Comparison of the effect of telephone follow-up with social network follow-up program on self-efficacy and depression in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial

• Published in: Internet interventions : the application of information technology in mental and behavioural health Vol. 37; p. 100757
• Main Authors: Hassanzadeh, Ako, Baharestani, Bahador, Dizaji, Niloofar Najafali, Shabani, Fidan, Fathollahi, Mahmood Sheikh, Goli, Rasoul, Kouhpayeh, Mohammad Shafiei
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.09.2024; Elsevier
• Subjects: Coronary artery bypass graft; Depression; Patient outcomes; Self-efficacy; Social network follow-up; Telephone follow-up; Depression; Social network follow-up; Coronary artery bypass graft; Telephone follow-up; Patient outcomes; Self-efficacy
• ISSN: 2214-7829; 2214-7829
• DOI: 10.1016/j.invent.2024.100757

Coronary artery bypass graft (CABG) surgery is a common procedure to improve blood flow to the heart muscles, but patients often face challenges during the recovery period. Self-efficacy and depression play crucial roles in patient outcomes. Telephone follow-up and social network follow-up have been introduced as interventions to enhance self-efficacy. This study aims to compare the effectiveness of telephone follow-up and social network follow-up on self-efficacy and depression in CABG patients. The study is a single-blinded, randomized controlled trial conducted at Shahid Rajaee Heart Hospital in Tehran, Iran. The sample size was determined to be 99 patients who met the inclusion criteria. Data were collected using a demographic questionnaire, Sullivan's cardiac self-efficacy questionnaire, and the Beck Depression Inventory (BDI). Participants were assigned to three groups: control, telephone follow-up, and WhatsApp follow-up using randomization. Data were analyzed using IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, N.Y., USA). The results revealed significant improvements in self-efficacy and reductions in depression scores for both the telephone and WhatsApp follow-up groups compared to the control group following the intervention (p < 0.001). Additionally, the mean self-efficacy score was higher and the mean depression score was lower in the WhatsApp follow-up group than in the telephone follow-up group after the intervention (p < 0.001). The findings provide valuable insights for healthcare professionals in choosing appropriate interventions to enhance patients' self-efficacy levels and improve mental health outcomes. Both telephone follow-up and social network follow-up interventions have their own advantages and can be effective in supporting patients' recovery after CABG surgery. •Both follow-up methods significantly improved self-efficacy and reduced depression compared to the control.•The WhatsApp group showed higher self-efficacy and lower depression than the telephone group.•Telephone follow-up uses phone calls for support, while social network follow-up uses online platforms for community support.•Both methods support patient recovery after CABG surgery.