The effect of structured educational program on adherence to treatment and coagulation indicators

The effect of structured educational program on adherence to treatment and coagulation indicators in patients undergoing valve replacement surgery

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20250921067311N1

Enrollment

Registered

2025-10-01

Start date

2025-10-12

Completion date

Unknown

Last updated

2025-10-13

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

Conditions

Heart valve replacement. Multiple valve diseases

Interventions

Intervention 1: Intervention group: After the needs assessment, patients will receive a structured educational program in addition to routine care, based on identified needs. This educational program

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Consent to participate in the study Hospitalization for prosthetic heart valve replacement surgery Ability to communicate verbally Stability of clinical conditions Electiveness of surgery

Exclusion criteria

Exclusion criteria: Unwillingness to continue the study Unstable clinical condition of the patient CPR of the patient • Unwillingness to continue the study• Unstable clinical condition of the patient• CPR of the patient• Death of the patient

Design outcomes

Primary

Measure	Time frame
Treatment adherence: In this study, treatment adherence refers to the score obtained from the Seyyed Fatemi (2013) Treatment Adherence Questionnaire for Chronic Diseases, which examines the dimensions of effort in treatment, willingness to participate in treatment, ability to adapt, integration of treatment with life, adherence to treatment, commitment to treatment, and hesitation in implementing treatment. This questionnaire has 40 6-point Likert questions. The final score of the questionnaire, which indicates the level of treatment adherence in patients, is obtained from the sum of the scores of the specified areas. The scores obtained from this questionnaire range from 0 to 200, and higher scores indicate higher treatment adherence. Timepoint: Treatment adherence will be assessed in person at the time of admission and by telephone and online 30 days after discharge. Method of measurement: Seyed Fatemi's Treatment Adherence Questionnaire for Chronic Diseases (2013).;Coagulation indices: Coagulation indices refer to PT and INR values, which are routinely measured and controlled in patients undergoing heart valve replacement. In the present study, coagulation indices (PT, INR) will be examined in person at the beginning of hospitalization and 30 days after discharge in two intervention and control groups. It should be noted that coagulation indices will be measured by the hospital at the beginning of hospitalization and after discharge, the patient is required to measure these indices every month before his periodic visit by referring to the laboratory. In this way, the values ??will be followed up by the researcher one month after discharge by telephone or online and will be recorded in the relevant form. Timepoint: It will be reviewed in person upon admission and by telephone or online 30 days after discharge. Method of measurement: Coagulation indicators will be measured by the hospital at the beginning of hospitalization, and after discharge, the patient is requ	—

Measure

Time frame

Treatment adherence: In this study, treatment adherence refers to the score obtained from the Seyyed Fatemi (2013) Treatment Adherence Questionnaire for Chronic Diseases, which examines the dimensions of effort in treatment, willingness to participate in treatment, ability to adapt, integration of treatment with life, adherence to treatment, commitment to treatment, and hesitation in implementing treatment. This questionnaire has 40 6-point Likert questions. The final score of the questionnaire, which indicates the level of treatment adherence in patients, is obtained from the sum of the scores of the specified areas. The scores obtained from this questionnaire range from 0 to 200, and higher scores indicate higher treatment adherence. Timepoint: Treatment adherence will be assessed in person at the time of admission and by telephone and online 30 days after discharge. Method of measurement: Seyed Fatemi's Treatment Adherence Questionnaire for Chronic Diseases (2013).;Coagulation indices: Coagulation indices refer to PT and INR values, which are routinely measured and controlled in patients undergoing heart valve replacement. In the present study, coagulation indices (PT, INR) will be examined in person at the beginning of hospitalization and 30 days after discharge in two intervention and control groups. It should be noted that coagulation indices will be measured by the hospital at the beginning of hospitalization and after discharge, the patient is required to measure these indices every month before his periodic visit by referring to the laboratory. In this way, the values ??will be followed up by the researcher one month after discharge by telephone or online and will be recorded in the relevant form. Timepoint: It will be reviewed in person upon admission and by telephone or online 30 days after discharge. Method of measurement: Coagulation indicators will be measured by the hospital at the beginning of hospitalization, and after discharge, the patient is requ

—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactAhmad Farkhari

Mashhad University of Medical Sciences

Ahmadfar987@gmail.com+98 51 3822 6336

Outcome results

None listed

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