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 (Preprint)

Abstract

The patients undergo Coronary Artery Bypass Graft Surgery fail to adhere 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.

The aim of study is to compare the effect of gamification and teach-back training methods on adherence of therapeutic regimen of patients after coronary artery bypass graft(CABG)

The present randomized clinical trial was conducted on 123 patients undergo CABG, Tehran, Iran, in 2019.Training was presented in teach-back group individually using 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 of the hospital. Finally, the adherence of therapeutic regimen was assessed using the adherence of therapeutic regimen questionnaire (physical activity and dietary regimen) and Morisky Medication Adherence Scale (MMAS) as pre-test and post-test (after one month later).

The sampling process continued from August 2019 to murch 2020. A total of 123 people were included in the study. 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<.001, F-Value=71.80), movement regimen (P<.001, F-Value=124.53), medication regimen (P<.001, 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.

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 of therapeutic regimen.

Iranian Registry of Clinical Trail (IRCT20111203008286N8).