Acute coronary syndrome after percutaneous coronary intervention Tobacco smoking Acute Coronary Syndrome Percutaneous Coronary Intervention Smoking Cessation Health Literacy Self Efficacy Motivation Digital Health Nursing
Conditions
Interventions
A nurse-led smoking cessation program integrating motivational enhancement (Miller and Rollnick), health literacy (Nutbeam), and self-efficacy theory (Bandura), delivered through digital media (LINE O
Session 2 (Week 1 Day 3, LINE video call) commitment strengthening, knowledge via e-book and video, and setting a quit date and action plan
Session 3 (Week 2, LINE video call) follow through and refusal skills training
Session 4 (Week 3, LINE Official Account) infographic reminders and encouragement
Session 5 (Week 4, face to face) follow through and post-test. Follow-up repeated at Week 12. Outcomes measured at baseline, Week 4, and Week 12.,Participants received routine nursing care according t
Experimental Behavioral,No Intervention No treatment
Health Literacy and Motivation Enhancement Program through Digital Media,Routine Nursing Care
Sponsors
Tobacco Control Research and Knowledge Management Center (TRC), Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Diagnosed with acute coronary syndrome and received percutaneous coronary intervention 2. Never previously received any smoking cessation treatment 3. Clinically stable, defined as no new or recurrent chest pain within the past 8 hours, no signs or symptoms of uncompensated heart failure, and no dangerous ECG abnormalities within the past 8 hours 4. No dangerous complications such as heart failure, life-threatening arrhythmia, or hypertensive crisis 5. Killip Classification Class I, or left ventricular ejection fraction greater than 40 percent 6. Fully conscious and oriented to time, place, and person; participants aged 60 years and over must score above 16 on the Chula Mental Test 7. Able to communicate and understand Thai well 8. Owns a smartphone capable of using the LINE application 9. Current smoker
Exclusion criteria
Exclusion criteria: 1. Receiving nicotine replacement therapy or smoking cessation medication such as Clonidine, Nortriptyline, or Bupropion, or receiving behavioral therapy for smoking cessation 2. Developing a dangerous acute complication or exacerbation during study participation, such as dyspnea, chest pain, cardiogenic shock, heart failure, or recurrent myocardial ischemia 3. Diagnosed with a psychiatric disorder 4. Unable to complete all program activities as scheduled 5. Withdrawal from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Smoking cessation behavior Baseline, 4 weeks, and 12 weeks after the intervention Smoking cessation behavior questionnaire (Niamkoonchorn and Preechawong, 2007), 15 items, scored 0 to 30; higher scores indicate greater cessation behavior,Smoking cessation success 4 weeks and 12 weeks after the intervention Self-recorded daily cigarette count log; cessation success defined as zero cigarettes smoked, compared by Chi-square and Fisher's exact test | — |
Secondary
| Measure | Time frame |
|---|---|
| Perceived self-efficacy for smoking cessation Baseline, 4 weeks, and 12 weeks after the intervention Self-efficacy for smoking cessation questionnaire (Niamkoonchorn and Preechawong, 2007), 20 items, scored 0 to 60; higher scores indicate greater self-efficacy | — |
Countries
Thailand
Contacts
Public ContactUtthawit Jansiri
McCormick Faculty of Nursing, Payap University
Outcome results
None listed