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NCT Number: NCT07110779

Telenursing in Coronary Artery Disease

The aim of this research is to determine whether follow-up through telehealth consultations can enhance adherence to medication and increase knowledge about heart disease in patients with coronary artery disease (CAD) who have undergone coronary angioplasty. It can include individuals of any sex or gender, aged over 18, and with access to communication devices such as a cell phone, tablet, or internet-enabled computer. The main questions to be answered are:

* Does follow-up of patients with CAD through telenursing consultations improve adherence to the proposed treatment? * Does the follow-up of patients with CAD, through telenursing consultations, improve knowledge about heart disease? The researchers will compare these patients with others who will be followed up as usual at the hospital to determine which group shows better adherence to drug treatment and greater knowledge about heart disease. The participants will have telenursing consultations at three intervals: one, three, and five months after the initial consultation. After six months from the first interview, both groups will be assessed. They will also be invited to participate in an activity to share their experiences and identify research priorities in the field, with the option to collaborate on future research.

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Key information

Conditions

Coronary Artery Disease Arterial Occlusive Diseases Arteriosclerosis Cardiovascular Diseases Coronary Disease Heart Diseases Myocardial Ischemia Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

In the face of the global digital transformation, the leadership role of nurses is essential for developing digital health skills and implementing innovative strategies. In the context of coronary artery disease (CAD), telenursing has emerged as a crucial care strategy for monitoring patients, managing risk factors, promoting self-care, and enhancing quality of life.

The researchers will examine the prevalence of comorbidities and risk factors for cardiovascular disease (CVD) in the two study groups. They will also compare adherence to the proposed treatment and knowledge about CAD. Finally, they will draw up a protocol for telenursing consultations for patients with CAD undergoing coronary angioplasty. This protocol will be used at the institution.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients undergoing coronary angioplasty who have access to communication devices (mobile phone, tablet or computer with internet access).

Exclusion criteria

  • Patients with serious comorbidities that prevent remote monitoring, those without access to the necessary technology for remote nursing, and those with a diagnosis that prevents communication.

Treatment and study plan

Telenursing consultation

Behavioral

Telenursing consultations, which will be carried out via telephone calls, video calls, or messaging platforms, will be held between one, three, and five months after the first consultation. The North American Nursing Diagnosis Association (NANDA-I), the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC) taxonomies will be used to structure these consultations.

Primary outcomes

  1. CADE-Q SV score

    Time frame: From the first appointment after coronary angioplasty until six months afterwards.

    The knowledge score regarding coronary artery disease (CAD) will be calculated using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV). This consists of 20 questions divided into five categories: clinical condition, risk factors, exercise, nutrition, and psychosocial risk. One point is awarded for each correct answer, with a maximum score of 20 points. The questionnaire aims to identify areas of low knowledge.

  2. MTA score

    Time frame: From the first appointment after coronary angioplasty until six months afterwards.

    Adherence to the proposed treatment will be calculated using the Measure of Treatment Adherence (MTA) instrument. This consists of seven questions, with answers obtained using a six-point Likert scale. Adherence to treatment is determined by adding the values of each answer and dividing by the total number of items. Patients with an arithmetic mean score between one and four are considered non-adherent. Those with a score between five and six are considered adherent.

Secondary outcomes

  1. Blood pressure

    Time frame: At the first consultation after coronary angioplasty, and six months later.

    Blood pressure measured in millimeters of mercury

  2. Heart rate

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Heart rate measured in beats per minute

  3. Respiratory rate

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Respiratory rate measured in movements per minute

  4. Temperature

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Temperature measured in degrees Celsius

  5. Capillary blood glucose

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Capillary blood glucose measured in milligrams per deciliter

  6. Weight

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Weight measured in kilograms

  7. Height

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Height measured in meters

  8. Body Mass Index

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Body mass index measured in kilograms per square meter

  9. Waist

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Waist circumference measured in centimeters

  10. Hip

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Hip circumference measured in centimeters

  11. Waist-to-Hip Ratio

    Time frame: At the first consultation after coronary angioplasty, and six months later

    Waist-to-hip ratio calculated by dividing waist measurement by hip measurement

Study contacts

Contact information is provided by the study sponsor or research team.

Fernanda MA Lima, PhD

CONTACT

[email protected]

+55 14 3880-1301

Marla AG Avila, Professor

CONTACT

[email protected]

+55 14 3880-1707

Sponsors and collaborators

Lead sponsor

Fernanda Maria Alves Lima

Other

Collaborators

  • Faculdade de Medicina de Botucatu, UNESP, Botucatu, Brasil

Registry information

Official study title

Telenursing in Coronary Artery Disease: Randomized Clinical Trial and Patient Collaboration

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Aug 8, 2025
Registry last updated
Aug 8, 2025

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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