Branching Scenario-Based Education in Coronary Artery Disease

NCT07825376 | Not Yet Recruiting

• 1 other identifier: BAIBU-SBF-SOY-2026
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to evaluate the effects of nurse-led branching scenario-based education delivered through virtual reality and tablet on cardiovascular disease risk awareness and adherence to antiplatelet medication in patients with coronary artery disease. Participants will be randomly assigned to a virtual reality education group, a tablet-based education group, or a control group receiving routine hospital education. Cardiovascular disease risk awareness and medication adherence will be assessed before and after the educational intervention and during follow-up.

Conditions

Coronary Arterial Disease (CAD)

Keywords

coronary artery disease; virtual reality; treatment adherence

Outcome Measures

Primary Outcomes (3)

• cardiovascular disease risk awareness assessment scale score

  Change in cardiovascular disease risk awareness, assessed using the Turkish validated 22-item Cardiovascular Disease Risk Awareness Assessment Scale (CVD-RAAS). The knowledge domain score ranges from 0 to 8, with higher scores indicating higher knowledge about myocardial infarction and stroke. The total score for the 14-item Likert-type awareness subscales ranges from 14 to 56, with higher scores indicating greater awareness of cardiovascular disease risks, healthier dietary intentions, and higher readiness for behavioral change.

  baseline and immediately after the educational intervention

• medication adherence report scale score

  Change in medication adherence, assessed using the Turkish validated 5-item Medication Adherence Report Scale (MARS-5). Each item is scored on a 5-point Likert scale (1 = always to 5 = never). Total scores range from 5 to 25, with higher scores indicating greater medication adherence.

  Baseline, immediately after the intervention, and 3 months follow-up

• Cardiovascular Disease Risk Awareness Assessed by the Cardiovascular Disease Risk Awareness Assessment Questionnaire

  Cardiovascular disease risk awareness will be assessed using the Turkish version of the Cardiovascular Disease Risk Awareness Assessment Questionnaire (CDRAAQ), a 22-item instrument consisting of an 8-item knowledge section and three subscales: perceived risk of heart attack/stroke, healthy eating intentions, and perceived benefits and intentions to change. The knowledge items are scored as correct or incorrect, with each correct response receiving 1 point. The subscale items are rated on a 4-point Likert scale from 1 (strongly disagree) to 4 (strongly agree), with reverse scoring applied where appropriate. Higher scores indicate greater cardiovascular disease risk awareness, greater knowledge of heart attack and stroke, and greater readiness for health-related behavioral change.

  Baseline, immediately after the intervention, and 3 months after the intervention.

Study Arms (3)

control group

NO INTERVENTION

participants in the control group receive routine clinical education.

virtual reality education

EXPERIMENTAL

Participants in this arm will receive nurse-led branching scenario-based education on cardiovascular disease risk factors and medication adherence using a virtual reality headset.

Behavioral: Virtual Reality-Based Branching Scenario Education

Tablet Education

EXPERIMENTAL

Participants in this arm will receive nurse-led branching scenario-based education on cardiovascular disease risk factors and medication adherence using a tablet and headphones.

Behavioral: Tablet-Based Branching Scenario Education

Interventions

Virtual Reality-Based Branching Scenario Education BEHAVIORAL

Participants will first complete a pre-test assessment. They will then receive nurse-led coronary artery disease education through an interactive, branching scenario-based educational program delivered using a virtual reality (VR) headset. The educational content includes visual, interactive, and scenario-based learning activities, with different learning pathways and feedback based on participants' choices. Following the educational intervention, participants will complete a post-test assessment.

virtual reality education

Tablet-Based Branching Scenario Education BEHAVIORAL

Participants will first complete a pre-test assessment. They will then receive nurse-led coronary artery disease education through an interactive, branching scenario-based educational program delivered using a tablet. The educational content includes visual, interactive, and scenario-based learning activities, with different learning pathways and feedback based on participants' choices. Following the educational intervention, participants will complete a post-test assessment.

Tablet Education

Eligibility Criteria

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

You may qualify if:

• Aged 18-65 years.
• Diagnosed with coronary artery disease.
• Newly initiated on antiplatelet therapy.
• Conscious and able to communicate.
• Physically and cognitively able to use a virtual reality headset.
• Able to read, write, and understand Turkish.
• Willing to provide written informed consent.
• Willing to participate in the education and follow-up process.
• Has not previously received education about coronary artery disease.
• Able to use a smartphone.

You may not qualify if:

• Cognitive impairment or mental illness preventing communication.
• Visual or hearing impairment preventing participation in the virtual reality education.
• Participation in another clinical study at the same time.
• Diagnosis of malignant disease.
• Bleeding disorder or active bleeding risk.
• Hospitalization within the previous 3 months due to acute myocardial infarction, stroke, or another serious cardiovascular event.
• Unable to understand the educational materials.
• Refusal to provide written informed consent.

Sponsors & Collaborators

• Abant Izzet Baysal University: lead

Study Sites (1)

Bolu Abant İzzet Baysal University

Bolu, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Coronary Artery Disease; Treatment Adherence and Compliance

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases; Health Behavior; Behavior

Central Study Contacts

Saadet Can Çiçek, PhD

CONTACT

+905062846936; saadet.cancicek@ibu.edu.tr

Study Design

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

Study Record Dates

• First Submitted: August 18, 2026
• First Posted: September 17, 2026
• Study Start: September 1, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): April 1, 2027
• Last Updated: September 17, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)