Abstract
BackgroundPatients undergoing coronary artery bypass graft surgery (CABGS) may fail to adhere to their treatment regimen for many reasons. Among these, one of the most important reasons for nonadherence is the inadequate training of such patients or training using inappropriate methods.ObjectiveThis study aimed to compare the effect of gamification and teach-back training methods on adherence to a therapeutic regimen in patients after CABGS.MethodsThis randomized clinical trial was conducted on 123 patients undergoing CABGS in Tehran, Iran, in 2019. Training was provided to the teach-back group individually. In the gamification group, an app developed for the purpose was installed on each patient’s smartphone, with training given via this device. The control group received usual care, or routine training. Adherence to the therapeutic regimen was assessed using a questionnaire on adherence to a therapeutic regimen (physical activity and dietary regimen) and an adherence scale as a pretest and a 1-month posttest.ResultsOne-way analysis of variance (ANOVA) for comparing the mean scores of teach-back and gamification training methods showed that the mean normalized scores for the dietary regimen (P<.001, F=71.80), movement regimen (P<.001, F=124.53), and medication regimen (P<.001, F=9.66) before and after intervention were significantly different between the teach-back, gamification, and control groups. In addition, the results of the Dunnett test showed that the teach-back and gamification groups were significantly different from the control group in all three treatment regimen methods. There was no statistically significant difference in adherence to the therapeutic regimen between the teach-back and control groups.ConclusionsBased on the results of this study, the use of teach-back and gamification training approaches may be suggested for patients after CABGS to facilitate adherence to the therapeutic regimen.Trial RegistrationIranian Registry of Clinical Trials IRCT20111203008286N8; https://en.irct.ir/trial/41507
Highlights
BackgroundThe most important objective of coronary artery bypass graft surgery (CABGS) is to improve the patient’s quality of life by reducing angina symptoms and maintaining coronary circulation [1,2]
J Med Internet Res 2021 | vol 23 | iss. 12 | e22557 | p. 1 groups were significantly different from the control group in all three treatment regimen methods
Based on the results of this study, the use of teach-back and gamification training approaches may be suggested for patients after CABGS to facilitate adherence to the therapeutic regimen
Summary
The most important objective of coronary artery bypass graft surgery (CABGS) is to improve the patient’s quality of life by reducing angina symptoms and maintaining coronary circulation [1,2]. This approach has complications, despite its many benefits. Self-care and understanding of one’s illness, lifestyle changes, and improvement of the patient’s quality of life require the transfer of knowledge and education from the health professional to the patient. Patients undergoing coronary artery bypass graft surgery (CABGS) may fail to adhere to their treatment regimen for many reasons. One of the most important reasons for nonadherence is the inadequate training of such patients or training using inappropriate methods
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