{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:02:48Z","timestamp":1787508168546,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72464022"],"award-info":[{"award-number":["72464022"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiovascular disease (CVD) is a leading cause of mortality and disability worldwide, posing significant challenges to the quality of healthcare services. Social Cognitive Theory (SCT) provides a framework for understanding individual behaviors and guides the development of intervention programs aimed at promoting health\u2010enhancing behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of interventions based on SCT in improving health outcomes among patients with CVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From the creation of the databases until September 2024, we searched six databases and manually searched the references included in the study. The outcomes included cardiovascular risk factors (weight, blood pressure, blood lipids), physical capacity (6\u2010min walk test, physical activity, daily steps, exercise self\u2010efficacy), psychological states (anxiety, depression), and health behaviors (self\u2010management, self\u2010efficacy, quality of life). The quality of randomized controlled trials was evaluated with the Cochrane RoB 2 tool, and quasi\u2010experimental studies were assessed using the JBI critical appraisal tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 10 studies, involving 1140 participants, were included in the review. Compared to conventional cardiovascular care, interventions based on SCT were able to lower systolic blood pressure (MD\u2009=\u2009\u22126.36; 95% CI [\u221211.30, \u22121.41];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), total cholesterol (MD\u2009=\u2009\u22120.29; 95% CI [\u22120.49, \u22120.09];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), and low\u2010density lipoprotein levels (MD\u2009=\u2009\u22120.21; 95% CI [\u22120.38, \u22120.04];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) in CVD patients. They also increased the 6\u2010min walk test distance (MD\u2009=\u200933.87, 95% CI [5.40, 62.34],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) and daily steps (SMD\u2009=\u20090.77; 95% CI [0.46, 1.09];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), improved physical activity (SMD\u2009=\u20090.65; 95% CI [0.25, 1.06];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and exercise self\u2010efficacy (SMD\u2009=\u20091.23, 95% CI [0.23, 2.23],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016), and enhanced quality of life (SMD\u2009=\u20090.75, 95% CI [0.06, 1.43],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Link Evidence to Action<\/jats:title>\n                    <jats:p>Social cognitive theory\u2010based interventions hold promise for improving health outcomes in patients with cardiovascular disease. This study provides further insights into the application of SCT in clinical practice. However, given the limited number of included studies and the potential risk of bias, further high\u2010quality research is required to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70026","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:49:47Z","timestamp":1746406187000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effectiveness of Interventions Based on Social Cognitive Theory in Patients With Cardiovascular Disease: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"22","author":[{"given":"Mengdie","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Nanchang University  Nanchang Jiangxi People's Republic of China"},{"name":"School of Nursing, Jiangxi Medical College Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9206-265X","authenticated-orcid":false,"given":"Xiaoyun","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Jiangxi Medical College Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing, Jiangxi Medical College Nanchang University  Nanchang Jiangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010016\u20103313\u20105"},{"issue":"2","key":"e_1_2_10_3_1","first-page":"409","article-title":"Assessment of the Efficacy of Physical Activity Level and Lifestyle Behavior Interventions Applying Social Cognitive Theory for Overweight and Obese Girl Adolescents","volume":"18","author":"Bagherniya M.","year":"2018","journal-title":"Journal of Research in Health Sciences"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066x.44.9.1175"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES\u201023\u201000268"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwae281"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197\u20102456(86)90046\u20102"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529\u2010021\u201010003\u20103"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.11.012"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12568"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.31744\/einstein_journal\/2020AO5227"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2017.1422204"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12839"},{"key":"e_1_2_10_15_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions (Version 6.5)","author":"Higgins J. 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