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Completed

NCT Number: NCT07683143

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

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

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Key information

Conditions

Percutaneous Coronary Intervention

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Huaihe Hospital of Henan University

Kaifeng, Henan, 475000, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

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

Treatment and study plan

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.

Primary outcomes

  1. Health Promotion Lifestyle Profile II

    Time frame: From enrollment to 3 months post-intervention

    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.

Secondary outcomes

  1. Cardiac Self-Efficacy Scale

    Time frame: From enrollment to 3 months post-intervention

    The cardiac self-efficacy scale consists of two dimensions and includes a total of 16 items. Each item is rated using a 5-point Likert scale, with total scores ranging from 0 to 64. Higher scores indicate greater self-efficacy in managing disease-related problems.

  2. Seattle Angina Questionnaire

    Time frame: From enrollment to 3 months post-intervention

    The Seattle Angina Questionnaire (SAQ) is a 19-item instrument comprising five domains that assess disease-specific functional status and quality of life in patients with coronary heart disease. Each domain score is standardized to a range of 0 to 100, with higher scores indicating better health status and quality of life.

  3. Blood Pressure

    Time frame: From enrollment to 3 months post-intervention

  4. Fasting Blood Glucose

    Time frame: From enrollment to 3 months post-intervention

  5. Six-Minute Walk Test

    Time frame: From enrollment to 3 months post-intervention

  6. Body Mass Index

    Time frame: From enrollment to 3 months post-intervention

  7. Left Ventricular Ejection Fraction

    Time frame: From enrollment to 3 months post-intervention

Sponsors and collaborators

Lead sponsor

Henan University

Other

Registry information

Official study title

Construction And Application Of An IMB Model-Based Health-Promoting Behavior Intervention Program For Elderly Patients With Coronary Heart Disease After PCI

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jul 6, 2026
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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