The effect of distance learning on self-efficacy, medication adherence and hope in patients undergoing coronary artery bypass surgery

Investigating the effect of distance learning on self-efficacy, medication adherence and hope in patients undergoing coronary artery bypass surgery in Al-Zahra heart hospital, Shiraz in 2024-2025

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20190727044347N8

Enrollment

Registered

2025-03-06

Start date

2025-04-04

Completion date

Unknown

Last updated

2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients undergoing coronary artery bypass surgery(CABG). Other specified complications of cardiac and vascular prosthetic devices, implants and grafts

Interventions

Intervention 1: Intervention group: ### **Intervention Group:** Participants in the intervention group will receive multimedia educational content via WhatsApp, including text messages, audio recordi

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: Willingness to participate in the study Undergoing coronary artery bypass surgery within the past 48 hours Age over 18 years Ability to read and write and the patient's ability to use a smartphone

Exclusion criteria

Exclusion criteria: The occurrence of critical complications after surgery, including shock, cardiac tamponade, the need for reoperation, and rehospitalization after the initiation of the intervention Unwillingness to continue participation in the study Failure to respond to phone calls Incomplete questionnaire submission

Design outcomes

Primary

Measure	Time frame
Self-efficacy. Timepoint: Once at discharge, one month after the intervention, and two months after the intervention. Method of measurement: The Cardiac Self-Efficacy Questionnaire, developed by Sullivan in 1988 to measure heart disease-related self-efficacy, will be used.;Medication adherence. Timepoint: Once at discharge, one month after the intervention, and two months after the intervention. Method of measurement: The 8-item Medication Adherence Scale developed by Morisky et al. (1986) to assess patient adherence to medication.;Hope. Timepoint: Once at discharge, one month after the intervention, and two months after the intervention. Method of measurement: The Hope Scale developed by Snyder et al. (1991) will be used to assess patients' level of hope in life.	—

Measure

Time frame

Self-efficacy. Timepoint: Once at discharge, one month after the intervention, and two months after the intervention. Method of measurement: The Cardiac Self-Efficacy Questionnaire, developed by Sullivan in 1988 to measure heart disease-related self-efficacy, will be used.;Medication adherence. Timepoint: Once at discharge, one month after the intervention, and two months after the intervention. Method of measurement: The 8-item Medication Adherence Scale developed by Morisky et al. (1986) to assess patient adherence to medication.;Hope. Timepoint: Once at discharge, one month after the intervention, and two months after the intervention. Method of measurement: The Hope Scale developed by Snyder et al. (1991) will be used to assess patients' level of hope in life.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactFatemeh Shirazi

Shiraz University of Medical Sciences

shirazi_1393@yahoo.com+98 71 3647 4254

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026