A Nurse-Led Program to Improve Patient Health Promotion Behaviors Among Elderly Patients After PCI

NCT07683143 | Completed

• 1 other identifier: HUSOM2025-518
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to develop and evaluate a nurse-led intervention program based on the Information-Motivation-Behavioral Skills (IMB) model to improve health-promoting behaviors and quality of life in elderly patients after percutaneous coronary intervention (PCI). It will also learn about the program's effects on self-efficacy and relevant objective clinical indicators. The main questions it aims to answer are: Does the IMB-based nurse-led intervention improve health-promoting behaviors in elderly PCI patients? What effects does the intervention have on patients' self-efficacy, quality of life, and objective clinical indicators? Researchers will compare the nurse-led IMB-based intervention to usual care to see if the program effectively enhances health-promoting behaviors and quality of life. Participants will: Receive the IMB-based nurse-led intervention or usual care Be followed up for a specified period with regular assessments Complete questionnaires on health-promoting behaviors, self-efficacy, and quality of life at baseline and at designated time points post-intervention Have objective clinical indicators measured and recorded

Conditions

Percutaneous Coronary Intervention

Outcome Measures

Primary Outcomes (1)

• Health Promotion Lifestyle Profile II

  The Health Promotion Lifestyle Profile II cocomprises six dimensions with a total of 52 items. Each item is rated on a 4-point Likert scale, yielding a total score ranging from 52 to 208, with higher scores indicating better health-promoting behaviors. Total scores of 52-91 indicate a poor level of health-promoting lifestyle, 92-131 indicate a moderate level, 132-171 indicate a good level, and 172-208 indicate an excellent level.

  From enrollment to 3 months post-intervention

Secondary Outcomes (7)

• Cardiac Self-Efficacy Scale

  From enrollment to 3 months post-intervention

• Seattle Angina Questionnaire

  From enrollment to 3 months post-intervention

• Blood Pressure

  From enrollment to 3 months post-intervention

• Fasting Blood Glucose

  From enrollment to 3 months post-intervention

• Six-Minute Walk Test

  From enrollment to 3 months post-intervention

Study Arms (2)

Intervention group

EXPERIMENTAL

Behavioral: Nurse-led intervention

Control group

NO INTERVENTION

Interventions

Nurse-led intervention BEHAVIORAL

The intervention group received a nurse-led IMB-based program plus standard care, delivered by an eight-member team from surgery to 4 weeks post-discharge. Information: In-hospital sessions (10-15 min) with teach-back, group peer support, a discharge handbook, and weekly phone/video follow-ups. Motivation: Three in-hospital motivational interviewing sessions (15-20 min) plus weekly post-discharge calls to enhance intrinsic motivation and family involvement. Behavioral Skills: Hands-on training via demos, simulations, and role-playing (15-20 min) with real-time feedback, discharge review, and post-discharge dynamic adjustments. Core Content: Six domains-health responsibility, nutrition, physical activity, stress management, interpersonal relations, and spiritual growth-each integrating IMB components.

Intervention group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• a confirmed diagnosis of coronary heart disease with a stable condition following PCI
• age ≥60 years
• normal cognitive and communication abilities
• provision of written informed consent and voluntary participation in the study

You may not qualify if:

• severe concomitant diseases affecting vital organs (e.g., liver, brain, or kidneys)
• current participation in other similar studies

Sponsors & Collaborators

• Henan University: lead

Study Sites (1)

Huaihe Hospital of Henan University

Kaifeng, Henan, 475000, China

Location

Related Publications (17)

• Pender NJ. Health promotion in nursing practice[M]. Stamford: Appleton and Lange, 1996.

  BACKGROUND

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  RESULT

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  RESULT

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  PMID: 32552846 RESULT

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  PMID: 36964273 RESULT

• Alonso Salinas GL, Cepas-Guillen P, Leon AM, Jimenez-Mendez C, Lozano-Vicario L, Martinez-Avial M, Diez-Villanueva P. The Impact of Geriatric Conditions in Elderly Patients with Coronary Heart Disease: A State-of-the-Art Review. J Clin Med. 2024 Mar 25;13(7):1891. doi: 10.3390/jcm13071891.

  PMID: 38610656 RESULT

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  PMID: 38292383 RESULT

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  PMID: 40598759 RESULT

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  RESULT

• Global Burden of Cardiovascular Diseases and Risks 2023 Collaborators. Global, Regional, and National Burden of Cardiovascular Diseases and Risk Factors in 204 Countries and Territories, 1990-2023. J Am Coll Cardiol. 2025 Dec 2;86(22):2167-2243. doi: 10.1016/j.jacc.2025.08.015. Epub 2025 Sep 24.

  PMID: 40990886 RESULT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 24, 2026
• First Posted: July 6, 2026
• Study Start: May 2, 2025
• Primary Completion: November 20, 2025
• Study Completion: November 20, 2025
• Last Updated: July 6, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)