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Peer-reviewedCC BYJournal of cardiothoracic surgery

Effectiveness of a voice-guided tap-and-talk educational tool in enhancing cardiovascular knowledge and self-management in aged patients following percutaneous coronary intervention.

  1. 1Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, Beijing, 101100, China.
  2. 2Department of Geriatrics, Beijing Luhe Hospital, Capital Medical University, Beijing, 101100, China.
  3. 3Department of Nursing, Beijing Luhe Hospital, Capital Medical University, No. 82 Xinhua South Road, Tongzhou District, Beijing, 101100, China. [email protected].

Abstract

Objective

This study aimed to develop a voice-guided, tap-and-talk educational tool and assess its effectiveness in improving disease-related knowledge and self-management behaviors among older adults following percutaneous coronary intervention (PCI).Methods

A voice-guided tap-and-talk educational tool was designed to address the specific needs of older adults post-PCI. A cluster randomized controlled trial was conducted in cardiovascular wards. The control group received conventional health education using printed manuals, whereas the intervention group received education via the tap-and-talk interactive tool. Outcomes included the level of knowledge regarding coronary heart disease and engagement in self-management behaviors. Chi-squared test and independent-sample t-test, chi-square test and paired t-test, and univariate repeated-measures analysis of variance (ANOVA) were conducted accordingly.Results

A total of 96 patients completed the study, including 49 in the experimental group and 47 in the control group.No statistically significant differences were observed in baseline characteristics between the groups (p > 0.05). A significant group × time interaction effect was detected for coronary heart disease (CHD)-related knowledge (F = 9.026, P < 0.001). At 1 month, 3 months, and 6 months post-intervention, the intervention group demonstrated significantly higher self-management behavior scores than the control group (F = 11.607, P < 0.001). Additionally, CHD-related knowledge scores showed a mild downward trend over time in both groups (F = 124.067, P < 0.001). Consistent with the interaction effect mentioned above, the intervention group achieved significantly higher CHD-related knowledge scores than the control group at all three follow-up time points (1 month, 3 months, and 6 months post-intervention) (F = 195.188, P < 0.001). Scores in the intervention group remained consistently higher across all domains. The tool received high acceptance ratings from participants (mean score 96.04 ± 2.61).Conclusion

The tap-and-talk voice-guided educational tool was effective in enhancing knowledge and promoting self-management behaviors among older adults following PCI. The tool demonstrated a high level of user acceptability within the target population.

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BibTeX
@article{sun2026effectiveness,
  title = {{Effectiveness of a voice-guided tap-and-talk educational tool in enhancing cardiovascular knowledge and self-management in aged patients following percutaneous coronary intervention.}},
  author = {Tingting Sun and Lili Liu and Rui Ye and Yaqi Wei and Xia Li},
  journal = {Journal of cardiothoracic surgery},
  year = {2026},
  month = jul,
  doi = {10.1186/s13019-026-04546-3},
  url = {https://europepmc.org/article/MED/42894236},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Effectiveness of a voice-guided tap-and-talk educational tool in enhancing cardiovascular knowledge and self-management in aged patients following percutaneous coronary intervention.
AU  - Tingting Sun
AU  - Lili Liu
AU  - Rui Ye
AU  - Yaqi Wei
AU  - Xia Li
PY  - 2026
DA  - 2026/07/01
JO  - Journal of cardiothoracic surgery
DO  - 10.1186/s13019-026-04546-3
UR  - https://europepmc.org/article/MED/42894236
AB  - Objective  This study aimed to develop a voice-guided, tap-and-talk educational tool and assess its effectiveness in improving disease-related knowledge and self-management behaviors among older adults following percutaneous coronary intervention (PCI).Methods  A voice-guided tap-and-talk educational tool was designed to address the specific needs of older adults post-PCI. A cluster randomized controlled trial was conducted in cardiovascular wards. The control group received conventional health education using printed manuals, whereas the intervention group received education via the tap-and-talk interactive tool. Outcomes included the level of knowledge regarding coronary heart disease and engagement in self-management behaviors. Chi-squared test and independent-sample t-test, chi-square test and paired t-test, and univariate repeated-measures analysis of variance (ANOVA) were conducted accordingly.Results  A total of 96 patients completed the study, including 49 in the experimental group and 47 in the control group.No statistically significant differences were observed in baseline characteristics between the groups (p > 0.05). A significant group × time interaction effect was detected for coronary heart disease (CHD)-related knowledge (F = 9.026, P < 0.001). At 1 month, 3 months, and 6 months post-intervention, the intervention group demonstrated significantly higher self-management behavior scores than the control group (F = 11.607, P < 0.001). Additionally, CHD-related knowledge scores showed a mild downward trend over time in both groups (F = 124.067, P < 0.001). Consistent with the interaction effect mentioned above, the intervention group achieved significantly higher CHD-related knowledge scores than the control group at all three follow-up time points (1 month, 3 months, and 6 months post-intervention) (F = 195.188, P < 0.001). Scores in the intervention group remained consistently higher across all domains. The tool received high acceptance ratings from participants (mean score 96.04 ± 2.61).Conclusion  The tap-and-talk voice-guided educational tool was effective in enhancing knowledge and promoting self-management behaviors among older adults following PCI. The tool demonstrated a high level of user acceptability within the target population.
SN  - 1749-8090
ER  -