Efficacy of education delivery through multimedia and text messaging on the psychological parameters of patients scheduled for coronary angiography: a single-blind randomized controlled clinical trial

Abstract

Background Angiography is a highly effective invasive method for diagnosing coronary artery diseases but can lead to certain psychological problems such as stress, anxiety, and depression. This study aimed to compare the effects of education delivery through multimedia DVD content or text messaging in comparison with conventional printed pamphlets on the psychological parameters of patients scheduled for angiography. Methods This study was a randomized controlled clinical trial. We used the convenience sampling method to select 120 patients who met the inclusion criteria among individuals who were scheduled for elective coronary angiography. The patients were randomly divided into three groups through the block randomization method. The necessary educational tips for before, during, and after the angiography procedure were delivered to the patients in interventional group 1 (n = 40) and interventional group 2 (n = 40) through text messages and a multimedia DVD, respectively. The control group received routine hospital education through pamphlets besides the opportunity for verbal discussions with nurses. All educational content was delivered to the patients four days before the scheduled day of angiography. The DASS-21 questionnaire, consisting of the three domains of stress, anxiety, and depression, was used to collect the data. The questionnaire was administered at the time of delivering the educational content as the pretest evaluation and 30 min after the angiography procedure as the posttest evaluation. SPSS software, version 18, was used for statistical analysis. Results There was no significant difference among the three groups of patients in terms of pretest DASS-21 scores. Conversely, the mean posttest scores in all DASS-21 domains were significantly lower among the patients receiving education via the multimedia DVD or text messaging in comparison with the control group (P < 0.001). However, there were no statistically significant differences between the mean scores in all domains between the participants in the DVD and text messaging groups. Conclusion It seems that both DVDs and text messaging are more effective than conventional pamphlets in controlling the anxiety, stress, and stress of patients scheduled for elective coronary artery angiography. Iranian Registry of Clinical Trials: IRCT registration number: IRCT2015030121283N1, Registration date: 2015-10-05, 1394/07/13

Investigating the effect of multimedia education in combination with teach-back method on quality of life and cardiac anxiety in patients with heart failure: a randomized clinical trial

“…The study conducted by Torabizadeh et al and Boyer et al also showed that the multimedia educational caused a reduce anxiety in patients with heart diseases. This finding is consistent with the present study [ 33 , 34 ].…”

Effectiveness of educational videos on patient’s preparation for diagnostic procedures: Systematic review and Meta-Analysis

“…Specifically, in the Hu et al study ( Hu et al, 2020 ), the intervention group watched the educational video as often as they wanted, unlike the control group, who observed it only once. In all the other studies ( Bowers et al, 2017 , Sun et al, 2020 , Lattuca et al, 2018 , Jamshidi et al, 2013 , Torabizadeh et al, 2021 , Xia et al, 2019 , Pearson et al, 2005 , Wouters et al, 2019 , Ayasrah and Ahmad, 2016 , Ahlander et al, 2018 , Ketelaars et al, 2017 , Ruffinengo et al, 2009 , Tugwell et al, 2018 , Rigatelli et al, 2009 , Habibzadeh et al, 2018 ), the intervention groups watched the educational video, contrary to the control group who did not see the educational video.…”

“…The articles analyzed used experimental methods, and thirteen of them presented themselves as randomized clinical trials. ( Bowers et al, 2017 , Sun et al, 2020 , Lattuca et al, 2018 , Jamshidi et al, 2013 , Torabizadeh et al, 2021 , Xia et al, 2019 , Pearson et al, 2005 , Ayasrah and Ahmad, 2016 , Ahlander et al, 2018 , Ketelaars et al, 2017 , Ruffinengo et al, 2009 , Tugwell et al, 2018 , Rigatelli et al, 2009 , Habibzadeh et al, 2018 ).…”

“…The remaining studies were not included in the meta -analysis due to: (1) not measuring anxiety ( Bowers et al, 2017 ), (2) measuring anxiety on a different scale ( Lattuca et al, 2018 , Jamshidi et al, 2013 , Torabizadeh et al, 2021 , Xia et al, 2019 ), (3) STAI values were not available for the experimental and control groups ( Pearson et al, 2005 ) (4) only measured anxiety, and satisfaction before the procedure ( Sun et al, 2020 , Wouters et al, 2019 ), and (5) the control group also viewed the educational video ( Hu et al, 2020 ).…”

Development of a Computer-Tailored Intervention/Decision Aid To Increase Colorectal Cancer Screening in Health Systems

“…Educating patients about what to expect before and during the colonoscopy can reduce the stress of the unknown. A recent randomized controlled trial assessing the use of DVDs for coronary angiography showed that it is more effective than conventional pamphlets in controlling anxiety and stress [ 44 ]. There are patient-associated barriers particular to accessing the educational material on a DVD, including lack of access to a DVD player, unfamiliarity with usage, and inability to use the interactive features.…”