Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jul 16, 2020
Date Accepted: Mar 5, 2021
(closed for review but you can still tweet)
Comparing the Effects of mobile Gamification and Teach-Back Training Methods on Adherence of therapeutic regimen of Patients after Coronary Artery Bypass Graft: A Randomized Clinical Trial
ABSTRACT
Background:
The patients undergoing Coronary Artery Bypass Graft Surgery fail to adhere to their treatment regimen for many reasons. Among these, one of the most important reasons for non-adherence is improper training of such patients. Therefore, it is necessary for nurses to train these patients by choosing the appropriate approach.
Objective:
The present study aimed to compare the effect of gamification and teach-back training methods on adherence to the therapeutic regimen of patients after coronary artery bypass graft(CABG).
Methods:
The present randomized clinical trial was conducted on 123 patients undergoing CABG, referred to hospitals affiliated to the University of Tehran, Tehran, Iran, in 2019, which were randomly assigned to three groups of control, teach-back, and gamification. The training was presented in a teach-back group individually using a teach-back training approach. In the gamification group, the developed application was installed on the patient's smartphone and the training was given in this way. The control group received routine training in the hospital. Finally, the adherence of the therapeutic regimen was assessed using the adherence of the therapeutic regimen questionnaire (physical activity and dietary regimen) designed by the Sanaie and Morisky Medication Adherence Scale (MMAS) as pre-test and post-test (after one month later).
Results:
One-way analysis of variance test for comparing the mean scores of teach-back and gamification training methods showed that the mean normalized scores for dietary regimen (P-Value=0.00, F-Value=71.80), movement regimen (P =0.00, F-Value=124.53), medication regimen (P =0.00, F-Value=9.66) before and after the intervention were significantly different between teach back, gamification and control groups. In addition, the results of Dunnett’s test showed that teach-back and gamification training groups had a significant difference with control group in all three treatment regimen methods. There was no statistically significant difference in adherence of therapeutic regimen between teach-back and control groups.
Conclusions:
Based on the results of the present study, the use of teach-back and gamification training approaches can be suggested for patients after CABG for adherence to therapeutic regimen. Clinical Trial: Iranian Registry of Clinical Trial (IRCT20111203008286N8)
Citation
