None listed
Conditions
Brief summary
Atrial fibrillation (AF) is the most common cardiac arrhythmia globally. Patient knowledge of AF and approaches to medical therapy for AF is poor. This study aims to test the utility and scalability of an AF educational program developed by staff at Westmead Hospital. Hypothesis: Patients exposed clinician-developed educational videos prior to and post clinic appointment will higher knowledge of AF, medication adherence and satisfaction with clinical care compared to usual care. Primary Objective: The primary objective of this study is to assess whether simple, clinician designed educational program can improve knowledge of AF at 90 day follow up compared to usual care. Design Randomised clinical trial amongst 360 patients accessing clinical care for atrial fibrillation within Westmead Hospital. Randomisation to intervention and control will be in a 2:1 ratio. Intervention participants (n = 240) will receive a series of 4 clinician-developed educational videos on atrial fibrillation. Control (n = 120) will receive usual care. Intervention participants will be randomised again in a 1:1 ratio such that half (n = 120) receive further reinforcement education, and half (n = 120) receive only pre-clinic education. Specific Aims: To examine, among patients with atrial fibrillation accessing clinical care whether a series of clinician-designed educational videos delivered prior to clinic improves: 1. Knowledge of AF 2. Adherence to AF-related medication 3. Satisfaction with clinical care And to investigate the impact, if any, of further reinforcement education.
Interventions
Patients randomised to the intervention arm will view the study description document and complete baseline surveys. Following this, they will be automatically delivered a series of 4 clinician-developed videos. The videos are 2-5 minutes long, and cover 4 topic areas: 1) What is atrial fibrillation? 2) Management of atrial fibrillation 3) Stroke risk and anticoagulation in atrial fibrillation 4) Lifestyle modification for atrial fibrillation
All intervention participants will receive reinforcem
Patients randomised to the intervention arm will view the study description document and complete baseline surveys. Following this, they will be automatically delivered a series of 4 clinician-developed videos. The videos are 2-5 minutes long, and cover 4 topic areas: 1) What is atrial fibrillation? 2) Management of atrial fibrillation 3) Stroke risk and anticoagulation in atrial fibrillation 4) Lifestyle modification for atrial fibrillation All intervention participants will receive reinforcement education (videos emailed or texted to participants weekly). Number of videos watched and length of time spent on each video will be measured for intervention participants to ensure intervention adherence.
Sponsors
Westmead Hospital
Study design
Allocation
Randomised controlled trial
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adults aged 18 years and over 2. Atrial fibrillation or atrial flutter diagnosed on electrocardiogram 3. CHA2DS2VASc > 0 and/or currently prescribed anticoagulation therapy 4. Have an email address or active mobile number
Exclusion criteria
1. Too unwell (physically or mentally) to participate in surveys 2. Previously allocated to either condition of the study 3. Insufficient English to understand video content or to participate in the audit surveys
Outcome results
None listed