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Ethics code: IR.IRSHUMS.REC.1403.005

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Department of Nursing, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran
Abstract:   (20 Views)
Introduction: Considering the rising number of patients with heart failure, their growing care needs, and the effectiveness of both the automatic text message reminder system and virtual space, this study aimed to compare the effect of patient education using an automatic text message reminder system versus virtual space (via Soroush Messenger) on the self-care behaviors of patients with heart failure.
Methods: This quasi-experimental study included 60 patients with a history of surgery and heart failure. Sampling was performed randomly, and patients were divided into three groups: intervention 1 (text message reminder), intervention 2 (virtual space), and control. The research instruments included a demographic characteristics questionnaire and the European Heart Failure Self-Care Behavior Scale. In the intervention groups, daily text message reminders and self-care educational messages were sent for one month. The scale was completed by all participants in both the virtual education and automated text message groups before and after the intervention. Paired t-tests, and analysis of variance were employed and the data were analyzed using SPSS software (version 26).
Results: A total of 60 patients participated in the study, with a mean age of 54.87 ± 16.25 years; 66.6% (n = 40) were male, and 91.6% (n = 55) were married. Most participants (98.3%) (n = 59) were of Baluch ethnicity. Baseline characteristics were comparable among the control, automatic text message reminder system, and the Soroush Messenger groups (P > 0.05). After the intervention, both the automatic text message reminder system and Soroush Messenger groups showed significant improvements in self-care behavior scores compared to the baseline (P < 0.01), while no significant change was observed in the control group (P > 0.05).
Conclusions: Education via reminder text messages and education via the virtual space (Soroush Messenger) had similar effects on improving the self-care behaviors of patients with heart failure. Therefore, given their simplicity, low cost, and accessibility, these methods are recommended for patient education across various fields.

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Type of Study: Research | Subject: Educational
Received: 2025/10/17 | Accepted: 2025/12/20 | ePublished ahead of print: 2025/12/24

References
1. Dalir Z, Reihani Z, Mazlom R, Vakilian F. Effect of Training Based on Teach Back Method on Self-care in Patients with Heart Failure. J Mazandaran Univ Med Sci. 2016;25(134):209-20.
2. Members WG, Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, et al. Executive Summary: Heart Disease and Stroke Statistics-2011 Update: A report from the American Heart Association. Circulation. 2011;123(4):459-63. [DOI:10.1161/CIR.0b013e31820c7a50]
3. Mamashli L, Bekmaz k, Mohammad pour y. Telenursing in Cardiovascular Diseases: A Critical Review of Systematic Reviews of Evidence. Iran J Med Sci. 2023;1(3):20-32.
4. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Heart Disease and Stroke Statistics-2014 Update. Circulation. 2014;129(3): 280-92. [DOI:10.1161/01.cir.0000442015.53336.12]
5. Metzger M, Norton SA, Quinn JR, Gramling R. Patient and family members' perceptions of palliative care in heart failure. Heart Lung. 2013;42(2):112-9. [DOI: 10.1016/j.hrtlng.2012.11.002] [DOI:10.1016/j.hrtlng.2012.11.002]
6. Rector TS, Anand IS, Cohn JN. Relationships between clinical assessments and patients' perceptions of the effects of heart failure on their quality of life. J Card Fail. 2006;12(2):87-92. [DOI:10.1016/j.cardfail.2005.10.002]
7. Shahrbabaki PM, Nouhi E, Kazemi M, Ahmadi F. Defective support network: a major obstacle to coping for patients with heart failure: a qualitative study. Glob Health Action. 2016;9(1):1-8. [DOI:10.3402/gha.v9.30767]
8. Bahador R, Nouhi E, Jahani Y. Quality of life and its related factors in patients with CHF, referring to Jiroft Imam Khomeini Hospital. Iran Journal of Nursing. 2017;30(105):23-33. [DOI:10.29252/ijn.30.105.23]
9. Mansoreye N, Poursharifi H, Taban Sadegi MR, Seirafi MR. The correlation between social support and self-care in patients with heart failure: The mediating role of illness perception. Journal of Health Promotion Management. 2017;6(5):43-50. [DOI: 10.21859/jhpm-07036] [DOI:10.21859/jhpm-07036]
10. Lee CS, Freedland KE, Jaarsma T, Strömberg A, Vellone E, Page SD, et al. Patterns of self-care decision-making and associated factors: A cross-sectional observational study. Int J Nurs Studies. 2024;150:1-11. [DOI:10.1016/j.ijnurstu.2023.104665]
11. Mansouriyeh N, Poursharifi H, Sadeghi MRT, Seirafi MR. The relationship between social support and self-care in patients with heart failure: the role of illness related worries as a mediator. Crescent J Med Biol Sci. 2018;5(17):5-12.
