Comparing Video‐Enhanced Face‐to‐Face Training and Traditional Verbal Instruction for Anxiety Management in Angiography Patients: A Quasi‐Experimental Study

ABSTRACT Background and Aims Patients undergoing angiography often experience heightened anxiety, which can adversely affect procedural outcomes. This study compared the efficacy of video‐assisted face‐to‐face training versus conventional verbal instruction in reducing anxiety among angiography patients. Methods A pretest–posttest quasi‐experimental design was employed at a Shiraz University of Medical Sciences (SUMS)‐affiliated hospital (April 2023–December 2023). Of 180 initially enrolled patients, 174 were randomized into two groups: video‐assisted face‐to‐face training (intervention, n = 87) or verbal instruction (control, n = 87). The intervention group received a structured 10‐min educational video (accessible via TV and mobile devices) followed by face‐to‐face discussions with a nurse, while the control group received standard verbal instructions. Anxiety was measured using the Spielberger State‐Trait Anxiety Inventory 1 day before and after the intervention. Data were analyzed using independent‐samples t ‐tests, Mann–Whitney U tests, and effect sizes (Cohen's d ), with significance set at p < 0.05. Results Post‐intervention, the intervention group demonstrated significantly lower state anxiety scores (mean ± SD: 34.15 ± 7.72) compared to the control group (mean ± SD: 39.85 ± 9.87), ( p < 0.001, Cohen's d = 0.64). Both groups showed significant within‐group anxiety reduction ( p < 0.001). Demographic analysis revealed that higher education levels, employment status, and income were associated with lower anxiety ( p < 0.005), whereas underlying diseases correlated only with pre‐intervention anxiety ( p < 0.01). Conclusion Video‐assisted face‐to‐face training was more effective than verbal instruction in reducing pre‐angiography anxiety, with a moderate clinical effect. Demographic factors influenced outcomes, suggesting tailored educational approaches may optimize anxiety management in high‐risk subgroups.