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Effect of a Cognitive-Social Theory-Based Educational Intervention on Self-Care Behaviors in Patients with Hypertension: A Clinical Trial
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FS Hashemi    , R Soltani , M Zamanian |
| Department of Health Education and Health Promotion, School of Health, Arak University of Medical Sciences, Arak, Iran, & Environmental and Industrial Pollutants Research Center (EIPRC) Arak University of Medical Sciences, Arak, Iran, , shadi8685@gmail.com |
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Abstract: (8 Views) |
Introduction: Hypertension is a significant public health issue due to its high prevalence and serious complications. This study aimed to investigate the effect of Social Cognitive Theory (SCT) based educational intervention on improving self-care behaviors in individuals with hypertension. Materials and Methods: This clinical trial involved 200 individuals with hypertension, divided into two groups: intervention and control (100 individuals per group). The intervention group received four face-to-face training sessions based on SCT. The questionnaire included self-care behavior, based on SCT, and demographic characteristics. The questionnaire was self-administered before and one month after the educational intervention. Data were analyzed using SPSS version 26. Results: The mean (standard deviation) age in the intervention and control groups was 45.88 (7.82) and 46.79 (6.07), respectively. The two intervention and control groups did not differ significantly in terms of age (P=0.287) and gender (P=0.460), respectively. After the educational intervention, the mean scores for outcome expectations (P<0.001), self-efficacy (P<0.001), self-regulation (P<0.001), and social support were significantly different between the experimental and control groups.Following the educational intervention, there was a significant increase in self-care in the intervention groups (98.6±6.1 vs. 72.6±6.4, P<0.001). Conclusion: Based on the findings of this study, SCT- based educational interventions have a positive impact on self-care scores in patients with hypertension. Therefore, this training can be used in health centers to improve blood pressure control.
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| Keywords: High blood pressure, Social cognition theory, Self-care, Self-efficacy, Self-regulation, Social support, Outcome expectations |
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Full-Text [PDF 912 kb]
(7 Downloads)
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Type of Study: Review |
Subject:
Cardiology
Received: 2025/07/21 | Accepted: 2025/10/5 | Published: 2025/03/30
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