12. Peyman N, Abdollahi M, Zadehahmad Z. The study of related factors with self-care and self-efficacy in heart failure patients. J Torbat Heydariyeh University Med Sci. 2018;6(1):55-61.
13. Goodarzi M, Ebrahimzadeh I. Impact of Distance Education via short message service of Mobile Phone on metabolic control of Patients with Type 2 Diabetes Mellitus in Karaj-Iran. Intern Med Today 2014;19(4):224-34.
14. Safdari R, Shams Abadi AR, Pahlevany Nejad S. Improve health of the elderly people with M-health and technology. Salmand: Iranian Journal of Ageing. 2018;13(3):288-99. [DOI:10.32598/sija.13.3.288]
15. Yin L, Lin N, Song X, Mei S, Shaw S-L, Fang Z, et al. Space-time personalized short message service (SMS) for infectious disease control-Policies for precise public health. Appl Geogr. 2020;114:102-103. [DOI:10.1016/j.apgeog.2019.102103]
16. Takeuchi S, Horiuchi S. Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women. Women Birth. 2016;29(5):430-5. [DOI:10.1016/j.wombi.2016.01.010]
17. Haider R, Sudini L, Chow CK, Cheung NW. Mobile phone text messaging in improving glycaemic control for patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Diabetes Res Clin Pract Suppl. 2019;150:27-37. [DOI:10.1016/j.diabres.2019.02.022]
18. Prinjha S, Ricci-Cabello I, Newhouse N, Farmer A. British South Asian patients' perspectives on the relevance and acceptability of mobile health text messaging to support medication adherence for type 2 diabetes: qualitative study. JMIR Mhealth Uhealth. 2020;8(4):157-189. [DOI:10.2196/15789]
19. Mayberry LS, Berg CA, Greevy RA, Nelson LA, Bergner EM, Wallston KA, et al. Mixed-methods randomized evaluation of FAMS: a mobile phone-delivered intervention to improve family/friend involvement in adults' type 2 diabetes self-care. Ann Behav Med. 2021;55(2):165-78. [DOI:10.1093/abm/kaaa041]
20. Wang X, Liu D, Du M, Hao R, Zheng H, Yan C. The role of text messaging intervention in Inner Mongolia among patients with type 2 diabetes mellitus: a randomized controlled trial. BMC Med Inform Decis Mak. 2020;20(1):90. [DOI:10.1186/s12911-020-01129-7]
21. Hooshmandja M, Mohammadi A, Esteghamti A, Aliabadi K, Nili M. Effect of mobile learning (application) on self-care behaviors and blood glucose of type 2 diabetic patients. J Diabetes Metab Disord. 2019; 18(2): 307-13. [DOI:10.1007/s40200-019-00414-1]
22. Simon KA. Cell Phone-Based Diabetes Self-Management Education to Improve Self-Care and HbA1c in Adults with Type II Diabetes: University of Hawai'i at Manoa. Manoa Hawaii.EDU. 2020; 14(20):90-97.
23. Chen C, Li X, Sun L, Cao S, Kang Y, Hong L, et al. Post‐discharge short message service improves short‐term clinical outcome and self‐care behaviour in chronic heart failure. ESC heart fail. 2019;6(1):164-73. [DOI:10.1002/ehf2.12380]
24. Thakkar J, Kurup R, Laba TL, Santo K, Thiagalingam A, Rodgers A, et al. Mobile telephone text messaging for medication adherence in chronic disease: a meta-analysis. JAMA intern med. 2016; 176(3):340-9. [DOI:10.1001/jamainternmed.2015.7667]
25. Mulford DL. Using the teach-back method to improve self-care behaviors. Hampton: Hampton University. 2016.
26. Sami W, Ansari T, Butt NS, Ab Hamid MRA. Effect of diet on type 2 diabetes mellitus: A review. Int J Health Sci (Qassim). 2017;11(2):65-71.
