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应用社会认知理论预测2型糖尿病患者的身体活动和饮食行为。

Applying social cognitive theory to predict physical activity and dietary behavior among patients with type-2 diabetes.

作者信息

Sebastian Ann Tresa, Rajkumar Eslavath, Tejaswini P, Lakshmi R, Romate J

机构信息

Department of Psychology, Central University of Karnataka.

Department of Psychology, Jyothinivas College.

出版信息

Health Psychol Res. 2021 Jun 11;9(1):24510. doi: 10.52965/001c.24510. eCollection 2021.

Abstract

INTRODUCTION

Non-communicable diseases, arising out of changing lifestyle habits of people, are the foremost causes of mortality and morbidity worldwide. Most of these diseases occur in low and middle-income countries. Chronic diseases can be managed with the help of health behaviors such as proper diet, physical exercise, adherence to medication, and avoidance of health risk behaviors such as smoking, alcohol consumption, sedentary lifestyle, etc. The social cognitive theory addresses the role of personal and environmental factors in an individual's health behavior. The current study aims to understand the role of social cognitive theory on physical activity and dietary behavior amongst individuals diagnosed with type-2 diabetes.

METHODS

A correlational study was conducted among 225 participants with type-2 diabetes, who are under medication. The data was collected using social cognitive questionnaire for physical activity & dietary behavior and Health-Promoting Lifestyle Profile II. Descriptive statistics, Pearson's correlation coefficient and multiple linear regression analysis were used to analyze the data.

RESULTS

It was found from the study results that, all the domains of social cognitive theory were significantly correlated with physical activity (p<0.001) and the SCT domains- self-regulation (p<0.001), social support (p<0.001), and outcome expectancy (p<0.05) were significantly correlated with dietary behavior. The results of multiple linear regressions indicated that the domains self- regulation and self- efficacy were the significant predictor for physical activity behavior (R=.21, p ≤ 0.001) while the domains social support and self-regulation were the significant predictor of dietary behavior (R=.09, p ≤ 0.001).

CONCLUSION

The study results show that there is an influence of social cognitive domains on physical activity and dietary behaviour. Further, this study suggests that social cognitive theory based intervention can be used to promote healthy behaviour.

摘要

引言

非传染性疾病源于人们生活方式的改变,是全球死亡和发病的首要原因。这些疾病大多发生在低收入和中等收入国家。慢性病可以通过健康行为来控制,如合理饮食、体育锻炼、坚持用药,以及避免吸烟、饮酒、久坐不动等健康风险行为。社会认知理论阐述了个人和环境因素在个体健康行为中的作用。本研究旨在了解社会认知理论在2型糖尿病患者身体活动和饮食行为中的作用。

方法

对225名正在接受药物治疗的2型糖尿病患者进行了一项相关性研究。使用身体活动与饮食行为社会认知问卷和健康促进生活方式概况II收集数据。采用描述性统计、皮尔逊相关系数和多元线性回归分析对数据进行分析。

结果

研究结果表明,社会认知理论的所有领域均与身体活动显著相关(p<0.001),社会认知理论领域中的自我调节(p<0.001)、社会支持(p<0.001)和结果期望(p<0.05)与饮食行为显著相关。多元线性回归结果表明,自我调节和自我效能领域是身体活动行为的显著预测因素(R=.21,p≤0.001),而社会支持和自我调节领域是饮食行为的显著预测因素(R=.09,p≤0.001)。

结论

研究结果表明,社会认知领域对身体活动和饮食行为有影响。此外,本研究表明基于社会认知理论的干预可用于促进健康行为。

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