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Coronary artery disease (CAD) remains the leading cause of morbidity and mortality worldwide. Its complications not only impose a major burden on healthcare systems but also profoundly impair patients’ quality of life and overall well-being. This study was conducted to evaluate the effect of motivational messages delivered via mobile phone on the happiness of patients with acute coronary syndrome through a distance education approach. This randomized clinical trial was conducted on 91 patients with acute coronary syndrome in Yazd, Iran. Participants were randomly allocated to either an intervention group or a control group. The control group received routine educational training, while the intervention group, in addition to receiving routine educational training, was provided with motivational audio and video messages via WhatsApp over 12 weeks. The Oxford Happiness Questionnaire was administered at baseline and three months after the intervention. The two groups were homogeneous in terms of demographic characteristics (P > 0.05). Data were analysed using the Mann–Whitney U test and the Wilcoxon signed-rank test. Data were analyzed using STATA software version 17. The mean happiness score significantly increased in the intervention group, while no significant change was observed in the control group (P < 0.001). These findings suggest that motivational messages can be an effective, low-cost strategy to enhance patients’ happiness. The findings indicate that sending motivational messages was effective in increasing the happiness of these patients. This simple and cost-effective approach can be integrated into routine care to enhance psychological well-being in clinical settings.

Keywords: Motivational, Happiness, Acute Coronary Syndrome, Distance Education

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