The effectiveness of a self-efficacy enhancement program on health behaviors and clinical outcomes in people with metabolic syndrome: A quasi-experimental study in Thailand

The SEE program improved health behaviors and clinical outcomes, supporting its integration into standard MetS care in nursing practice. Through e-health, education, exercise guidance, role modeling, and support, the program can boost confidence in adopting healthier behaviors and reduce CVD risk. Future studies should explore extending the program duration, as the 12-week period may have been insufficient to observe significant changes.<b>Trial Registry Number:</b> Thai Clinical Trials Registry (TCTR20250218014).