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|Title: ||Effectiveness and usability of an online tailored education platform for atrial fibrillation patients undergoing a direct current cardioversion or pulmonary vein isolation|
|Authors: ||Desteghe, Lien|
|Issue Date: ||2018|
|Citation: ||INTERNATIONAL JOURNAL OF CARDIOLOGY, 272, p. 123-129|
|Abstract: ||Background: Atrial fibrillation (AF) care should strive for more informed, involved and empowered patients.
However, few effective educational programs are available. The aim of this study was to evaluate the effectiveness of an online tailored education platform to inform AF patients undergoing a direct current cardioversion
(DCC) or a pulmonary vein isolation (PVI).
Methods: 120 AF patients requiring DCC or PVI were allocated to an online education group (n = 35), a standard
care group despite having online access (n = 36; randomized with group 1), and a group without a computer/
tablet/smartphone receiving standard care (n = 49). The Jessa Atrial fibrillation Knowledge Questionnaire
(JAKQ), supplemented with procedure-specific questions, had to be completed 1–3 weeks before hospitalization,
at hospitalization, and 6 and/or 12 weeks post-procedurally.
Results: Major AF-related and procedure-related knowledge gaps were shown. The online tailored education
group scored significantly better at hospitalization compared to baseline (P = 0.001). This knowledge increase
was retained after 6 (P = 0.010) and 12 (P b 0.001) weeks. In the online standard care group there was no change
in knowledge from planning till hospitalization (P = 1.000), although knowledge was improved 6 weeks
post-procedurally (P = 0.010). Knowledge did not improve in the group without computer/tablet/smartphone
at any time (P = 0.248). Most patients indicated that the platform was easy to use (87.9%), understandable
(97.0%), and 72.7% indicated that an online platform was their preferred way to receive future AF-related
Conclusions: Tailored online education is an effective strategy to improve AF- and procedure-related knowledge
with lasting effects up to 12 weeks post-procedurally. The platform was positively evaluated by patients.|
|ISI #: ||000446025200026|
|Type: ||Journal Contribution|
|Appears in Collections: ||Research publications|
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