The Effect of the 5A Self-Management Model on Treatment Adherence and Self-Care in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Rct Study Protocol Publisher

Summary: Can education improve recovery after heart bypass? A single-center study suggests a structured self-management program may help patients, though follow-up was short. #CardiacCare #PatientEducation

Tajizadegan F ; Mardanian Dehkordi L ; Hosseini S M ; Shahriari M
Source: Journal of Education and Health Promotion Published:2026

Abstract

BACKGROUND: Coronary artery bypass grafting (CABG) is one of the most effective treatments for coronary artery disease (CAD). However, its long-term success largely depends on patients’ adherence to treatment and engagement in self-care behaviors. Patient-centered self-management programs can enhance health behaviors and improve these outcomes. This study aims to evaluate the effectiveness of the 5A self-management model on treatment adherence and self-care among patients undergoing CABG. MATERIALS AND METHODS: This randomized clinical trial will be conducted on 60 patients undergoing CABG at a specialized cardiac hospital in Isfahan, Iran. Eligible participants will be randomly assigned to two intervention (n = 30) and control (n = 30) groups. The intervention group will receive a self-management program based on the 5A model, which includes the stages of assess, advise, agree, assist, and arrange. The control group will receive routine care. Data will be collected at three stages before, immediately, and 2 months after the intervention using the Modanloo treatment adherence questionnaire and self-care questionnaire for patients undergoing CABG. Data analysis will be performed with SPSS version 26, using descriptive statistics, Chi-square test, independent and paired t-tests, and repeated-measures ANOVA. DISCUSSION: This study will examine the effect of the 5A self-management model on treatment adherence and self-care in CABG patients. The main strength of the study lies in its use of an evidence-based framework. However, its short-term follow-up, single-center design, and reliance on self-reported data represent key limitations. Findings may contribute to the development of policies aimed at improving cardiac patient care, strengthening self-management programs within healthcare systems, and providing an evidence-based framework for designing similar interventions in other patient populations. © 2026 Journal of Education and Health Promotion.