Skorton Center for Health Initiatives at Cornell Health, Cornell University.
Department of Education and Counseling Psychology, University at Albany.
J Couns Psychol. 2022 Apr;69(3):361-373. doi: 10.1037/cou0000592. Epub 2021 Nov 4.
Peer health education (PHE) is a widely implemented prevention approach among college populations. While social cognitive theory (SCT; Bandura, 2004) has been assumed to account for the underlying mechanisms of PHE, no studies have tested the utility of an SCT-based training program in improving health-related outcomes among peer educators. The present study developed, implemented, and tested the effectiveness of a 15-week, SCT-based wellness coaching training program in enhancing health self-efficacy (HSE) and outcome expectations (HOE) among undergraduate peer educators. The quasi-experimental design included an SCT training group (n = 39), alternative training group (n = 46), and no-treatment control group (n = 46) and gathered data from participants at pretest, posttest, and 6-week follow-up. Results of a split-plot multivariate analysis of variance revealed a significant interaction effect for group and time when considering HSE and HOE together. Follow-up analyses indicated that the interaction was significant for HOE, but not for HSE. The SCT group reported significantly lower HOE than the control group at pretest but showed no differences in HOE scores compared to the other two groups at posttest or follow-up. Findings also revealed significant improvements in the SCT group's HSE scores over time. The findings provide initial empirical support for the effectiveness of SCT-based training programs in promoting positive health-related beliefs and attitudes among peer educators. Further, this study demonstrates that the process of training peer educators may be utilized as a health promotion strategy in and of itself. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
同伴健康教育（PHE）是大学生群体中广泛实施的预防方法。虽然社会认知理论（SCT；Bandura，2004）被认为是 PHE 的潜在机制，但没有研究测试过基于 SCT 的培训计划在提高同伴教育者的健康相关结果方面的效用。本研究开发、实施并测试了一项基于 SCT 的为期 15 周的健康教练培训计划在提高本科同伴教育者健康自我效能感（HSE）和结果预期（HOE）方面的有效性。准实验设计包括 SCT 培训组（n = 39）、替代培训组（n = 46）和无治疗对照组（n = 46），并在预测试、后测试和 6 周随访时从参与者那里收集数据。对 HSE 和 HOE 一起考虑的多元方差分析的分图结果显示，在考虑组和时间时，存在显著的交互效应。后续分析表明，交互作用在 HOE 中显著，但在 HSE 中不显著。SCT 组在预测试时报告的 HOE 明显低于对照组，但在后测试或随访时与其他两组相比，HOE 分数没有差异。研究结果还表明，SCT 组的 HSE 分数随着时间的推移显著提高。这些发现为基于 SCT 的培训计划在促进同伴教育者积极的健康相关信念和态度方面的有效性提供了初步的经验支持。此外，本研究表明，培训同伴教育者的过程本身可以用作一种健康促进策略。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
