{"doi":"10.1016/j.ijnurstu.2020.103638","title":"The effects of a nurse-led lifestyle intervention program on cardiovascular risk, self-efficacy and health promoting behaviours among patients with metabolic syndrome: Randomized controlled trial","abstract":null,"journal":"International Journal of Nursing Studies","year":2020,"id":640442,"datarank":0.6610078870896381,"base_score":4.406719247264253,"endowment":4.406719247264253,"self_citation_contribution":0.6610078870896381,"citation_network_contribution":0.0,"self_endowment_contribution":0.6610078870896381,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":81,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":516038,"name":"Hongbo Yu","orcid":"0000-0003-4113-0824","position":1,"is_corresponding":false},{"id":1664446,"name":"Xichenhui Qiu","orcid":null,"position":2,"is_corresponding":false},{"id":1659435,"name":"Sek Ying Chair","orcid":null,"position":3,"is_corresponding":false},{"id":1664447,"name":"Eliza Mi-Ling Wong","orcid":null,"position":4,"is_corresponding":false},{"id":255128,"name":"Qun Wang","orcid":"0000-0001-7929-7692","position":5,"is_corresponding":false},{"id":1664445,"name":"Xujuan Zheng","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"The effects of a nurse-led lifestyle intervention program on cardiovascular risk, self-efficacy and health promoting behaviours among patients with metabolic syndrome: Randomized controlled trial","abstract":"BACKGROUND: Metabolic syndrome is a cluster of cardio-metabolic risk factors and a major burden for public health due to its increasing prevalence and adverse effects on cardiovascular health. Lifestyle modification is the first-line intervention for metabolic syndrome management. However, adopting healthy behaviours is challenging among patients with metabolic syndrome. OBJECTIVE: To examine the effects of a nurse-led lifestyle intervention program on cardiovascular risks, self-efficacy and the implementation of health promoting behaviours. DESIGN: A two-armed randomized controlled trial. SETTINGS AND PARTICIPANTS: A total of 173 patients that satisfied the metabolic syndrome definition of International Diabetes Federation was recruited from a hospital in North China. METHODS: The participants were randomly assigned to either attend the lifestyle interventions (n = 86) or receive usual care from the study hospital (n = 87). The lifestyle intervention followed the framework of Health Promotion Model and consisted of one face-to-face education session (30-40 min), one educational booklet and six telephone follow-ups (bi-weekly, 20-30 min per call) in three months. The Framingham 10-year risk score was calculated to measure the participants' cardiovascular risks at baseline and 3-month. The Self-rated Abilities for Health Practices and Health Promoting Lifestyle Profile II was employed to measure the self-efficacy and health promoting behaviours at baseline, 1-month, and 3-month. The generalized estimating equation model was employed to examine the effects of the lifestyle intervention program. RESULTS: No difference was detected in the baseline characteristics between the two groups. Decreased cardiovascular risk was found in the lifestyle intervention group, but no significant group-by-time effect was detected. The self-efficacy for nutrition, stress dimension and sum score of health promoting behaviours revealed significant improvements at 1-month (all p < 0.05). Significant improvements were also detected in all subscales, total scale of self-efficacy, all dimensions and the sum score of health promoting behaviours at 3-month (all p < 0.05). CONCLUSIONS: The nurse-led Health Promotion Model guided lifestyle intervention program effectively improved the self-efficacy and implementation of health promoting behaviours in patients with metabolic syndrome. We recommend that nurses apply lifestyle interventions in routine care for patients with metabolic syndrome. Tweetable abstract: The RCT revealed that nurse-led lifestyle intervention was effective to improve self-efficacy and healthy behaviours among 173 MetS patients.","is_dataset_classified":null,"base_score":4.406719247264253,"endowment":4.406719247264253,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"32553996","pmcid":null,"openalex_id":"https://openalex.org/W3030093410","authors":[],"funders":[{"funder_name":"Shenzhen University","grant_id":"2019126","title":null}],"total_grants":1,"fwci":5.4725,"citation_percentile":0.96954811,"influential_citations":0,"citation_trend":[{"year":2020,"count":3},{"year":2021,"count":11},{"year":2022,"count":9},{"year":2023,"count":19},{"year":2024,"count":14},{"year":2025,"count":16},{"year":2026,"count":9}],"oa_status":"hybrid","license":"cc-by-nc-nd","oa_locations":[{"url":"https://www.sciencedirect.com/science/article/pii/S002074892030122X/pdf","host_type":"journal"},{"url":"https://www.sciencedirect.com/science/article/pii/S002074892030122X/pdf","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S002074892030122X?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S002074892030122X?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.ijnurstu.2020.103638","host_type":"journal"},{"url":"https://dialnet.unirioja.es/servlet/articulo?codigo=3656383","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/32553996","host_type":"repository"},{"url":"http://hdl.handle.net/10397/87933","host_type":"repository"}],"fields_of_study":["Diabetes Management and Education","Health Promotion and Cardiovascular Prevention","Health and Wellbeing Research","Cardiovascular Diseases","China","Heart Disease Risk Factors","Humans","Life Style","Metabolic Syndrome","Nurse's Role","Risk Factors","Self Efficacy"],"mesh_terms":["Heart Disease Risk Factors","Cardiovascular Diseases","China","Humans","Life Style","Risk Factors","Self Efficacy","Nurse's Role","Metabolic Syndrome"],"keywords":["Medicine","Metabolic syndrome","Randomized controlled trial","Physical therapy","Health promotion","Psychological intervention","Intervention (counseling)","Public health","Framingham Risk Score","Gerontology","Obesity","Disease","Nursing","Internal medicine","Cardiovascular Risk","Lifestyle Intervention","Self-efficacy","Health Promoting Behaviours"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-07T11:56:08.453537Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}