The effect of a text message and telephone follow-up program on cardiac self-efficacy of patients with coronary artery disease: A randomized controlled trial

Abstract

Background:Cardiac self-efficacy is an essential factor in persistence of healthy behaviors in patients with coronary artery disease (CAD). Today, telenursing methods have numerous applications in health care. Therefore, this study aimed to determine the effect of a text message and telephone follow-up program on cardiac self-efficacy of patients with CAD.Materials and Methods:This was a randomized controlled trial on 70 patients with CAD who were hospitalized in Shahid Chamran Hospital (Isfahan, Iran). The participants were randomly assigned to the experimental and control groups. Collection of data on cardiac self-efficacy was performed before, 3 months after, and 4 months after the beginning of the intervention using Cardiac Self-Efficacy Scale designed by Sullivan et al. During the 3 months of intervention, six messages were sent to the subjects each week and calls were made twice a week in the first month and once a week during the second and third months. The statistical analysis of data was performed using independent t-test, Chi-square, Mann-Whitney U test, and repeated measures analysis of variance (ANOVA).Results:Before the intervention, there was no significant difference between the mean scores of cardiac self-efficacy of the two groups. However, 3 months and 4 months after the beginning of the intervention, the mean score of cardiac self-efficacy in the experimental group was significantly higher than in the control group (P < 0.001).Conclusions:The text message and telephone follow-up program is effective in promoting the cardiac self-efficacy of patients with CAD.

The Effect of Family-Centered Interactive Education Using Social Networks on the Lifestyle of Patients with Acute Coronary Syndrome: A Randomized Clinical Trial

“…In this regard, Boroumand and Moeini performed a study to determine the e cacy of a follow-up program via text messages and phone calls on the self-e cacy of cases suffering from coronary heart disease. At three different intervals, the scores of cardiac self-e cacy were signi cantly different in the experimental group (P<0.001) and the cardiac self-e cacy score was signi cantly more three and four months after the intervention, compared to the preintervention stage [8]. The limitations of the research are as follows: Lack of completion of questionnaires by some patients, possible problems of insu cient access to social network or problems related to electronic interaction, lack of cooperation of families to participate in this intervention or during research.…”

“…In addition, the inclusion criteria for the patient's family were as follows: having access to a third person who could read the text messages for them; being able to do daily activities [5]; having access to a personal or family mobile phone; and being able to read, write, and speak Farsi. In contrast, the exclusion criteria included change of mobile phone number and not informing the researcher [8]; having a known mental, intellectual, or motor disability; and having a physical or mental problem, resulting in disability at any stage of the research [13,7]. Also, the exclusion criteria for the patient's family included disability at old age [7] and inability to read and write in Farsi language [12].…”

“…Drug treatment, surgical procedures, management of risk factors, and lifestyle modi cations are ideal treatments for acute coronary syndrome (ACS) [7,8]. Evidence shows that 80% of ACS cases are due to risk factors, which can be moderated by lifestyle modi cations.…”

“…Lifestyle includes daily activities of an individual, which in uences his/her health, as well as behaviors towards daily activities [7]. However, lifestyle modi cation interventions cannot change factors, such as age, gender, or family history of patients with CAD [8].…”

“…On the other hand, telenursing is an e cient, simple, and cost-effective strategy, which can be applied for patient training. Communication using social networks is an effective and costeffective way to facilitate the follow-up of patients and encourage the transfer of health information in very remote areas [8]. This study aimed at determining the e cacy of education using social networks in ACS cases.…”