Status:

COMPLETED

Atrial Fibrillation Health Literacy and Information Technology Trial

Lead Sponsor:

University of Pittsburgh

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Northeastern University

Conditions:

Atrial Fibrillation

Familial Atrial Fibrillation

Eligibility:

All Genders

21+ years

Phase:

NA

Brief 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 adhere...

Detailed Description

This is a randomized clinical trial to evaluate the effect of a smartphone-based intervention called a relational agent on health outcomes in people with atrial fibrillation. The study will enroll 240...

Eligibility Criteria

Inclusion

  • Adult, age ≥21;
  • Diagnosis of AF, identified from the electronic health record problem list and confirmed by 2 or more reports of AF from separate monitoring events at least 2 weeks apart (electrocardiogram, Holter or event monitor);
  • CHA2DS2-VASc (heart failure, hypertension, age, diabetes, prior stroke or transient ischemic attack, coronary heart disease, female sex)≥2;
  • Prescribed use of warfarin or direct-acting oral anticoagulant for AF stroke prevention;
  • English-speaking well enough to participate in informed consent and this study;
  • No plans to relocate from the area within 12 months of enrollment.

Exclusion

  • Conditions other than AF that require anticoagulation, such as mechanical prosthetic valve, deep vein thrombosis, or pulmonary embolism;
  • History of pulmonary vein isolation or foreseen pulmonary vein isolation;
  • History of atrioventricular nodal ablation or foreseen atrioventricular nodal ablation;
  • Heart failure necessitating hospital admission ≤3 months prior to study inclusion;
  • Acute coronary syndrome (defined as at least 2 of the following: chest pain, ischemic electrocardiographic changes, or troponin ≥0.1 ng/mL) ≤3 months prior to study inclusion;
  • Untreated hyperthyroidism or ≤3 months euthyroidism before inclusion;
  • Foreseen pacemaker, internal cardioverter defibrillator, or cardiac resynchronization therapy;
  • Cardiac surgery ≤3 months before inclusion;
  • Planned cardiac surgery;
  • Presence of non-cardiovascular conditions likely to be fatal within 12 months (e.g., cancer);
  • Inability to comprehend the study protocol, defined as failing to answer correctly a set of questions on orientation and short-term memory during the consent process.

Key Trial Info

Start Date :

January 2 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2023

Estimated Enrollment :

243 Patients enrolled

Trial Details

Trial ID

NCT04075994

Start Date

January 2 2020

End Date

August 1 2023

Last Update

May 30 2024

Active Locations (1)

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1

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States, 15213