Effect of Social Cognitive Theory Based Educational Program Regarding Lifestyle Modification among Patients with Gout

Abstract 
Background: Gout a disease of kings and king of diseases is the prevalent 
cause of chronic inflammatory arthritis. Patient education for gout has been 
found to improve drug adherence and promote healthy lifestyle. Aim: To 
appraise the effect of Social Cognitive Theory based educational program 
regarding lifestyle modification among patients with gout. Research design: A 
quasi-experimental research design was carried out. Setting: At Rheumatology 
Outpatient Clinic affiliated at Benha University Hospital in Benha City, this 
study was conducted. Sample: Purposive sample of 130 patients.  Tools: Two 
tools were utilized; I: An interviewing questionnaire covered three parts about 
patients’ socio demographic characteristics, patients’ medical history, patients’ 
knowledge and patients’ reported practices regarding a healthy lifestyle. II: 
Social Cognitive Theory to assess patients’ observational learning, healthy 
behaviors and self-efficacy. Results: 63.8% of the studied patients aged from 
50 to more than 70 years old, 7.7% of the studied patients had good total 
knowledge pre educational program which increased to 80% post educational 
program, also 15.4% of the studied patients had satisfactory practices pre 
educational program which increased to 75.4% post educational program, and 
36.2% of the studied patients applied observational learning, healthy behaviors 
and self-efficacy pre educational program which increased to 95.5% post 
educational program. Conclusion: Implementing Social Cognitive Theory 
based educational program enhanced the studied patient’s knowledge, 
observational learning, healthy behavior, self-efficacy and the patient’s lifestyle 
modified after implementation of the educational program. Recommendations: 
Distribution of an educational booklet to the Rheumatology Outpatient Clinics 
at Benha City Hospitals to be available to all gout patients.