Education, counseling and phone app support for older Thai adults after acute coronary syndrome
Tests a care approach with education, counseling and app support after acute coronary syndrome.
Plain-language title generated from the registry record
Registry title: Enabling Patient-Reported Outcomes Through Innovative Care - ACS (EPIC-ACS)
Key facts
- Where
- Bangkok, ThailandSee the site
Where in Thailand
- Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityBangkok, ThailandNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Mahidol University
- Trial code
- NCT07390006
- Record updated
- 9 February 2026
- Original description
This study evaluates the effectiveness of an innovative care approach that integrates face-to-face education, motivational counseling, and mobile health (mHealth) support delivered via the LINE application among Thai older adults following acute coronary syndrome (ACS) treated with percutaneous coronary intervention (PCI). The intervention aims to support post-discharge recovery by promoting healthy behaviors, improving health status, and enhancing patient satisfaction with care.Read full original descriptionShow less
Enabling Patient-Reported Outcomes Through Innovative Care Approach in Thai Older Adults Post-Acute Coronary Syndrome: A Mixed Methods Experimental Design
This study evaluates the effectiveness of an innovative care approach that integrates face-to-face education, motivational counseling, and mobile health (mHealth) support delivered via the LINE application among Thai older adults following acute coronary syndrome (ACS) treated with percutaneous coronary intervention (PCI). The intervention aims to support post-discharge recovery by promoting healthy behaviors, improving health status, and enhancing patient satisfaction with care.
The primary objective is to assess the effect of the intervention on patient-reported outcomes, including healthy behaviors, health status, and patient satisfaction. Secondary objectives include evaluating unplanned hospital visits during a 12-week follow-up period and exploring participants' experiences, motivation, and engagement with the innovative care approach.
Inclusion: Aged ≥ 60 years old; Diagnosed with ACS and received PCI within 3-12 months; Being familiar with using a smartphone or tablet with the LINE application, either personally or through a caregiver or family member; No cognitive impairment assessed by the 6-Item Cognitive Function Test-Thai Version (6CIT), score less than 8; Able to communicate in the Thai language by speaking, listening, reading, and writing in Thai sufficiently; Voluntarily agreed to participate and has signed the informed consent form; Participate in the experimental group and complete the program; Extreme case sampling involves selecting the top 6 highest and top 6 lowest scores for healthy behavior; Willing to participate in a one-on-one in-depth interview.
Exclusion: Have clinical contraindications to physical exercise (i.e. unstable angina, uncontrolled arrhythmias, systolic >180 mmHg or diastolic >110 mmHg, an LVEF of less than 40%, recent major surgery within 12 weeks such as CABG, valve replacement, or orthopedic surgery), or any serious medical condition that the cardiologist considers unsafe to perform physical activity; Visual or hearing impairments that cannot be adequately managed with medical devices (e.g., eyeglasses or hearing aids) and that interfere with the ability to participate in study activities or communicate effectively.