title: Risk Factor-tailored Small Group Education for Patients with First-time Acute Coronary Syndrome.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effects of a risk factor-tailored small group education on anxiety and depressive symptoms, self-efficacy and self-care compliance in patients with first-time acute coronary syndrome (ACS) for 12-month follow-up.
  
  
  METHODS
  A quasi-experimental pretest and post-test design was used. Patients were recruited from a national university hospital from 2010 to 2011 in Korea. The group education consisted of a 60-minute long video developed using multimedia contents including voice-recorded texts, flash animation, and video clips, with nurses' dialogue. The intervention group (n = 34) participated in group education using the multimedia video in a small group of patients with similar risk factors, and received periodic telephone counseling and text messages. The control group (n = 40) received usual care and counseling upon request.
  
  
  RESULTS
  Depressive symptoms decreased, and self-efficacy and self-care compliance in the areas of medication, exercise, and healthy diet practice significantly increased in patients in the intervention group, compared with those in the control group.
  
  
  CONCLUSIONS
  Risk factor-tailored small group education and periodic text message were an effective strategy for decreasing depression, and increasing self-efficacy and long-term compliance with lifestyle changes in patients with first-time ACS. We suggested that risk factor-tailored small group education need to be given for first-time ACS patients for psychological support and behavioral change in clinical practice. It is also comparable to individual approach to encourage psychological and behavioral change.
authors.affiliation: College of Nursing, Hanynag University, Seoul, South Korea. Electronic address: seon9772@hanyang.ac.kr.
authors.forename: Seon Young
authors.initials: SY
authors.lastname: Hwang
authors.affiliation: College of Nursing, Gachon University, Incheon, South Korea.
authors.forename: Jin Shil
authors.initials: JS
authors.lastname: Kim
mesh_terms: D054058:Acute Coronary Syndrome / Q000451:nursing* / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019212:Multimedia; D010353:Patient Education as Topic; D018802:Patient-Centered Care / Q000379:methods; D056910:Republic of Korea; D012307:Risk Factors; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D013315:Stress, Psychological / Q000451:nursing*; D013663:Teaching / Q000379:methods*
keywords: acute coronary syndrome; education; patient; patient compliance; self-care; self-efficacy