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IRCT20210327050782N1 IRCT 2021-08-15 Qazvin University of Medical Sciences The effect of mobile health on self-care in older people with myocardial infarction The effect of mobile health on self-care in older people with myocardial infarction 2021-08-21 anticipated 128 Complete https://irct.ir/trial/55262 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: First, the health mobile application is installed on the phones of the intervention group and they are taught how to use it. Prior to the intervention, the baseline level of self-care will be assessed using the Self-care of Coronary Heart Disease Inventory (SC-CHDI) questionnaire uploaded to the accompanying health program.Health intervention includes two parts: monitoring and training. The monitoring section includes self-monitoring of the patient in the areas of drug use, examination of cardiac symptoms and nutrition, etc. The interactive and automated capability of this software is such that it provides reminders for timely consumption in the drug consumption section. In case of cardiac symptoms, patients can first receive a recommendation to go to the emergency room, stop the activity, etc. by entering their symptoms in the program. If there is a problem in the areas or have questions in these areas or training programs, they can refer to the question and answer section and send their question to the facilitators and receive the answer.The trainings provided in the health companion program are daily for 4 weeks. Educational content is provided to the elderly using specialized resources after simplification in the form of multimedia, Persian animations, text and audio in the accompanying health program. Different parts of this software help the user in various areas of self-care and receive the necessary information from the user in the form of artificial intelligence and forms and questionnaires. During this period, the control group will receive the usual care of Qazvin Heart Center (Bouali Hospital), which includes a low-fat low-salt diet educational pamphlet, a visit to the heart clinic two weeks after discharge, as well as advice not to consume salt and not to have sex for two It is the week.Immediately after the intervention and 1 month after, the software automatically measures the level of self-care of the participants and sends the results online to the software server and we access the data, Randomization description: Permuted block randomization method will be used in this study to randomize the samples. Blocking is usually used to balance the number of samples assigned to each of the study groups. This feature helps researchers in cases where intermediate analyzes are needed during the sampling process. Number of samples Equal to each of the study groups. The size of all the blocks is equal and we will have 6 groups of 6 blocks (including 3 participants in the intervention group and 3 participants in the control group) in this two-group experiment. Random allocation software is also used for randomization tools. In addition to simple randomization, these random sequence generation software is able to generate random sequences by blocking method. To hide us from Allocation concealment We use the method used to perform a random sequence on the study participants, so that the assigned group is not known before the individual is assigned. Using opaque envelopes sealed with random sequence Sequentially numbered, sealed, opaque envelopes in This method records each of the random sequences created on a card and the cards are placed in the letter envelopes in order. In order to maintain a random sequence, the envelopes are numbered in the same way on the outer surface. Finally, the lids of the letter envelopes are glued and placed inside a box, respectively. At the beginning of the registration of participants, based on the order of entry of eligible participants into the study, one of the envelopes of the letter is opened in order and the assigned group of the participant is revealed. N/A Myocardial infarction. Intervention 1: Intervention group: first, the health mobile application is installed on the phones of the intervention group and they are taught how to use it. Prior to the intervention, the baseline level of self-care will be assessed using the Self-care of Coronary Heart Disease Inventory (SC-CHDI) questionnaire uploaded to the accompanying health program.Health intervention includes two parts: monitoring and training. The monitoring section includes monitoring the patient in the areas of medication use, cardiac symptoms, and nutrition. The interactive and automated capability of this software is such that in the drug consumption section, it provides reminders for timely use to the patient. In the event of cardiac symptoms, patients can first receive a recommendation to go to the emergency room, stop the activity or reduce the activity by entering their symptoms in the program. If there is a problem in the proposed areas or have a question in the same areas or training programs, they can refer to the question and answer section and send their question to the facilitators and receive the answer.The trainings provided in the health companion program are daily for 4 weeks. Educational content is provided to the elderly using specialized resources after simplification in the form of multimedia, Persian animations, text and audio in the accompanying health program. Different parts of this software help the user in various areas of self-care and receive the necessary information from the user in the form of artificial intelligence and forms and questionnaires.Immediately after the intervention and 1 month after, the software automatically measures the level of self-care of the participants and sends the results online to the software server and we access the data.It should be noted that the intervention group will also receive the usual care of the heart center. Intervention 2: Control group: control group will receive the usual care of Qazvin Heart Center (Bouali Hospital), which includes a low-fat low-salt diet educational pamphlet, a visit to a heart clinic two weeks after discharge, as well as advice not to consume salt and not to have sex for up to two weeks.Immediately after participating in this study and one month later, the level of self-care will be asked of them and will be examined with other data. Yes - There is a plan to make this available What will be shared: After deleting the name and mobile number and address of the participants, the rest of the data can be published. When: Immediately after the publication of the results data can be published To whom: All researchers Conditions: Unconditional Where to obtain: Contact the following email to receive data : arashghisvand@gmail.com How to obtain: Unconditional Comments:
public Arash Ghiasvand Mohammad Khani
School of Nursing and Midwifery,Qazvin University of Medical Sciences, Shahid Bahonar Boulevard
Qazvin Iran (Islamic Republic of) 3419915315 +98 28 3333 6001 arashghisvand@gmail.com Qazvin University of Medical Sciences scientific Arash Ghiasvand Mohammad Khani
School of Nursing and Midwifery,Qazvin University of Medical Sciences, Shahid Bahonar Boulevard
Qazvin Iran (Islamic Republic of) 3419915315 +98 28 3333 6001 arashghisvand@gmail.com Qazvin University of Medical Sciences Iran (Islamic Republic of) Age 60 years old and older A history of myocardial infarction for at least the last 6 months Has the mental capacity to communicate Patient consent to participate in the study Having a smartphone (Android) Have minimum ability to read and write 60 years no limit Both Catching Heart failure Hearing or speech impairment that prevents communication Cognitive impairment such as Alzheimer's and amnesia Having debilitating diseases such as stroke and neurological diseases, etc. Occurrence of severe stressful event during the study or 3 months before Loss of smartphone Dissatisfaction with continuing the study I21 ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction Lifestyle N/A Intervention group: first, the health mobile application is installed on the phones of the intervention group and they are taught how to use it. Prior to the intervention, the baseline level of self-care will be assessed using the Self-care of Coronary Heart Disease Inventory (SC-CHDI) questionnaire uploaded to the accompanying health program.Health intervention includes two parts: monitoring and training. The monitoring section includes monitoring the patient in the areas of medication use, cardiac symptoms, and nutrition. The interactive and automated capability of this software is such that in the drug consumption section, it provides reminders for timely use to the patient. In the event of cardiac symptoms, patients can first receive a recommendation to go to the emergency room, stop the activity or reduce the activity by entering their symptoms in the program. If there is a problem in the proposed areas or have a question in the same areas or training programs, they can refer to the question and answer section and send their question to the facilitators and receive the answer.The trainings provided in the health companion program are daily for 4 weeks. Educational content is provided to the elderly using specialized resources after simplification in the form of multimedia, Persian animations, text and audio in the accompanying health program. Different parts of this software help the user in various areas of self-care and receive the necessary information from the user in the form of artificial intelligence and forms and questionnaires.Immediately after the intervention and 1 month after, the software automatically measures the level of self-care of the participants and sends the results online to the software server and we access the data.It should be noted that the intervention group will also receive the usual care of the heart center. Control group: control group will receive the usual care of Qazvin Heart Center (Bouali Hospital), which includes a low-fat low-salt diet educational pamphlet, a visit to a heart clinic two weeks after discharge, as well as advice not to consume salt and not to have sex for up to two weeks.Immediately after participating in this study and one month later, the level of self-care will be asked of them and will be examined with other data. Self-care. Timepoint: (Before the intervention) and 30, 60 days after the intervention. Method of measurement: Self-care Questionnaire of Coronary Heart Disease Inventory (SC-CHDI). Qazvin University of Medical Sciences Approved 2021-08-03 Research Ethics Committees of Qazvin University of Medical Sciences Beheshti Blvd. Qazvin Qazvin Iran (Islamic Republic of)