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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
100
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.
Tuşba Bardakçı Family Health Center
Van, Van, Turkey (Türkiye)
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).
Time frame: 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).
Time frame: 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).
Time frame: Baseline and 4-6 weeks after intervention
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