Improving Outpatient Comprehensive Atrial Fibrillation Care Across Central North Carolina Through Direct Primary Care and Patient Engagement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 6
- 主要终点
- Change Atrial Fibrillation Effect on Quality-of-life Questionnaire (AFEQT) Score
研究概览
简要总结
The goal of this study is to determine the effectiveness of a direct-to-patient virtual education program ("AF at Home") for adults with atrial fibrillation (AF). The main questions this study aims to answer are:
- Will participants in the educational program have improvement in quality of life, self-monitoring, and self-management strategies after program completion?
- Will patient level quality of AF care improve for participants in the educational program?
Participants will be asked to:
- Participate in six hours of virtual education sessions over three weeks via Zoom.
- Complete online questionnaires before the program starts and after its completion.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient with diagnosis of non-valvular or valvular atrial fibrillation
- •Age >/= 18
排除标准
- •Unable to provide informed consent
- •Incarcerated patient
研究组 & 干预措施
AF at Home
All recruited participants will participate in the AF at Home educational intervention.
干预措施: AF at Home (Other)
结局指标
主要结局
Change Atrial Fibrillation Effect on Quality-of-life Questionnaire (AFEQT) Score
时间窗: Baseline and 3 weeks
The AFEQT questionnaire is a validated tool used to measure self-reported quality of life specifically for patients with atrial fibrillation. The questionnaire includes 20 questions measured on a 7-point Likert scale (1= not at all to 7=extremely) with 3 subcategories. The subcategories include symptoms (questions 1-4), daily activities (questions 5-12), and treatment concerns (questions 13-18). Scoring provides an overall AFEQT score (based on questions 1-18), and a treatment satisfaction score (based on questions 19-20). Treatment satisfaction scores are not included in the overall AFEQT score. Overall or subcategory scores range from 0-100. A score of 100 corresponds to no disability, and a score of 0 corresponds to total disability.
次要结局
- Change in Patient-Reported Outcomes Measurement Information System 29 (PROMIS-29) Global Pain Intensity Scores(Baseline and 3 weeks)
- Change in Cardiac Anxiety Questionnaire (CAQ)(Baseline and 3 weeks)
- Number of Patients Prescribed Appropriate Anticoagulation(Baseline and 1-year post intervention session 6)
- Number of Patients Prescribed Antiplatelet Therapy for AF Stroke Risk Reduction(Baseline and 1-year post intervention session 6)
- Number of Patients with Achievement of Blood Pressure at Target(Baseline and 1-year post intervention session 6)
- Number of Patients with Achievement of Heart Rate Target(Baseline and 1-year post intervention session 6)
- Number of Patients Prescribed Rhythm Controlling Medications(Baseline and 1-year post intervention session 6)
- Number of Emergency Department Visits or Hospital Admissions for AF or Stroke (Healthcare Utilization)(Baseline and 1-year post intervention session 6)
- Change in Confidence in Atrial Fibrillation Management (CALM) Scale(Baseline and 3 weeks)