Measuring the Effect of Person Centered, Nurse Led Care on Health-related Quality of Life in Patients With Atrial Fibrillation
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Atrial Fibrillation
- Sponsor
- Umeå University
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Health related quality of life measured by EuroQol-5D (EQ-5D) questionnaire
- Status
- Active, Not Recruiting
- Last Updated
- last year
Overview
Brief Summary
The aim of the study is to evaluate the effect of a person-centred nurse-led outpatient clinic on health related quality of life, for persons with AF. Secondary outcomes are effects on anxiety, depression, illness perception, symtom burden, life style and health economics.
Detailed Description
The aim of the study is to evaluate the effect of a person-centred nurse-led outpatient clinic on health related quality of life, for persons with AF. Secondary outcomes are effects on anxiety, depression, illness perception, symtom burden, life style and health economics. We plan a randomized controlled trial comparing person centred nurse led care vs. standard care. A sample size of 100 persons per group will be recruited. Data will be collected through questionnaires, medical records, interviews.
Investigators
Eligibility Criteria
Inclusion Criteria
- •patients aged \> 18 years with diagnosis of atrial fibrillation, referred for follow up after atrial fibrillation, able to provide informed consent and able and willing to fill in questionnaires.
Exclusion Criteria
- •Atrial flutter diagnosis, Severe heart failure (corresponding to NYHA IIIB and NYHA IV), Cardiac surgery \< 3 month prior to hospitalization for atrial fibrillation, planned surgical procedures (catheter ablation, cardiac surgery), Atrial fibrillation in connection with acute coronary syndrome or infection, not able to fill in questionnaires.
Outcomes
Primary Outcomes
Health related quality of life measured by EuroQol-5D (EQ-5D) questionnaire
Time Frame: Baseline, 6 month and 1 year
Change from baseline in health related quality of life, measured by EuroQol-5D (EQ-5D) questionnaire at six month and one year. EQ-5D measure Health related quality of life with scores (5 items) and a scale (0-100).
Arrhythmia related quality of life measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA)
Time Frame: Baseline, 6 month and 1 year
Change from baseline in arrhythmia related quality of life, measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA), at six month and one year. ASTA is a validated questionnaire with a 13-item arrhythmia related quality of life scale. The scores for the total scale range between 0 and 39, with higher scores reflecting more negative effects on HRQoL.
Secondary Outcomes
- Anxiety measured by Hospital Anxiety and Depression Scale (HADS)(Baseline, 6 month and 1 year)
- Lifestyle habits-smoking, measured by questionnaire,(Baseline, 6 month and 1 year)
- Lifestyle habits-diet by questionnaire(Baseline, 6 month and 1 year)
- Lifestyle habits-alcohol use by questionnaire(Baseline, 6 month and 1 year)
- Quality-adjusted life years,(QALYs) gathered with EuroQol-5D (EQ-5D) questionnaire.(Baseline to 1 year)
- Depression measured by Hospital Anxiety and Depression Scale (HADS)(Baseline, 6 month and 1 year)
- Lifestyle habits-physical activity by questionnaire(Baseline, 6 month and 1 year)
- Symptom burden measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA)(Baseline, 6 month and 1 year)
- Illness perception measured by Brief Illness Perception Questionnaire (B-IPQ)(Baseline, 6 month and 1 year)