Atrial Fibrillation Screening and Education Study
Evaluation of a Community-Placed Atrial Fibrillation Screening and Education Program
研究概览
详细说明
Background/significance: Atrial fibrillation (AF) is a global epidemic that accounts for 15%-20% of 795,000 strokes occurring annually in the US, at a cost of $3.2 billion per year. Atrial fibrillation-related stroke will rise with the aging population and places enormous strain on healthcare resources and quality of life; yet they are highly preventable, by early detection of AF. Timely treatment reduces AF-related stroke risk by 68%, yet treatment is often delayed because people may not recognize the symptoms of AF or may be asymptomatic. Given the number of people at risk for development of AF and the dire consequences of untreated AF, efforts to promote early detection of AF through proactive screening of older adults at risk for AF have been successfully undertaken in Europe and Australia. However, little is known about the outcomes of conducting programs to screen for and educate people about AF in community settings in the US.
Purpose: The purpose of this descriptive pragmatic study to evaluate the outcomes of a community placed AF screening and education program. Primary outcomes include feasibility, number of participants who screen positive for AF, and changes in participants' Knowledge, Attitudes, and Beliefs about Atrial Fibrillation Self-Monitoring (KABAF-SM) scores from baseline to two-weeks after enrollment.
Methods: Up to 250-participants who have at least two risk factors for developing AF and have no previous diagnosis of AF will be recruited from Midwest community settings and will be screened for AF using a mobile ECG recorder and will receive written information sheet about AF. A portion (up to 125) of those 250 participants will be invited to complete the KABAF-SM at baseline and 2-weeks after enrollment. Participants will have the option to participate in a variety of AF educational activities to reinforce and enhance the written information. Participants will be surveyed about their perceptions of the educational program after the screening and participating in the educational activities.
Evaluation methods: Descriptive statistics will be used to analyze feasibility (enrollment numbers, participants perception of the value of the educational activities, time required for study procedures,and AF detection.T-tests will be used to test for differences between KABAF-SM baseline and two-week scores for those who completed the KABAF-SM.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Minnesota
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Rochester、Minnesota、美国、55905
- Mayo Clinic in Rochester
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion :
Any two of the following:
- Hypertension
- Diabetes
- Sleep apnea
- Obesity
- Age > 75 years
- Peripheral arterial disease
- Female
Exclusion :
- Previous diagnosis of atrial fibrillation or atrial flutter
- Uncompensated visual impairment
- Uncompensated hearing impairment
- Inability to communicate verbally in English
学习计划
研究是如何设计的?
设计细节
- 主要用途:放映
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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其他:AF awareness education
AF awareness education face to face
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Participants will receive education about a description of AF, complications, recognition of signs and symptoms of AF, pulse taking, and how to recognize an irregular pulse
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Feasibility-number enrolled
大体时间:5 months
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number of participants enrolled
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5 months
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Feasibility-time required for study procedure
大体时间:5 months
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Number of minutes require to perform mobile ECG
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5 months
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Participants' perception of the usefulness of the Learning Station activities
大体时间:5 months
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The outcome will be measured by the Participant Perception of Learning Station Activities survey.
This survey is an investigator developed 9-item Survey that asks participants to rate how useful learning activities were to increase their knowledge about atrial fibrillation and to what extent their knowledge about atrial fibrillation has increased after participating in the Learning Station activities.
Psychometric testing has not been performed on this survey.
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5 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Change in knowledge attitude, and beliefs scores about AF self monitoring from baseline
大体时间:5 months
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Knowledge, attitudes, beliefs about self-monitoring for AF signs and symptoms will be measured by the Knowledge Attitudes and Beliefs about Atrial Fibrillation Self-Monitoring (KABAF-SM) instrument.The KABAF-SM is a 40-item instrument that measures knowledge of AF symptoms (8 items yes/no response, score range 0-8); symptoms not related to AF (6 items yes/no response, score range 0-6); and Likert- responses items (strongly disagree-1 to strongly agree-4) for beliefs about the participant's risk for developing AF(5 items), seriousness of AF,(4 items) benefits (5 items), and barriers (5 items) to monitoring for signs and symptoms of AF.
Total score range for the Likert items is 14-56.
Perceived confidence is measured by 7 items, rated from 0-10 (score range, 0-70) for ability to self-monitor for signs and symptoms of AF.
Higher scores reflect more knowledge and more accurate beliefs and positive attitudes toward self-monitoring.
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5 months
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Number of cases of atrial fibrillation detected with portable ECG
大体时间:5 months
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The Alive Cor portable ECG recorder will be used to detect atrial fibrillation.
The device displays the participants rhythm as normal sinus, possible or probable atrial fibrillation, or unable to analyze
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5 months
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合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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AF awareness education的临床试验
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University of SheffieldUniversity of Liverpool; University of Manchester; University of Melbourne主动,不招人
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Yale UniversityNational Institute on Drug Abuse (NIDA)完全的
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Ablacon, Inc.招聘中心房颤动 | 心律失常,心脏 | 心律失常 | 心房震颤 | 心房颤动,持续 | 房性心动过速 | 房性心律失常 | 阵发性房颤 | 心房颤动,阵发性或持续性美国, 比利时, 荷兰, 捷克语
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Nestlé完全的
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Dhanunjaya Lakkireddy, MD, FACCAbbott Medical Devices撤销