Islam Kazi Faria, Awal Abdul, Mazumder Hoimonty, Munni Ummi Rukaiya, Majumder Koushik, Afroz Kohinoor, Tabassum Mustari Nailah, Hossain M Mahbub
Research Initiative for Health Equity (RiHE), Khulna 9000, Bangladesh.
Khulna Medical College, Khulna, Bangladesh.
Heliyon. 2023 Mar 28;9(4):e14889. doi: 10.1016/j.heliyon.2023.e14889. eCollection 2023 Apr.
Using a theoretical perspective to guide research design and implementation can result in a coherent preventative intervention model. Among theoretical frameworks, Bandura's Social Cognitive Theory (SCT) is particularly useful for studies focused on behavior change in health promotion research.
This scoping review explored and summarized the current evidence on health promotion interventions that integrated constructs of Social Cognitive Theory and the outcome of those interventions in primary care settings.
ology: We conducted this scoping review using the PRISMA scoping review guidelines; we reviewed articles from five electronic databases and additional sources that were peer-reviewed journal articles reporting interventions applying SCT constructs and synthesized the outcomes following the interventions.
Among 849 retrieved from multiple sources, 39 articles met our eligibility criteria. Most studies (n = 19) were conducted in the United States. Twenty-six studies followed a randomized control trial design. Most studies (n = 26) recruited participants utilizing the primary care network. All 39 studies mentioned "self-efficacy" as the most utilized construct of SCT to determine how behavior change operates, followed by "observational learning" through role models. Twenty-three studies integrated individual (face-to-face) or peered group-based counseling-training programs; eight interventions used telephonic health coaching by a specialist; eight studies used audio-visual mediums. All included studies reported positive health outcomes following the intervention, including increased self-reported moderate-to-vigorous physical activity, increased Knowledge of dietary intake, high-risk behaviors such as STIs transmission, adapting to a healthy lifestyle, and adherence to post-transplant medication.
Current evidence suggests that SCT-based interventions positively impact health outcomes and intervention effectiveness. The results of this study indicate the importance of incorporating and assessing several conceptual structures of behavioral theories when planning any primary care health promotion practice.
运用理论视角指导研究设计与实施能够产生一个连贯的预防性干预模型。在诸多理论框架中，班杜拉的社会认知理论（SCT）对于聚焦于健康促进研究中行为改变的研究尤为有用。
本范围综述探讨并总结了当前关于整合社会认知理论构建要素的健康促进干预措施以及这些干预措施在初级保健环境中的结果的证据。
我们依据PRISMA范围综述指南开展了此项范围综述；我们检索了五个电子数据库以及其他来源的文章，这些文章均为经同行评审的期刊文章，报道了应用SCT构建要素的干预措施，并在干预后综合了结果。
从多个来源检索到的849篇文章中，有39篇符合我们的纳入标准。大多数研究（n = 19）在美国进行。26项研究采用了随机对照试验设计。大多数研究（n = 26）通过初级保健网络招募参与者。所有39项研究都提到“自我效能感”是SCT中用于确定行为改变如何发生的最常使用的构建要素，其次是通过榜样进行的“观察性学习”。23项研究整合了个体（面对面）或同伴群体为基础的咨询培训项目；8项干预措施采用了由专家进行的电话健康指导；8项研究使用了视听媒介。所有纳入研究均报告干预后有积极的健康结果，包括自我报告的中度至剧烈身体活动增加、饮食摄入知识增加、性传播感染传播等高风险行为减少、适应健康生活方式以及坚持移植后用药。
当前证据表明，基于SCT的干预措施对健康结果和干预效果有积极影响。本研究结果表明，在规划任何初级保健健康促进实践时，纳入并评估行为理论的几个概念结构非常重要。
