Emily Guhl|Andrew D. Althouse|Alexandra Pusateri|Everlyne Kimani|Michael K. Paasche?Orlow|Timothy Bickmore|Jared W. Magnani
The Atrial Fibrillation Health Literacy Information Technology Trial: Pilot Trial of a Mobile Health App for Atrial Fibrillation
University of Pittsburgh Medical Center|University of Pittsburgh|University of Pittsburgh Medical Center|University of Pittsburgh|Northeastern University|Boston University|Northeastern University|University of Pittsburgh Medical Center|University of Pittsburgh
atrial fibrillation af common arrhythmia adversely affects healthrelated quality life hrqol conducted pilot trial individuals af using smartphone provide relational agent well rhythm monitoring employed pilot measure acceptability adherence assess effectiveness improving hrqol adherencethis study aims measure acceptability adherence assess effectiveness improve hrqol adherenceparticipants recruited ambulatory clinics randomized 30day intervention usual care collected baseline characteristics conducted baseline 30day assessments hrqol using atrial fibrillation effect quality life afeqt measure selfreported adherence anticoagulation intervention consisted smartphonebased relational agent simulates facetoface counseling delivered content af education adherence symptom monitoring prompted rhythm monitoring compared differences afeqt adherence 30 days adjusted baseline values quantified participants use acceptability interventiona total 120 participants recruited randomized 59 control 61 intervention pilot trial mean age 721 years sd 910 62120 517 women control group 95 followup intervention group 93 followup intervention group demonstrated significantly higher improvement total afeqt scores adjusted mean difference 45 95 ci 0683 p03 daily activity adjusted mean difference 71 95 ci 18124 p009 compared control baseline 30 days intervention group showed significantly improved selfreported adherence anticoagulation therapy 30 days intervention 35 control 232 adjusted difference 166 95 ci 28304 p001 qualitative assessments acceptability identified participants found relational agent useful informative trustworthyindividuals randomized 30day smartphone intervention relational agent rhythm monitoring showed significant improvement hrqol adherence participants favorable acceptability intervention objective use qualitative assessments acceptability