The intervention group will receive a structured education program based on Social Cognitive Theory, delivered in three weekly face-to-face sessions, each lasting approximately 30 minutes. The content of the program includes health promotion, healthy nutrition, physical activity, chronic disease management, self-efficacy enhancement, and health literacy improvement. The control group will receive routine primary care services without additional intervention.
Data will be collected at two time points: baseline (pre-test) and 4-6 weeks after the completion of the intervention (post-test). Outcome measures include self-efficacy, assessed using the General Self-Efficacy Scale; healthy lifestyle behaviors, assessed using the Health-Promoting Lifestyle Profile; and health literacy, assessed using the Health Literacy Scale (short form).
The study is expected to provide evidence on the effectiveness of theory-based educational interventions in promoting health behaviors and improving health literacy among older adults in primary care settings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Participants in this group will receive a structured Social Cognitive Theory-based education program consisting of three weekly face-to-face sessions, in addition to routine primary care services. |
|
| Arm Type: Control Group (No Intervention) | No Intervention | Participants in this group will receive routine primary care services without any additional educational intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Social Cognitive Theory-Based Education | Behavioral | A structured face-to-face education program based on Social Cognitive Theory, delivered in three weekly sessions covering health promotion, nutrition, physical activity, self-efficacy, and health literacy. |
| Measure | Description | Time Frame |
|---|---|---|
| Self-Efficacy Level | Self-efficacy will be assessed using the General Self-Efficacy Scale (GSES). The scale consists of 10 items scored on a 4-point Likert scale (1-4), with a total score ranging from 10 to 40. Higher scores indicate higher levels of self-efficacy (better outcome). | Baseline and 4-6 weeks after intervention |
| Healthy Lifestyle Behaviors | Healthy lifestyle behaviors will be measured using the Health-Promoting Lifestyle Profile II (HPLP-II). The scale includes 52 items rated on a 4-point Likert scale (1-4), with total scores ranging from 52 to 208. Higher scores indicate more positive health-promoting lifestyle behaviors (better outcome). | Baseline and 4-6 weeks after intervention |
| Health Literacy Level | Health literacy will be assessed using the Health Literacy Scale-Short Form (HLS-SF). The scale consists of items rated on a Likert-type scale, with total scores ranging from 0 to 50. Higher scores indicate higher health literacy levels (better outcome). | Baseline and 4-6 weeks after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Muhammet Faruk Yiğit, PhD | Contact | +90 542 424 76 29 | muhammetfarukyigit@yyu.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tuşba Bardakçı Family Health Center | Van | Van | 65100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40665800 | Result | Nutbeam D. Health literacy as a public health goal: 25 years on. Health Promot Int. 2025 Jul 1;40(4):daaf119. doi: 10.1093/heapro/daaf119. No abstract available. | |
| 25843827 | Result | Sorensen K, Pelikan JM, Rothlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E, Falcon M, Mensing M, Tchamov K, van den Broucke S, Brand H; HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015 Dec;25(6):1053-8. doi: 10.1093/eurpub/ckv043. Epub 2015 Apr 5. |
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| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D006266 | Health Education |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
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Participants will be assigned to either an intervention group receiving education or a control group receiving routine care.
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| D010342 |
| Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |