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IRCT20251109067926N2 IRCT 2026-06-30 Shiraz University of Medical Sciences The Effectiveness of Emotion-Focused Psychotherapy in Patients with Cardiovascular Disease The Effectiveness of Mobile Phone–Based Microlearning Emotion-Focused Psychotherapy on Death Anxiety and Emotion Regulation among Patients Hospitalized in Cardiac Intensive Care Units 2026-08-06 anticipated 84 Complete https://irct.ir/trial/91254 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: This study is designed as a single-blind, parallel-group, quasi-experimental study with a control group, Blinding description: In this study, blinding will be implemented such that the research assistant responsible for data collection and the statistician responsible for data analysis will remain blinded to group allocation until the completion of the study. N/A Cardiovascular diseases. Intervention 1: Intervention group: Participants allocated to the intervention group will receive an **Emotion-Focused Therapy (EFT)** program based on the protocols developed by Greenberg et al. (62) and Simmons et al. (63), delivered using a **mobile phone–based microlearning approach**. The intervention will be administered over **three weeks** and will consist of **daily 10–20-minute educational video sessions**.The educational content will be developed based on the EFT protocol and reviewed by two faculty members with doctoral degrees in nursing and expertise in psychiatric and mental health nursing. The electronic learning materials will be prepared according to the standards of the Virtual School and E-Learning Center of Excellence of Shiraz University of Medical Sciences and will undergo instructional design, quality assurance, and technical review before implementation. The videos will be narrated and edited using Camtasia software and uploaded to a dedicated mobile application in MP4 format.Before the intervention begins, participants will receive a brief individual orientation session on using the application and accessing the microlearning content. Technical support contact information will also be provided. The application will be designed to allow sequential access to the educational sessions, بحيث participants can view each session only after completing the previous one. The application will also record participants' viewing statistics and, following completion of each video, present two short questions to assess comprehension of the session content. To minimize contamination, downloading or sharing of the educational videos will not be permitted, and the materials will be accessible only within the application.Consistent with the theoretical framework proposed by Greenberg et al., the intervention is designed to facilitate the identification, processing, expression, and regulation of emotions. To reinforce learning, each session will begin with a brief review of the previous session. Participants will be able to submit questions, share their experiences, and communicate with the research team through the application's discussion platform. In addition, brief telephone follow-up calls (1–2 minutes) will be conducted at predetermined intervals throughout the intervention period to promote adherence and reduce attrition.Outcome measures will be assessed at **baseline, immediately after completion of the intervention, and one month after the intervention** in both the intervention and control groups. The collected data will be entered into **SPSS** software for statistical analysis.**Control group:** Participants in the control group will receive **routine care only** and will not receive any components of the EFT microlearning intervention during the study period. Intervention 2: Control group: Participants in the control group will receive routine hospital care and will not receive any components of the study intervention during the trial. However, in accordance with ethical principles, the complete educational materials will be made available to participants in the control group after completion of the study and analysis of the study results. Yes - There is a plan to make this available What will be shared: The primary study outcomes will be made publicly available. When: Access will begin 6 months after publication of the study results. To whom: Researchers and individuals affiliated with academic institutions Conditions: The data will be provided for informational purposes only. Where to obtain: The data are available upon request via email at soror.javanmardi@yahoo.com How to obtain: The data are available upon request via email at soror.javanmardi@yahoo.com Comments:
public Sorur Javanmardifard
School of Nursing and Midwifery, Namazi Square, Zand Boulevard, Shiraz, Iran
Shiraz Iran (Islamic Republic of) 71936–13119 +98 71 3677 4254 soror.javanmardi@yahoo.com Shiraz University of Medical Sciences scientific Sorur Javanmardifard
School of Nursing and Midwifery, Namazi Square, Zand Boulevard, Shiraz, Iran
Shiraz Iran (Islamic Republic of) 7193613119 +98 71 3647 4258 soror.javanmardi@yahoo.com Shiraz University of Medical Sciences Iran (Islamic Republic of) Ability to read and write at a basic level to comprehend the educational content Ability to understand and communicate in Persian Age between 40 and 70 years Access to a smartphone with an active internet connection and the ability to use it Not participating concurrently in any other similar educational programs Willingness to participate in the study and provide written informed consent Hospitalization in the Cardiac Intensive Care Unit (CCU) Clinically stable condition allowing participation in brief educational activities 40 years 70 years Both Withdrawal of consent or unwillingness to continue participation in the study at any point during the research. Experience of a highly stressful life event, either recently or during the study period, resulting in Post-Traumatic Stress Disorder (e.g., the loss of a close family member), as determined by self-report, family report, or available health records. Presence of moderate to severe dementia or a Mini-Mental State Examination (MMSE) score < 24 (or an equivalent validated cognitive assessment), as determined by self-report, family report, or available health records. Presence of delirium or any medical condition that precludes participation in mobile-based educational interventions. Visual or hearing impairment that prevents participation in the interactive educational activities. Clinical deterioration during the intervention requiring rehospitalization. Failure to view two consecutive educational sessions provided during the intervention. I51 Complications and ill-defined descriptions of heart disease Behavior Behavior Intervention group: Participants allocated to the intervention group will receive an **Emotion-Focused Therapy (EFT)** program based on the protocols developed by Greenberg et al. (62) and Simmons et al. (63), delivered using a **mobile phone–based microlearning approach**. The intervention will be administered over **three weeks** and will consist of **daily 10–20-minute educational video sessions**.The educational content will be developed based on the EFT protocol and reviewed by two faculty members with doctoral degrees in nursing and expertise in psychiatric and mental health nursing. The electronic learning materials will be prepared according to the standards of the Virtual School and E-Learning Center of Excellence of Shiraz University of Medical Sciences and will undergo instructional design, quality assurance, and technical review before implementation. The videos will be narrated and edited using Camtasia software and uploaded to a dedicated mobile application in MP4 format.Before the intervention begins, participants will receive a brief individual orientation session on using the application and accessing the microlearning content. Technical support contact information will also be provided. The application will be designed to allow sequential access to the educational sessions, بحيث participants can view each session only after completing the previous one. The application will also record participants' viewing statistics and, following completion of each video, present two short questions to assess comprehension of the session content. To minimize contamination, downloading or sharing of the educational videos will not be permitted, and the materials will be accessible only within the application.Consistent with the theoretical framework proposed by Greenberg et al., the intervention is designed to facilitate the identification, processing, expression, and regulation of emotions. To reinforce learning, each session will begin with a brief review of the previous session. Participants will be able to submit questions, share their experiences, and communicate with the research team through the application's discussion platform. In addition, brief telephone follow-up calls (1–2 minutes) will be conducted at predetermined intervals throughout the intervention period to promote adherence and reduce attrition.Outcome measures will be assessed at **baseline, immediately after completion of the intervention, and one month after the intervention** in both the intervention and control groups. The collected data will be entered into **SPSS** software for statistical analysis.**Control group:** Participants in the control group will receive **routine care only** and will not receive any components of the EFT microlearning intervention during the study period. Control group: Participants in the control group will receive routine hospital care and will not receive any components of the study intervention during the trial. However, in accordance with ethical principles, the complete educational materials will be made available to participants in the control group after completion of the study and analysis of the study results Death Anxiety. Timepoint: At baseline (before the intervention), immediately after the intervention, and one month after the intervention. Method of measurement: Templer Death Anxiety Scale - DAS. Emotion Regulation. Timepoint: At baseline (before the intervention), immediately after the intervention, and one month after the intervention. Method of measurement: Emotion Regulation Questionnaire - ERQ. Shiraz University of Medical Sciences Approved 2026-05-23 Research Ethics Committee of the Schools of Nursing and Midwifery and Health Management and Medical Vice Chancellor for Research, 7th Floor, Central Building of Shiraz University of Medical Sciences, Adjacent to the Red Crescent Society, Zand Boulevard, Shiraz, Iran. Shiraz Fars Iran (Islamic Republic of)