Atrial Fibrillation
Conditions
Keywords
atrial fibrillation, person centred care, health related quality of life, nurse led
Brief summary
The aim of the study is to evaluate the effect of a person-centred nurse-led outpatient clinic on health related quality of life, for persons with AF. Secondary outcomes are effects on anxiety, depression, illness perception, symtom burden, life style and health economics.
Detailed description
The aim of the study is to evaluate the effect of a person-centred nurse-led outpatient clinic on health related quality of life, for persons with AF. Secondary outcomes are effects on anxiety, depression, illness perception, symtom burden, life style and health economics. We plan a randomized controlled trial comparing person centred nurse led care vs. standard care. A sample size of 100 persons per group will be recruited. Data will be collected through questionnaires, medical records, interviews.
Interventions
BEHAVIORALNurse led person centred care
Person centred care include patiens narratives, partnership and documentation of a health plan.
OTHERUsual care
Usual care provided by doctors
Sponsors
Umeå University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients aged \> 18 years with diagnosis of atrial fibrillation, referred for follow up after atrial fibrillation, able to provide informed consent and able and willing to fill in questionnaires.
Exclusion criteria
* Atrial flutter diagnosis, Severe heart failure (corresponding to NYHA IIIB and NYHA IV), Cardiac surgery \< 3 month prior to hospitalization for atrial fibrillation, planned surgical procedures (catheter ablation, cardiac surgery), Atrial fibrillation in connection with acute coronary syndrome or infection, not able to fill in questionnaires.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health related quality of life measured by EuroQol-5D (EQ-5D) questionnaire | Baseline, 6 month and 1 year | Change from baseline in health related quality of life, measured by EuroQol-5D (EQ-5D) questionnaire at six month and one year. EQ-5D measure Health related quality of life with scores (5 items) and a scale (0-100). |
| Arrhythmia related quality of life measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA) | Baseline, 6 month and 1 year | Change from baseline in arrhythmia related quality of life, measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA), at six month and one year. ASTA is a validated questionnaire with a 13-item arrhythmia related quality of life scale. The scores for the total scale range between 0 and 39, with higher scores reflecting more negative effects on HRQoL. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety measured by Hospital Anxiety and Depression Scale (HADS) | Baseline, 6 month and 1 year | Change from baseline in anxiety, measured by Hospital Anxiety and Depression Scale (HADS) at six month and one year. HADS-anxiety ranges from 0 to 21; higher scores indicate higher anxiety complains. |
| Lifestyle habits-smoking, measured by questionnaire, | Baseline, 6 month and 1 year | Change from baseline in lifestyle habits-smoking, measured by questionnaire (developed by The Swedish National Board of Health and Welfare), whether the patient is non smoker, prior smoker or current smoker (self-report), at six month and one year. |
| Lifestyle habits-diet by questionnaire | Baseline, 6 month and 1 year | Change from baseline in lifestyle habits-diet, measured by a questionnaire (developed by The Swedish National Board of Health and Welfare) with 5 items about eating habits, at six month and one year. |
| Depression measured by Hospital Anxiety and Depression Scale (HADS) | Baseline, 6 month and 1 year | Change from baseline in depression, measured by Hospital Anxiety and Depression Scale (HADS), at six month and one year. HADS-depression ranges from 0 to 21; higher scores indicate higher depression complains. |
| Lifestyle habits-alcohol use by questionnaire | Baseline, 6 month and 1 year | Change from baseline in lifestyle habits-alcohol use, measured by a questionnaire (developed by The Swedish National Board of Health and Welfare) with 3 items about alcohol use, at six month and one year. |
| Illness perception measured by Brief Illness Perception Questionnaire (B-IPQ) | Baseline, 6 month and 1 year | Change from baseline in illness perception, measured by Brief Illness Perception Questionnaire (B-IPQ) at six month and one year. B-IPQ measures illness perception and is a 9-item validated questionnaire. 8 items are scored 0-10, the 9th item is a question of cause and answering in text. |
| Quality-adjusted life years,(QALYs) gathered with EuroQol-5D (EQ-5D) questionnaire. | Baseline to 1 year | Change from baseline in quality-adjusted life years (QALYs) at one year. The EuroQoL-5D-3L (EQ-5D) will be used for the quality of life dimension, while the time elapsed between each EQ-5D measurement will be considered for the time dimension. |
| Lifestyle habits-physical activity by questionnaire | Baseline, 6 month and 1 year | Change from baseline in lifestyle habits-physical activity, measured by a questionnaire (developed by The Swedish National Board of Health and Welfare) with 2 items about physical activity habits, at six month and one year. |
| Symptom burden measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA) | Baseline, 6 month and 1 year | Change from baseline in symptom burden, measured by Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA), at six month and one year. ASTA is a validated questionnaire with a 9-item symptom scale, each with a score of 0-4, The scores for the total scale range between 0 and 27, with higher scores reflecting higher symptom burden. |
Countries
Sweden
Outcome results
None listed