Evidence map›Paper›PMID 40703122›Full record

ArticleEuropean heart journal. Digital health2025

Effect of a nurse-avatar guided discharge education smartphone application in people after acute coronary syndrome: a randomized controlled trial.

Tiffany Ellis, Sonia Cheng, Robert Zecchin, Karice Hyun, Darryn Marks, Ling Zhang, Robyn Gallagher, Robyn Clark, Julie Redfern

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European heart journal. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tiffany EllisFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Western Sydney (Baludarri) Precinct, Westmead Hospital, Level 6 Block K, PO Box 533, Westmead, Wentworthville, New South Wales 2145, Australia.ORCID https://orcid.org/0000-0001-5815-7893
Sonia ChengFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Western Sydney (Baludarri) Precinct, Westmead Hospital, Level 6 Block K, PO Box 533, Westmead, Wentworthville, New South Wales 2145, Australia.ORCID https://orcid.org/0000-0001-7783-6891
Robert ZecchinWestmead Hospital, Westmead, New South Wales, Australia.ORCID https://orcid.org/0000-0001-7288-0906
Karice HyunFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Western Sydney (Baludarri) Precinct, Westmead Hospital, Level 6 Block K, PO Box 533, Westmead, Wentworthville, New South Wales 2145, Australia.ORCID https://orcid.org/0000-0002-0164-7725
Darryn MarksInstitute for Evidence-Based Healthcare, Bond University, Queensland, Australia.ORCID https://orcid.org/0000-0002-8884-8596
Ling ZhangFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Western Sydney (Baludarri) Precinct, Westmead Hospital, Level 6 Block K, PO Box 533, Westmead, Wentworthville, New South Wales 2145, Australia.ORCID https://orcid.org/0000-0002-9961-2079
Robyn GallagherFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Western Sydney (Baludarri) Precinct, Westmead Hospital, Level 6 Block K, PO Box 533, Westmead, Wentworthville, New South Wales 2145, Australia.ORCID https://orcid.org/0000-0001-5588-9351
Robyn ClarkCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-5063-2618
Julie RedfernFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Western Sydney (Baludarri) Precinct, Westmead Hospital, Level 6 Block K, PO Box 533, Westmead, Wentworthville, New South Wales 2145, Australia.ORCID https://orcid.org/0000-0001-8707-5563

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Discharge education reduces recurrent cardiac events in people after acute coronary syndrome (ACS). This trial investigates the effectiveness of a self-administered avatar-based discharge education application (app) on knowledge and clinical outcomes among inpatients compared with usual care. Methods and results: Single-centre randomized controlled trial of adults hospitalized with ACS who were being discharged home. The app addressed heart disease diagnosis, treatment, risk factors, symptoms, and secondary prevention. Primary outcome was heart disease knowledge at three months. Secondary outcomes were quality of life, cardiac rehabilitation attendance, hospital re-presentations, symptom beliefs, physical activity, and smoking status. Satisfaction and app costs were also evaluated. Participants ( Conclusion: In this sample of people with ACS with high cardiac rehabilitation attendance, the app was highly acceptable but did not improve knowledge compared with usual care. Knowledge improved in both groups and may have potential to reduce cost to the health service with the app. Further work should explore the most appropriate target audience for app-based education. Clinical trial registration: ACTRN12622001436763.

Indexed as

Acute coronary syndromeCardiac rehabilitationCoronary heart diseaseDigital healthRandomized controlled trialSecondary prevention

Identifiers

PMID40703122
PMCPMC12282362

What OpenQuestion holds

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Registered trials

None linked

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.