Trial reportBMC health services research2025
The effect of education using the interactive avatar application on self-care and the ability to identify and respond to the symptoms of heart attack in patients with acute coronary syndrome: a randomized clinical trial.
Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Best evidence summary of digital health interventions for self-management in patients with coronary artery disease.Frontiers in public health · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to assess the effectiveness of an interactive avatar application in enhancing self-care behaviors and improving recognition and response to heart attack symptoms among patients with Acute Coronary Syndrome (ACS).
methodsA non-blinded, two-arm, randomized controlled trial was conducted with 78 ACS patients randomly allocated to either an intervention group or a control group. The control group received conventional education, while the intervention group received conventional education supplemented with training via an interactive avatar application. The application provided guidance on self-care practices, recognition of heart attack symptoms, and appropriate responses. Data were collected at baseline, 1 month, and 3 months post-discharge using demographic questionnaires, the Self-Care of Coronary Heart Disease Inventory, and the ACS Response Index. Statistical analyses included chi-square tests, independent samples t-tests, and Mann-Whitney U tests.
resultsAt the 3-month follow-up, participants in the intervention group exhibited significantly higher scores on both the Self-Care of Coronary Heart Disease Inventory and ACS Response Index compared to the control group (P < 0.05). Furthermore, during the 3-month follow-up period, all patients in the intervention group (100%) ceased activity and took sublingual nitroglycerin upon experiencing heart attack symptoms, compared to 80% in the control group.
conclusionsThe interactive avatar application proved effective in improving knowledge, attitudes, beliefs, and self-care behaviors among ACS patients. This innovative educational tool holds promise for enhancing patient outcomes in ACS management.
trial registrationThis study was registered at the Iranian Registration Clinical Trial Center (Code: IRCT20220920056001N1, Date: 2023-01-03).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.