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IRCT20111203008286N8 IRCT 2019-11-10 Tehran University of Medical Sciences Training patients with open heart surgery Comparing the Effects of Gamification and Teach Back Training Methods on Treatment Regimen Adherence of Patients after Coronary Artery Bypass Graft Surgery 2019-08-05 anticipated 123 Complete https://irct.ir/trial/41507 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Education/Guidance, Randomization description: Samples will be divided to 3 groups with block randomization.There are 9 possible ways to equally assign participants to block. Allocation proceeds by randomly selection by randomization.com after that will be recognized treatment assignment. N/A Treatment Regimen Adherence. Intervention 1: Intervention group: Before starting the test, the patient will complete informed consent form, demographic information questionnaire, dietary and movement regimen adherence questionnaire by Sanaie and colleagues, and Morisky Medication Adherence Scale. Then, the patient and the main caregiver in teach back group receive simple and understandable instructions without medical terminology. At the end of each training section, the patient is asked to express what he or she has understood. For example, training for physical activity is as follows: (most of patients after surgery can walk for 3 to 10 minutes continuously without intolerance. Please focus on time, not speed. Choose smooth paths. Hills make you exhausted). After the training, information given to patients will be assessed. About the above subject, the patient will be told that if he wants to train one of his relatives, what will he state? After the explanations of the patient, if there is misunderstanding, the content will be revised and the patient and the main caregiver are asked to restate the content and this process continues until the patient has a correct understanding. But if the patient or the main caregiver did not understand the points, other sessions are taken into consideration. In the end, the presented information will be given to the patient in a form of a notebook to use it when needed. Thirty days after training, the questionnaire is completed again. Intervention 2: Intervention group 2: For the patient and the main caregiver in the gamification group, the informed consent form and medication regimen adherence scale were completed and then, the training application is installed on the cellphone of the patient or the main caregiver after discharge and the methods to use the game will be explained by the researcher. After educational motions and its games, the android programming prepares all games and graphics for the user as an android application. The final application includes 3 sections of 5 to 10 minutes of animation about physical activity, medication regimen, dietary regimen, and game. Thirty days after intervention, the questionnaire is completed again. For the control group (recipient of regular care), before intervention, dietary regimen adherence questionnaire and demographic information scale will be completed and after 30 days, medication regimen adherence questionnaire is completed again. Intervention 3: Control group: For the control group (receiving routine care), pre-intervention, demographic and adherence treatment questionnaires were completed and the questionnaires were completed again 30 days later. In this group, the patient doesn't receive any intervention. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Fatemeh Bahramnezhad
Tohid Square, Dr. Mirkhani St. (East Nosrat)
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4000 bahramnezhad.f@gmail.com Tehran University of Medical Sciences scientific Fatemeh Bahramnezhad
Tohid Square, Dr. Mirkhani St. (East Nosrat)
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4000 bahramnezhad.f@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Patients with 18 and 60 years old Having an Android phone cell by a patient or main caregiver ability to speaking and understanding Farsi Willingness to participate in the study no hearing and speech impairment 18 years 60 years Both patients' unwillingness to continue research in any part of the study The patient died I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm Rehabilitation Lifestyle Rehabilitation Intervention group: Before starting the test, the patient will complete informed consent form, demographic information questionnaire, dietary and movement regimen adherence questionnaire by Sanaie and colleagues, and Morisky Medication Adherence Scale. Then, the patient and the main caregiver in teach back group receive simple and understandable instructions without medical terminology. At the end of each training section, the patient is asked to express what he or she has understood. For example, training for physical activity is as follows: (most of patients after surgery can walk for 3 to 10 minutes continuously without intolerance. Please focus on time, not speed. Choose smooth paths. Hills make you exhausted). After the training, information given to patients will be assessed. About the above subject, the patient will be told that if he wants to train one of his relatives, what will he state? After the explanations of the patient, if there is misunderstanding, the content will be revised and the patient and the main caregiver are asked to restate the content and this process continues until the patient has a correct understanding. But if the patient or the main caregiver did not understand the points, other sessions are taken into consideration. In the end, the presented information will be given to the patient in a form of a notebook to use it when needed. Thirty days after training, the questionnaire is completed again. Intervention group 2: For the patient and the main caregiver in the gamification group, the informed consent form and medication regimen adherence scale were completed and then, the training application is installed on the cellphone of the patient or the main caregiver after discharge and the methods to use the game will be explained by the researcher. After educational motions and its games, the android programming prepares all games and graphics for the user as an android application. The final application includes 3 sections of 5 to 10 minutes of animation about physical activity, medication regimen, dietary regimen, and game. Thirty days after intervention, the questionnaire is completed again. For the control group (recipient of regular care), before intervention, dietary regimen adherence questionnaire and demographic information scale will be completed and after 30 days, medication regimen adherence questionnaire is completed again Control group: For the control group (receiving routine care), pre-intervention, demographic and adherence treatment questionnaires were completed and the questionnaires were completed again 30 days later. In this group, the patient doesn't receive any intervention. Regimen adherence questionnaire score. Timepoint: Before and one month after the intervention. Method of measurement: Adherence to treatment regimen. Quality of life. Timepoint: 2 months after intervention. Method of measurement: quality of life questioner. Tehran University of Medical Sciences Approved 2018-12-08 Ethics committee of Tehran University of Medical Sciences School of Nursing and Midwifery, Tohid Sq. Tehran, Iran Tehran Tehran Iran (Islamic Republic of)