{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T19:29:45Z","timestamp":1790191785012,"version":"4.1.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100010226","name":"Guangdong Provincial Department of Education","doi-asserted-by":"crossref","award":["2022KTSCX008"],"award-info":[{"award-number":["2022KTSCX008"]}],"id":[{"id":"10.13039\/501100010226","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore the impact of a collaborative management for couples based on KING\u2019s Goal Attainment Theory on the health outcomes of post-percutaneous coronary intervention (PCI) patients with coronary heart disease (CHD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This RCT involved 194 eligible patients, randomly assigned to either a control group (CG) or an intervention group (IG). The CG received routine care and follow-up, while the IG received KING\u2019s Theory-based couple-focused case management in addition to routine care. The intervention comprised pre- and post-discharge sessions, containing dyadic goal-setting and dyadic health management strategies, fostering collaborative decision-making between the patient and their spouse. Outcomes were measured at T0 (2 days post-stabilisation), 1 and 3 months post-discharge. The mean age of the participants was 61.3 (SD = 12.0) years. Baseline data were similar in both groups. The intervention significantly improved chronic disease management self-efficacy (\u03b2 = 1.175), medication adherence (\u03b2 = 0.834), healthy diet adherence (\u03b2 = 1.127), exercise adherence (\u03b2 = 1.206), and was associated with the improvements of total cholesterol (\u03b2 = \u22120.293), triglycerides (\u03b2 = \u22120.280), and low-density lipoprotein (\u03b2 = \u22120.229). All P &amp;lt; 0.05. However, the difference in high-density lipoprotein levels (\u03b2 = \u22120.012), the rate of revascularization, recurrent angina pectoris, in-stent restenosis, and left ventricular ejection fraction (Z = \u22120.667) between the groups was not significant, all P &amp;gt; 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The collaborative management for couples based on KING\u2019s Goal Attainment Theory significantly improved self-efficacy and adherence to lifestyle changes of post-PCI patients with CHD, and was associated with the improvements of the lipid profiles. Future studies could investigate the cost-effectiveness and long-term impact of this theory-based intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>Chinese Clinical Trial Registry (ChiCTR): ChiCTR2400085183.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvaf076","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T08:19:12Z","timestamp":1746087552000},"page":"1052-1064","source":"Crossref","is-referenced-by-count":4,"title":["Collaborative couple-based management using King\u2019s theory improves health behaviours after percutaneous coronary intervention for coronary artery disease: randomized controlled trial"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2764-4394","authenticated-orcid":false,"given":"Qiaohong","family":"Yang","sequence":"first","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hualong","family":"Ma","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjuan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dongguan People's Hospital, No. 3 South Wandao Road, Xinguyong Community, Wanjiang District, Dongguan, Guangdong Province 523059, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianliang","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Sciences, Hong Kong Metropolitan University, 11th Floor, Jockey Club Institute of Healthcare, 1 Sheung Shing Street, Ho Man Tin, Kowloon, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanfeng","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zihan","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingying","family":"Cheng","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinyang","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Hu","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayu","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing, Jinan University, No. 601 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong Province 510632, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyu","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Jinan University, No. 613 West Huangpu Avenue, Tianhe District, Guangzhou, Guangdong Province 510632 ,","place":["P.R. 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