Evaluation of YouControl-AFib, a mHealth Application for Persons With Atrial Fibrillation
Implementation of the YouControl-AFib mHealth Application (Pilot Version) to Improve Physical Activity in Persons With Atrial Fibrillation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Primary Objective
- To effectively recruit participants for a clinical trial and obtain user feedback on the mHealth app using the Mobile App Rating Scale and focus group sessions.
Secondary Objectives
- To evaluate the impact of the YouControl-AFib mHealth app (pilot version, 3 months of use) on physical activity in persons with atrial fibrillation.
- To obtain several additional functional and disease specific endpoints that will help establish possible effect sizes to be evaluated more formally in subsequent versions of the mHealth application.
- To obtain user feedback on the mHealth app using the Mobile App Rating Scale and focus group sessions.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Anna Longergan, RN
- Phone Number: 608-262-9518
- Email: alamonica@medicine.wisc.edu
Study Locations
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53792
- UW School of Medicine and Public Health
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ability to understand and the willingness to sign a written informed consent document
- Willing to comply with all study procedures and be available for the duration of the study
- SmartPhone capable of pairing with a Fitbit Sense 2 and Fitbit App (Apple iOS 15 and higher or Android 10 or higher)
- Paroxysmal or persistent atrial fibrillation verified by 12-lead electrocardiogram (ECG) or other clinical grade monitoring
- body mass index (BMI) greater than 27
Exclusion Criteria:
- History of permanent atrial fibrillation
- Left ventricular ejection fraction (LVEF) less than 45 percent
- Myocardial infarction, coronary artery bypass grafting, or valve surgery within the last 12 months
- Moderate to severe valve disease
- Inability to participate in a structured exercise program due to musculoskeletal disease
- Already participating in a structured exercise program or achieving guideline directed physical activity
- Planned surgery or procedure during the next three months that limit ability to engage in physical activity
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: People using YouControl-A-Fib app
|
Participants will use the app for 3 months, includes 1 month phone call with Health Coach
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Average Number of Participants Recruited Per Month
Time Frame: up to 5 months
|
up to 5 months
|
|
|
Maximum Number of Participants Recruited Per Month
Time Frame: up to 5 months
|
up to 5 months
|
|
|
Mobile App Rating Scale Scores
Time Frame: 3 months
|
Mobile App Rating Scale contains several subscales that will each be scored on a scale of 1-5; B-functionality, C-aesthetics, and D-information.
Higher scores indicate high levels of functionality, aesthetics, and information quality.
|
3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in 6-minute walk distance (compared to baseline for each participant) after using the mHealth app for 3 months
Time Frame: baseline, 3 months
|
baseline, 3 months
|
|
|
Change in daily step count (averaged over 7 days) after using the mHealth app for three months
Time Frame: baseline, 3 months
|
baseline, 3 months
|
|
|
Change in intentional activity time (in one week) after using the mHealth app for three months
Time Frame: baseline, 3 months
|
baseline, 3 months
|
|
|
Change in general quality of life questionnaire: SF-12 Score
Time Frame: baseline, 3 months
|
SF-12 measures the impact of health on the participant's life and is scored from 0-100 where higher scores indicates higher health related quality of life.
|
baseline, 3 months
|
|
Change in Patient Health Questionnaire (PHQ-9) Score
Time Frame: baseline, 3 months
|
PHQ-9 is a 9-item questionnaire scored on a 4 point likert scale from 0-3 for a total possible range of scores from 0-27.
Higher scores indicate increased depression.
|
baseline, 3 months
|
|
Change in Atrial Fibrillation Effect on Quality of Life Questionnaire (AFEQT) Score
Time Frame: baseline, 3 months
|
AFEQT is a 20-item survey scored on a 7 point likert scale from 1-7 where higher scores indicate higher effect that atrial fibrillation has on the participant's quality of life.
|
baseline, 3 months
|
|
Change in Atrial Fibrillation Symptom Severity (AFSS) Score
Time Frame: baseline, 3 months
|
AFSS is a 7-item survey scored on a likert scale from 0-5 for a total possible range of scores from 0-35 where higher scores indicate greater symptom severity.
|
baseline, 3 months
|
|
Change in Atrial Fibrillation Knowledge Assessment Tool (AFKAT) Score
Time Frame: baseline, 3 months
|
AFKAT is a 21-item true / false assessment that measures knowledge about atrial fibrillation.
Correct answers are scored with a 1 for a total possible range of scores from 0-21.
Higher scores indicate increased knowledge of atrial fibrillation.
|
baseline, 3 months
|
|
Change in the Life's Essential 8 score after using the mHealth app for three months
Time Frame: baseline, 3 months
|
Life's Essential 8 score (LE8) is a composite score between 0-100 that assesses a participant's adherence to 8 lifestyle recommendations with improve cardiovascular health: diet, physical activity, smoking habits, body mass index, cholesterol, blood glucose, and sleep duration.
Higher scores are indicative of higher adherence to healthy lifestyle.
|
baseline, 3 months
|
|
Change in irregular heart rate notifications (in one week) after using the mHealth app for three months
Time Frame: baseline, 3 months
|
baseline, 3 months
|
|
|
Change in ECG-age after using the mHealth app for three months
Time Frame: baseline, 3 months
|
Participants will obtain single-lead ECGs at baseline and after three months.
The time-voltage data are run through an ECG-AI model for estimating ECG-age.
ECG-age is a novel metric developed by investigators at Wake Forest.
See reference section for relevant publication describing a similar model.
Summary results will be reported as ECG-age in years.
|
baseline, 3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Matthew M Kalscheur, MD, UW School of Medicine and Public Health
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2024-0954
- A534225 (Other Identifier: UW Madison)
- Protocol Version 8/6/2024 (Other Identifier: UW Madison)
- 1UL1TR002373 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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