Goal Commitment and Proactive Health Behavior in Chronic Disease Patients

Summary

Chronic diseases such as hypertension, diabetes, and dyslipidemia are major contributors to mortality and healthcare burden worldwide. Despite high awareness of health risks, many patients fail to adopt proactive health behaviors due to behavioral inertia and a gap between knowledge and action. This study aims to investigate the evolution and driving mechanisms of proactive health behavior in patients with chronic diseases based on goal commitment theory. By integrating prospect theory and evolutionary game theory, this study will explore how behavioral strategies evolve under different levels of goal commitment. In addition, a behavioral intervention based on the Stimulus-Organism-Response (SOR) model will be developed to enhance patient activation and promote adherence to proactive health behaviors. A parallel controlled intervention study will be conducted to evaluate the effectiveness of the goal commitment-based intervention. The findings of this study are expected to provide theoretical and practical evidence to improve chronic disease management and promote proactive health behaviors.

Eligibility

Inclusion Criteria:

* Residents living in the study area for at least 1.5 years
* Diagnosed with at least one chronic disease, including hypertension, diabetes mellitus, or dyslipidemia
* Conscious and able to communicate effectively
* Educational level of primary school or above
* Able to use a smartphone and common mobile applications (e.g., WeChat)
* Willing to participate and provide written informed consent

Exclusion Criteria:

* Non-residents of the study area
* Unable to participate in group-based intervention activities
* Currently hospitalized
* Diagnosed with severe cognitive impairment, dementia, or psychiatric disorders
* Participants with severe comorbidities that may interfere with study participation

Conditions4

Browse More Trials