Effects of Telehealth-Led Transitional Care Program (TLTCP) in Adults and Older Persons with ACS Awaiting PCI

Effects of Telehealth Led-Transitional Care Program on Cardiac Self-Efficacy, Anxiety and Depression and Rehospitalizations in Adult and Older Persons with Acute Coronary Syndrome (ACS): Quasi-experimental Design

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

TCTR

Registry ID

TCTR20260717003

Enrollment

100

Registered

2026-07-17

Start date

2026-08-01

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

Acute Coronary Syndrome Myocardial Ischemia Anxiety Depression Telehealth Transitional Care Self Efficacy Acute Coronary Syndrome Anxiety Depression Rehospitalization

Interventions

The Telehealth-Led Transitional Care Program TLTCP spans 6 weeks and is conducted by a researcher with cardiac care experience. In Phase 1, hospital discharge planning involves a 45- to 60-minute sess

Experimental Behavioral,Active Comparator Other

Telehealth Led Transitional Care Program,Standard Care

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: Adult patients aged 18 to 60 years and older patients diagnosed with NSTE ACS with a GRACE score less than 130 based on age and stable clinical symptoms, and scheduled for elective PCI post-discharge. Secondly, no cognitive impairment indicated by a score over 23 on the Thai Mini-Mental State Examination TMSE. Thirdly, no or mild anxiety and depression indicated by a score less than 11 on each subscale of the Thai version of the Hospital Anxiety and Depression Scale Thai HADS. Lastly, capable of seeing, hearing, communicating in Thai, standing for weight measurement, and transmitting data via a mobile application independently or with caregiver assistance.

Exclusion criteria

Exclusion criteria: 1. Undergoing emergency surgery for any reason, or experiencing severe complications requiring hospitalization that preclude participation in program activities. 2. Having life-threatening conditions (e.g., acute pulmonary edema, recurrent ACS, stroke, advanced-stage cancer) or planned surgery within 2 months. 3. Requiring emergency PCI outside of the original treatment plan. 4. Having more than one primary caregiver involved in assisting with the study activities for a single patient.

Design outcomes

Primary

Measure	Time frame
Cardiac self efficacy Baseline week 4 and week 6 post discharge Measured by the 14 item Cardiac Self Efficacy Questionnaire with total scores ranging from 0 to 56,Anxiety Baseline week 4 and week 6 post discharge Measured by the anxiety subscale of the Thai Hospital Anxiety and Depression Scale with scores ranging from 0 to 21,Depression Baseline week 4 and week 6 post discharge Measured by the depression subscale of the Thai Hospital Anxiety and Depression Scale with scores ranging from 0 to 21	—

Measure

Time frame

Cardiac self efficacy Baseline week 4 and week 6 post discharge Measured by the 14 item Cardiac Self Efficacy Questionnaire with total scores ranging from 0 to 56,Anxiety Baseline week 4 and week 6 post discharge Measured by the anxiety subscale of the Thai Hospital Anxiety and Depression Scale with scores ranging from 0 to 21,Depression Baseline week 4 and week 6 post discharge Measured by the depression subscale of the Thai Hospital Anxiety and Depression Scale with scores ranging from 0 to 21

—

Secondary

Measure	Time frame
Rehospitalizations Within 4 to 6 weeks post discharge Tracked via a cardiovascular related rehospitalization assessment form including inpatient admissions emergency department visits or private clinic consultations	—

Countries

Thailand

Contacts

Public ContactVASINEE SOMSIRI

Faculty of Nursing, Prince of Songkla University

vasinee.s@psu.ac.th0888348835

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026