Atrial Fibrillation Health Literacy and Information Technology Trial

Summary

Atrial fibrillation (AF) is a common, morbid condition with increasing prevalence. Poor health-related quality of life is common in AF. Patients experience debilitating symptoms and challenging adherence to long-term (possibly lifelong) anticoagulation. The increased risks of stroke, heart failure and mortality associated with AF persist even with optimal treatment. Morbidity in AF is further exacerbated by social factors. Limited health literacy carries challenges of learning a specialized terminology and navigating specialized treatments. In multiple cardiovascular diseases, self-care has demonstrated improvement in self-efficacy, health-related quality of life, symptom burden, and health care utilization - essential components of patient success with AF. Selfcare can provide the critical skills to navigate a challenging chronic disease and improve patient-centered outcomes. Delivery of self-care as a mobile health intervention can complement standard care with a longitudinal intervention to improve patient-centered strategies for AF. While self-care interventions for AF have focused foremost on self-monitoring of anticoagulation,self-care has demonstrated its potential to meet the "triple aim" of improved patient experience, reduced health care utilization, and lower costs.

Conditions

• Atrial Fibrillation
• Familial Atrial Fibrillation
• Arrythmia, Cardiac
• Heart Diseases
• Pathologic Processes

Interventions

BEHAVIORAL

Relational Agent and heart rate and rhythm monitor

Use of the Relational Agent and heart rate and rhythm monitor daily for 120 days.

BEHAVIORAL

Usual Care

Use of the WebMD app and heart rate and rhythm monitor daily for 120 days.

Sponsors & Collaborators

• National Heart, Lung, and Blood Institute (NHLBI)

  collaborator NIH

• Northeastern University

  collaborator OTHER

• Boston University

  collaborator OTHER

• University of Pittsburgh

  lead OTHER

Principal Investigators

• Jared W Magnani, MD, MSc · University of Pittsburgh

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

21 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-01-02

Primary Completion

2023-04-11

Completion

2023-08-01

Countries

• United States

Study Locations