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Not yet recruitingNCT07825376Updated Sep 17, 2026

Branching Scenario-Based Education in Coronary Artery Disease

An interventional study of Virtual Reality-Based Branching Scenario Education and Tablet-Based Branching Scenario Education in Coronary Arterial Disease (CAD), sponsored by Abant Izzet Baysal University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Abant Izzet Baysal University · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This randomized controlled trial aims to evaluate the effects of nurse-led branching scenario-based education delivered through virtual reality and tablet on cardiovascular disease risk awareness and adherence to antiplatelet medication in patients with coronary artery disease. Participants will be randomly assigned to a virtual reality education group, a tablet-based education group, or a control group receiving routine hospital education. Cardiovascular disease risk awareness and medication adherence will be assessed before and after the educational intervention and during follow-up.

02

Conditions studied

  • Coronary Arterial Disease (CAD)

Keywords

  • coronary artery disease
  • virtual reality
  • treatment adherence
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged 18-65 years.
  • Diagnosed with coronary artery disease.
  • Newly initiated on antiplatelet therapy.
  • Conscious and able to communicate.
  • Physically and cognitively able to use a virtual reality headset.
  • Able to read, write, and understand Turkish.
  • Willing to provide written informed consent.
  • Willing to participate in the education and follow-up process.
  • Has not previously received education about coronary artery disease.
  • Able to use a smartphone.

Exclusion criteria

Exclusion Criteria:

  • Cognitive impairment or mental illness preventing communication.
  • Visual or hearing impairment preventing participation in the virtual reality education.
  • Participation in another clinical study at the same time.
  • Diagnosis of malignant disease.
  • Bleeding disorder or active bleeding risk.
  • Hospitalization within the previous 3 months due to acute myocardial infarction, stroke, or another serious cardiovascular event.
  • Unable to understand the educational materials.
  • Refusal to provide written informed consent.
04

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
54 participants (estimated)

Study arms

  • No intervention
    control group

    participants in the control group receive routine clinical education.

  • Experimental
    virtual reality education

    Participants in this arm will receive nurse-led branching scenario-based education on cardiovascular disease risk factors and medication adherence using a virtual reality headset.

    Behavioral: Virtual Reality-Based Branching Scenario Education

  • Experimental
    Tablet Education

    Participants in this arm will receive nurse-led branching scenario-based education on cardiovascular disease risk factors and medication adherence using a tablet and headphones.

    Behavioral: Tablet-Based Branching Scenario Education

Interventions

  • BehavioralVirtual Reality-Based Branching Scenario Education

    Participants will first complete a pre-test assessment. They will then receive nurse-led coronary artery disease education through an interactive, branching scenario-based educational program delivered using a virtual reality (VR) headset. The educational content includes visual, interactive, and scenario-based learning activities, with different learning pathways and feedback based on participants' choices. Following the educational intervention, participants will complete a post-test assessment.

  • BehavioralTablet-Based Branching Scenario Education

    Participants will first complete a pre-test assessment. They will then receive nurse-led coronary artery disease education through an interactive, branching scenario-based educational program delivered using a tablet. The educational content includes visual, interactive, and scenario-based learning activities, with different learning pathways and feedback based on participants' choices. Following the educational intervention, participants will complete a post-test assessment.

05

What researchers measure

Primary outcomes

  1. cardiovascular disease risk awareness assessment scale score

    Change in cardiovascular disease risk awareness, assessed using the Turkish validated 22-item Cardiovascular Disease Risk Awareness Assessment Scale (CVD-RAAS). The knowledge domain score ranges from 0 to 8, with higher scores indicating higher knowledge about myocardial infarction and stroke. The total score for the 14-item Likert-type awareness subscales ranges from 14 to 56, with higher scores indicating greater awareness of cardiovascular disease risks, healthier dietary intentions, and higher readiness for behavioral change.

    Time frame: baseline and immediately after the educational intervention

  2. medication adherence report scale score

    Change in medication adherence, assessed using the Turkish validated 5-item Medication Adherence Report Scale (MARS-5). Each item is scored on a 5-point Likert scale (1 = always to 5 = never). Total scores range from 5 to 25, with higher scores indicating greater medication adherence.

    Time frame: Baseline, immediately after the intervention, and 3 months follow-up

  3. Cardiovascular Disease Risk Awareness Assessed by the Cardiovascular Disease Risk Awareness Assessment Questionnaire

    Cardiovascular disease risk awareness will be assessed using the Turkish version of the Cardiovascular Disease Risk Awareness Assessment Questionnaire (CDRAAQ), a 22-item instrument consisting of an 8-item knowledge section and three subscales: perceived risk of heart attack/stroke, healthy eating intentions, and perceived benefits and intentions to change. The knowledge items are scored as correct or incorrect, with each correct response receiving 1 point. The subscale items are rated on a 4-point Likert scale from 1 (strongly disagree) to 4 (strongly agree), with reverse scoring applied where appropriate. Higher scores indicate greater cardiovascular disease risk awareness, greater knowledge of heart attack and stroke, and greater readiness for health-related behavioral change.

    Time frame: Baseline, immediately after the intervention, and 3 months after the intervention.

06

Study locations

1 site
  • Bolu Abant İzzet Baysal University
    Bolu, Turkey (Türkiye)
07

References and documents

Individual participant data

Plan to share: No — for the protection of personal data

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07825376
Lead sponsor
Abant Izzet Baysal University
Responsible party
Saadet Can Çiçek (Associate Professor, Abant Izzet Baysal University) — Principal investigator
First posted
Sep 17, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Apr 2027 (estimated)
Last update
Sep 17, 2026

Study contacts

Saadet Can Çiçek, PhD
Contact
saadet.cancicek@ibu.edu.tr
+905062846936

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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