Cardiac Rehabilitation, Myocardial Infarction (MI)
Conditions
Brief summary
This study looks at whether a tablet-based education game helps people recover better after a heart attack. When people leave the hospital after a heart attack, they are usually given advice about their medicines, follow-up visits, cardiac rehabilitation, and warning signs to watch for. Many people find it hard to remember all of this information later at home. In this study, adults who were treated in hospital for a heart attack were divided by chance into two groups. One group received the usual face-to-face education before going home. The other group used an interactive avatar-based education game on a tablet, in which a guide character walks the patient through the same topics. The game could also be used at home for one month after discharge. The researchers measured how much patients knew about their heart disease, their quality of life, whether they attended cardiac rehabilitation, and whether they were readmitted to hospital. These were checked before discharge and again at 1, 3, and 6 months. The goal is to learn whether the avatar-based game helps patients understand and manage their condition better than usual education.
Interventions
BEHAVIORALAvatar-based discharge education application
Tablet-based, avatar-guided discharge education application structured around Coleman's Care Transitions Intervention model (medication management, personal health record, follow-up continuity, and recognition of warning signs), delivered through interactive, persona-adapted, scenario-based gameplay before discharge and accessible for one month afterwards.
BEHAVIORALStandard discharge education
Standard face-to-face discharge education delivered individually by the principal investigator before discharge, covering medication management, personal health record keeping, follow-up continuity and cardiac rehabilitation, and recognition of warning signs.
Sponsors
Suleyman Demirel University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Confirmed ST-elevation or non-ST-elevation myocardial infarction during the current admission or within the preceding three months, including patients readmitted for revascularization (percutaneous coronary intervention or coronary artery bypass grafting) * Planned discharge to home * Able to operate a tablet computer or a smart phone * Provided written informed consent
Exclusion criteria
* Insufficient Turkish-language proficiency to engage with the application or study procedures * Severe comorbidity precluding engagement in lifestyle behaviour change or exercise * Significant cognitive or visual impairment * Concurrent enrolment in another interventional study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coronary artery disease knowledge (CADE-Q II) | Post-intervention and at 1, 3, and 6 months after discharge | Disease-related knowledge measured with the Coronary Artery Disease Education Questionnaire II (CADE-Q II), a 31-item instrument scored 0-93, with higher scores indicating greater knowledge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health-related quality of life (HeartQoL) | Post-intervention and at 1, 3, and 6 months after discharge | Disease-specific health-related quality of life measured with the HeartQoL questionnaire (14 items, total score 0-42), with higher scores indicating better quality of life. |
Countries
Turkey (Türkiye)
Outcome results
None listed