Evaluate the effect of virtual nurse-guided discharge education app on disease knowledge and symptom response in patients following coronary events

IF 3.7 2区医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS

International Journal of Medical Informatics Pub Date : 2025-02-04 DOI:10.1016/j.ijmedinf.2025.105818

Ling Zhang , Robyn Gallagher , Huiyun Du , Tracey Barry , Jon Foote , Tiffany Ellis , Aarti Gulyani , Robyn A. Clark

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引用次数: 0

Abstract

Background

Pre-discharge patient education promotes better self-care and secondary prevention following acute coronary syndrome (ACS). Traditional methods do not adapt well to staff and patient time limitations and varied health literacy levels. Self-administered digital methods using engagement strategies may address these issues.

Objectives

To evaluate whether a co-designed, self-administered, virtual nurse avatar-guided patient education app can improve ACS knowledge, beliefs, and medication adherence, and be acceptable for patients and nurses.

Methods

A prospective pre-post-test study was used with patients recruited during hospitalisation for ACS and their associated nursing staff. Patients, alongside usual care, were provided with the education app on a tablet at discharge to use immediately and over the following month. Data were collected immediately following use and one-month post on heart disease knowledge, ACS symptom response attitudes and beliefs and medication adherence. User satisfaction data was collected from both patients and nurses.

Results

Participants included nurses (n = 22) and patients (n = 22) who were diagnosed with ST-elevation myocardial infarction (STEMI) (73 %), aged mean 59.7 years and 40 % had not completed high school.

Patients’ heart disease knowledge improved from pre to one-month post-use (15.7 vs 17.0; p < 0.001) and from immediately post to one-month post-use (16.3 vs 17.0; p = 0.003). Patients’ ACS symptom knowledge and response beliefs improved from pre- to immediate post-use (13.8 vs 15.5; p = 0.008; 23.8 vs 25.1; p = 0.038), and to one-month post-use (13.8 vs 17.0; p < 0.001; 23.8 vs 25.7; p = 0.025), and ACS symptom response attitudes improved from pre- to one-month post-use (15.8 vs 17.0; p = 0.036).

Patients and nurses rated the app’s presentation, content, usability, and usefulness highly; 86% of nurses thought the app would help with discharge education.

Conclusion

A co-designed, self-administered, virtual nurse avatar-guided education app can improve heart disease knowledge, attitudes, and beliefs following ACS with high nurse and patient acceptability.

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来源期刊

International Journal of Medical Informatics 医学-计算机：信息系统

CiteScore

8.90

自引率

4.10%

发文量

217

审稿时长

42 days

期刊介绍： International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.