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Design and rationale of the mobile health intervention for rural atrial fibrillation.
Magnani, Jared W; Ferry, Danielle; Swabe, Gretchen; Martin, Deborah; Chen, Xirun; Brooks, Maria M; Kimani, Everlyne; Paasche-Orlow, Michael K; Ólafsson, Stefán; Bickmore, Timothy; El Khoudary, Samar R.
  • Magnani JW; Department of Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA. Electronic address: magnanijw@upmc.edu.
  • Ferry D; Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
  • Swabe G; Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
  • Martin D; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
  • Chen X; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
  • Brooks MM; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
  • Kimani E; Human Computer Interaction Institute, Northeastern University, Boston, MA.
  • Paasche-Orlow MK; Department of General Internal Medicine, Boston University School of Medicine, Boston, MA.
  • Ólafsson S; Human Computer Interaction Institute, Northeastern University, Boston, MA; Department of Computer Science, Reykjavik University, Iceland.
  • Bickmore T; Human Computer Interaction Institute, Northeastern University, Boston, MA.
  • El Khoudary SR; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
Am Heart J ; 252: 16-25, 2022 10.
Article in English | MEDLINE | ID: covidwho-1995941
ABSTRACT

BACKGROUND:

Atrial fibrillation (AF) is a highly morbid condition which requires long-term adherence to oral anticoagulation and may be associated with adverse quality of life and health care utilization. We developed a relational agent-an interactive smartphone-based intervention accessible regardless of digital or health literacy-to assist individuals residing in rural, Western Pennsylvania, with AF with chronic disease self-management.

METHODS:

The "Mobile health intervention for rural atrial fibrillation" is a single center, parallel-arm randomized clinical trial for adults with AF funded by the National Institute of Health's National Heart, Lung, and Blood Institute to enroll 264 participants. All participants receive a smartphone with data plan The intervention is a 4 month relational agent coupled with the AliveCor Kardia for heart rate and rhythm monitoring provided by smartphone, and the control a pre-installed, smartphone-based application for health-related information (WebMD). The study uses remote recruitment and engagement to enroll individuals who would otherwise be unlikely to participate in clinical research due to rurality. The primary outcome of the trial is adherence to oral anticoagulation, determined by proportion of days covered, as measured at 12 months. The secondary outcomes are quality of life, both AF-specific and general, and health care utilization. The study entails a baseline visit, a 4 month intervention phase, and 8 and 12 month follow-up visits.

CONCLUSIONS:

This mobile health trial tests the effectiveness of a smartphone-based relational agent to improve clinical and patient-reported outcomes in rural-dwelling individuals.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Atrial Fibrillation / Telemedicine / Mobile Applications Type of study: Cohort study / Experimental Studies / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Am Heart J Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Atrial Fibrillation / Telemedicine / Mobile Applications Type of study: Cohort study / Experimental Studies / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Am Heart J Year: 2022 Document Type: Article