Discussion
CAD, anger, angioplasty
DISEASE, RECURRENCE, CAD
The findings showed that a motivational text-messaging program resulted in the improvement in smoking cessation and self-efficacy in patients after coronary angioplasty.The positive effect of consultative-educational interventions like educational SMS was reported in previous studies as well [Although it is expected that patients refuse to start smoking again after angioplasty due to the fear of disease recurrence, the results of this study showed that only 4.3% of the patients in the control group had quit smoking 2 months after angioplasty. This shows that without purposeful programs, the rate of smoking abstinence might be low, and it is necessary to apply a deliberately designed intervention to prevent the individuals’ return to smoking.Patients considered anger and stress to be the most important factors for continuing smoking. In this regard, a systematic-review showed positive effects of psychological interventions on quitting smoking in patients with CAD [Among the strong points of this study, is the use of two-groups before and after design that made the comparison of intra-group and inter-group changes possible. Utilizing the block randomization increased the validity of the study as well. The use of SMS intervention based on Allen Carrr's beliefs was another strength of the study.