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IRCT20180911041002N1 IRCT 2019-01-22 Gorgan University of Medical Sciences Effect of patient education and follow up with short massage on patient's therapeutic adherence with heart disease. Assessment of the effect of patient education and follow up with short massage on adherence to therapeutic regimen of the patients with acute coronary syndrome after discharge of coronary care units. 2018-12-11 anticipated 111 Complete https://irct.ir/trial/33805 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: We have three groups in this study. Group A = training with booklet, Group B = training with booklet and follow-up with SMS, and Group C = Control group. In this study, we have 111 samples, each of which contains 37 patients. For block randomization, the simplest and smallest production block will be 3 blocks (3 = the number of groups under investigation). Therefore, we have 6 states including 1. ABC, 2. CAB, 3. CAB, 4. BCA, 5. BAC, 6. ABC. To execute, we will use a regular hexagon (6 sided dice) that each side of dice is attributed to one of the 1 to 6 above states. So, by each throwing a dice, one of these situations arises. By 37 throwing the dice, we have 37 triple block that randomly created. Example: ABC, BAC, BAC, CBA, ABS, CAB, ........ = 37 Triple Block. N/A Acute Coronary Syndrome. Intervention 1: The first intervention group will be educated about adherence the drug orders, the type of medications used by the patient, the importance of adherence of medication orders, unwanted side effects of drugs, considering doses of medication, taking on time, emergency medicines, diet and permitted exercise. The second group: In addition to teaching the above, short message will be sent about the times and drug using, attention to dosage, diet, and mobility are at the acceptable level. These training take place in two sessions and each session about 45 minutes. Intervention 2: Second intervention group: training, booklet, Follow-up reminder short messages Patients are trained in the ward on the patient's bedside for a half to an hour before discharge by the researcher. The booklet has been prepared by a researcher and confirmed by a cardiologist and dietitian. Within two months after the discharge, 3 times a week, a reminder message will be sent to the patient. Two months after discharge the adherence questionnaire, researcher at the Patient's Home or Heart Clinic will complete the face-to-face interview. Intervention 3: Control group will receive only routine training before discharge of the ward. Two months after discharge of the patients, they will complete the adherence questionnaire in their home or in clinical heart disease department through face-to-face interview by researcher. Yes - There is a plan to make this available What will be shared: Results of the study will be published as an article. The ethical principle will be respected during preparation of the article for publishing. When: Accessibility of the data can be started 6 months after publishing the results of the study as an article. To whom: Only for researchers working in academic and scientific institutions. Conditions: The results could be used for scientific purposes with citing to the article published. Where to obtain: 4918936316 TEL_01732451660 Fax_4421657, Golestan University of Medical Sciences, Sari Road, Gorgan, IRAN How to obtain: Scholar valid documents and the title of study must be sent and the study must be about adherence of therapeutic regime in patient with acute coronary syndrome. Comments:
public Gholam Reza Mahmoodi-shan
Golestan University of Medical Sciences, Sari Road, Gorgan
Gorgan Iran (Islamic Republic of) 4918936316 +98 17324551660 mahmoodigh@yahoo.com Gorgan University of Medical Sciences scientific Zoleikha Ghoreishi
Golestan University of Medical Sciences, Sari Road, Gorgan
Gorgan Iran (Islamic Republic of) 4918936316 +98 17324551660 ghoreishi.z@goums.ac.ir Gorgan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Age between 25 to 75 years old Acute coronary syndrome diagnosis approved by a cardiologist physician Ability to speak and understanding Persian language by patient or relatives Ability to using mobile by patient or relatives Having active mobile and ability to send SMS by patient or relatives Achieving adherence score less than 50% 25 years 75 years Both Not having other advanced disease, such as cancer, diabetes Not having diagnosed mental disorder Unwillingness to participate in research by patient or relatives Lack of access to the patient after discharge I24.9 Acute ischaemic heart disease, unspecified Behavior Behavior Behavior The first intervention group will be educated about adherence the drug orders, the type of medications used by the patient, the importance of adherence of medication orders, unwanted side effects of drugs, considering doses of medication, taking on time, emergency medicines, diet and permitted exercise. The second group: In addition to teaching the above, short message will be sent about the times and drug using, attention to dosage, diet, and mobility are at the acceptable level. These training take place in two sessions and each session about 45 minutes. Second intervention group: training, booklet, Follow-up reminder short messages Patients are trained in the ward on the patient's bedside for a half to an hour before discharge by the researcher. The booklet has been prepared by a researcher and confirmed by a cardiologist and dietitian. Within two months after the discharge, 3 times a week, a reminder message will be sent to the patient. Two months after discharge the adherence questionnaire, researcher at the Patient's Home or Heart Clinic will complete the face-to-face interview. Control group will receive only routine training before discharge of the ward. Two months after discharge of the patients, they will complete the adherence questionnaire in their home or in clinical heart disease department through face-to-face interview by researcher. Adherence to the treatment regimen. Timepoint: At the beginning of the study and 2 months after the patient's discharge. Method of measurement: Adherence to treatment questionnaire-self report. Gorgan University of Medical Sciences Approved 2018-09-03 Ethics Committee of Golestan University of Medical Sciences Golestan University of Medical Sciences, Shast-Kola Road, Saari Road, Gorgan Gorgan Golestan Iran (Islamic Republic of)