27. Anajafi F, Pishkar Mofrad Z, Ayubi E, Hosseini R. The effect of self-management based discharge planning on treatment adherence in patients with heart failure. Journal of Hayat. 2021; 26(4): 455-68.
28. Merolli M, Gray K, Martin-Sanchez F. Health outcomes and related effects of using social media in chronic disease management: a literature review and analysis of affordances. J biomed inform. 2013; 46(6):957-69. [DOI:10.1016/j.jbi.2013.04.010]
29. Muntaner-Mas A, Vidal-Conti J, Borras PA, Ortega FB, Palou P. Effects of a Whatsapp-delivered physical activity intervention to enhance health-related physical fitness components and cardiovascular disease risk factors in older adults. J Sports Med Phys Fitness. 2017;57(1-2):90-102. [DOI:10.23736/S0022-4707.16.05918-1]
30. Jaarsma T, Strömberg A, Mårtensson J, Dracup K. Development and testing of the European heart failure self‐care behaviour scale. Eur J Heart Fail. 2003;5(3):363-70. [DOI:10.1016/S1388-9842(02)00253-2]
31. Momeni M, Khoshtarash M, Ghanbari Khanghah A, Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reffering to ‎medical & educational center of heart in Rasht. J Holist Nurs Midwifery. 2013;23(1):22-9.
32. Shojaei F, Ebrahimi S-M, Assemi S. Self-care behavior and affecting factors among patients with heart failure in Iran. Saudi Med J. 2011;32(10):34-54.
33. Estaji Z, Hejazi SS, Tabarraie Y, Saedi M. The Effects of training through text Messaging Via Cell phones on the compliance of patients undergoing hemodialysis. J North Khorasan Univ Med Sci. 2016;8(2):203-13. [DOI:10.18869/acadpub.jnkums.8.2.203]
34. Ahmadi H, Mahdian Z, Sheikhtaheri A. The Effect of Short Message Service Reminders on Medication Adherence in Patients with Chronic Hyperlipidemia. J Health Admin. 2019;22(4):12-21.
35. Kazemi Majd R, Hosseini M, Safi MH, Norouzi K, Hosseinzadeh S. The effect of self-care education based on short message service on self-efficacy and adherence to the medication regimen in adolescents with epilepsy referred to Iran Epilepsy Association in 2016. J Nurs Edu. 2017;6(4):48-55.
36. safaie sarnaghi M, Hemmati Maslak Pak M, khademvatan K, Alinejhad V. The effect of short message service on adherence to treatment advice in the patients with hypertension. Nurs Midwifery J. 2016;14(3):224-32.
37. Pernell BM, DeBaun MR, Becker K, Rodeghier M, Bryant V, Cronin RM. Improving medication adherence with two-way short message service reminders in sickle cell disease and asthma. A feasibility randomized controlled trial. Appl Clin Inform. 2017;8(2):541-59. [DOI:10.4338/ACI-2016-12-RA-0203]
38. Güner TA, Coşansu G. The effect of diabetes education and short message service reminders on metabolic control and disease management in patients with type 2 diabetes mellitus. Prim Care Diabetes. 2020;14(5):482-7. [DOI:10.1016/j.pcd.2020.04.007]
39. Sugita H, Shinohara R, Yokomichi H, Suzuki K, Yamagata Z. Effect of text messages to improve health literacy on medication adherence in patients with type 2 diabetes mellitus: A randomized controlled pilot trial. Nagoya J Med Sci. 2017;79(3):313-321.
40. Johansson P, Jaarsma T, Andersson G, Lundgren J. The impact of internet-based cognitive behavioral therapy and depressive symptoms on self-care behavior in patients with heart failure: a secondary analysis of a randomised controlled trial. Int J Nurs Stud. 2021;116:103454. [DOI:10.1016/j.ijnurstu.2019.103454]
41. Eghtedar S, PourShojaei A, Jasemi M. Comparing the effect of Self-Care education through whatsapp social network and Face-To-Face training along with telephone Follow-Up on adherence to treatment and readmission in the patients with heart failure. Nurs Midwifery J. 2024;21(10):773-88. [DOI:10.61186/unmf.21.10.773]
42. Tajari M, akhoundzadeh G, Hojjati H. Educational Effect of Short Message Service and Telegram Reminders on Adherence to the Diet in Teenagers with Type I Diabetes in Gorgan 2018. J Diabetes Nurs. 2019;7(2):764-74.

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