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A cluster randomized controlled trial was conducted in cardiovascular wards. The control group received conventional health education using printed manuals, whereas the intervention group received education via the tap-and-talk interactive tool. Outcomes included the level of knowledge regarding coronary heart disease and engagement in self-management behaviors. Chi-squared test and independent-sample t-test, chi-square test and paired t-test, and univariate repeated-measures analysis of variance (ANOVA) were conducted accordingly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 96 patients completed the study, including 49 in the experimental group and 47 in the control group.No statistically significant differences were observed in baseline characteristics between the groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). A significant group \u00d7 time interaction effect was detected for coronary heart disease (CHD)-related knowledge (F\u2009=\u20099.026,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). At 1 month, 3 months, and 6 months post-intervention, the intervention group demonstrated significantly higher self-management behavior scores than the control group (F\u2009=\u200911.607,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, CHD-related knowledge scores showed a mild downward trend over time in both groups (F\u2009=\u2009124.067,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Consistent with the interaction effect mentioned above, the intervention group achieved significantly higher CHD-related knowledge scores than the control group at all three follow-up time points (1 month, 3 months, and 6 months post-intervention) (F\u2009=\u2009195.188,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Scores in the intervention group remained consistently higher across all domains. The tool received high acceptance ratings from participants (mean score 96.04\u2009\u00b1\u20092.61).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The tap-and-talk voice-guided educational tool was effective in enhancing knowledge and promoting self-management behaviors among older adults following PCI. The tool demonstrated a high level of user acceptability within the target population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-026-04546-3","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T13:56:04Z","timestamp":1784728564000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a voice-guided tap-and-talk educational tool in enhancing cardiovascular knowledge and self-management in aged patients following percutaneous coronary intervention"],"prefix":"10.1186","volume":"21","author":[{"given":"Tingting","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaqi","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"issue":"11","key":"4546_CR1","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1093\/eurjpc\/zwae281","volume":"32","author":"B Chong","year":"2025","unstructured":"Chong B, Jayabaskaran J, Jauhari SM, et al. 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