Effects of a Health Belief Model-Based Community Educational Program to Increase the Awareness of Atrial Fibrillation Among Older Adults: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 390
- 试验地点
- 1
- 主要终点
- Atrial Fibrillation Knowledge Scale
研究概览
简要总结
The goal of this study is to evaluate the effects of a theory-based community educational program among older adults in the community on atrial fibrillation (AF) knowledge. It will also learn about their competency to detect irregular pulses and compliance to regular pulse check. The main questions it aims to answer are:
Do older adults in the community who received the Health Belief Model-based educational program have higher AF awareness?
Researchers will compare the educational program with the control, who receive an information leaflet about AF to see the effect on improving AF awareness.
Participants will:
Receive a 5-week Health Belief Model-based educational program or receive an information leaflet about AF.
Be reassessed immediately post-intervention and 3 month afterwards. Keep a logbook on their compliance to the advice of regular pulse palpation to detect AF pulse .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •adults aged 65 or older
- •without a confirmed diagnosis of AF
排除标准
- •cannot read Chinese
- •with cognitive impairment (Abbreviated Mental Test ≤ 6)
- •physical limitations in performing pulse palpation
研究组 & 干预措施
Control
The control group
干预措施: Control (Other)
Intervention
The intervention integrate behavioral modeling to promote knowledge and skill retention and uptake. The content of the education sessions is consistent with the clinical management guidelines published by the E
干预措施: Health belief model-based community educational program (Other)
结局指标
主要结局
Atrial Fibrillation Knowledge Scale
时间窗: From enrollment to the end of study at 3 months
Atrial Fibrillation Knowledge Scale (AFKS-C, Chinese version) is a validated tool that includes 11 items concerning AF knowledge in general (3 items), symptom recognition (3 items), and treatment (5 items). Respondents can choose 1 of 3 options as an answer to each item. Marks will be given for correct answers and no deduction for incorrect answers, and higher marks indicate a higher AF knowledge level. The content validity index of the AFKS-C was 0.94, and the Kuder-Richardson formula 20 value was 0.60, indicating acceptable psychometric properties. Li, P. W. C., Yu, D. S. F., Yan, B. P., Hendriks, J. M., Wong, C. W. Y., \& Chan, B. S. (2021). Psychometric Validation of the Chinese Version of the Atrial Fibrillation Knowledge Scale in Chinese Patients With Atrial Fibrillation. The Journal of cardiovascular nursing, 38(1), 92-100. https://doi.org/10.1097/JCN.0000000000000881
次要结局
- Competency in differentiating regular and irregular pulses(From enrollment to the end of study at 3 months)
- Compliance to performing self-screening of pulses(From enrollment to the end of treatment at 3 months)
- EuroQol Five Dimensions Five Levels (EQ-5D-5L)(From enrollment to the end of treatment at 3 months)
- Patient Health Questionanire-4 (PHQ-4)(From enrollment to the end of treatment at 3 months)
研究者
Ryan Kin Ho Hui
Doctor of Nursing Student
The University of Hong Kong