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Completed

NCT Number: NCT07566143

Social Cognitive Theory-Based Education for Improving Health Outcomes in Older Adults

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.

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Key information

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Tuşba Bardakçı Family Health Center

Van, 65100, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 65 years and older
  • Able to communicate in Turkish
  • Willing to participate and provide informed consent
  • Having sufficient cognitive ability to follow the education program

Exclusion criteria

  • Severe cognitive impairment
  • Severe psychiatric disorder
  • Acute or life-threatening medical condition

Treatment and study plan

Social Cognitive Theory-Based Education

Behavioral

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.

Primary outcomes

  1. Self-Efficacy Level

    Time frame: Baseline and 4-6 weeks after intervention

    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).

  2. Healthy Lifestyle Behaviors

    Time frame: Baseline and 4-6 weeks after intervention

    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).

  3. Health Literacy Level

    Time frame: Baseline and 4-6 weeks after intervention

    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).

Sponsors and collaborators

Lead sponsor

Muhammet Faruk Yigit

Other

Registry information

Official study title

Effect of a Social Cognitive Theory-Based Education Program on Self-Efficacy, Healthy Lifestyle Behaviors, and Health Literacy in Older Adults Attending Primary Care Centers: A Randomized Controlled Trial

Acronym: SCT-OLD

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 4, 2026
Registry last updated
Jul 14, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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