Journal of Education and Health Promotion

Application of health education and promotion theory‑based interventions on patients with cardiovascular disease: A systematic review

Document Type : Original Article

Authors

. Bahram Mohebbi
. Maryam Sabouri 1
. Azar Tol 2

1 Department of Health Education, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Abstract
BACKGROUND: Adopting healthy behaviors can lead to better outcomes which can deeply impact
cardiovascular diseases (CVDs) development; consequently, tailoring appropriate theory‑based
interventions may improve various outcomes among patients at CV risks. This study aimed to assess
published researches on the application of health education and promotion of intrapersonal and
interpersonal theories/models’ interventions on patients with CVD.
MATERIALS AND METHODS: In this systematic review, PubMed, Web of Science, Google Scholar,
Scopus, Science Direct, and SID, Magiran databases for English and Persian studies were searched
using relevant keywords, respectively. We searched for interventional studies published with no time
limits until the end of 2020 assessing the application of health education and promotion theories/models
interventions on adult patients with CVDs. Two reviewers individually reviewed abstracts/full‑text
articles to assess inclusion according to predefined criteria. In case of discrepancy between the two
researchers, a third expert was requested to assess papers, and final selection decision was made
based on the agreement among the three evaluators. This systematic review was conducted using
the following data extraction steps and assessing the quality of the studies and results.
RESULTS: From 60 articles, 35 studies met inclusion criteria. Most interventions improved at least
some educational including models constructs (20%), clinical (14.2%), and practical (88.5%) outcome
related to CVDs. It is noted that attention to educational, practical, and clinical outcomes was focused
in published papers, respectively. Furthermore, based on the study categorization using models,
some CVDs and theories/models were more concerned compared to others.
CONCLUSIONS: Health education and promotion theory‑based interventions on patients with CVD
appeared beneficial in the most published paper.

Keywords

Cardiovascular disease
education
health education
health promotion
intervention
model
outcome
practice
theory
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Journal of Education and Health Promotion
Volume 11, Issue 5
June 2021
Pages 1-14

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