Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19
Study objective: To summarize trial adaptation from in-clinic to virtual design in response to the SARS-2 coronavirus-2 (COVID-19). Design: A clinical trial of a mobile health intervention to improve chronic disease self-management for rural individuals with atrial fibrillation (AF). The trial has a...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-03-01
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| Series: | American Heart Journal Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266660222100015X |
| _version_ | 1818756680425406464 |
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| author | Jared W. Magnani Danielle Ferry Gretchen Swabe Deborah Martin Xirun Chen Maria M. Brooks Samar R. El Khoudary |
| author_facet | Jared W. Magnani Danielle Ferry Gretchen Swabe Deborah Martin Xirun Chen Maria M. Brooks Samar R. El Khoudary |
| author_sort | Jared W. Magnani |
| collection | DOAJ |
| description | Study objective: To summarize trial adaptation from in-clinic to virtual design in response to the SARS-2 coronavirus-2 (COVID-19). Design: A clinical trial of a mobile health intervention to improve chronic disease self-management for rural individuals with atrial fibrillation (AF). The trial has a 4-month intervention – accessible regardless of health or digital literacy – to enhance AF medication adherence and patient experience with 8- and 12-month assessments of sustainability. Setting: Rural, western Pennsylvania. Participants: Rural individuals with AF receiving oral anticoagulation for stroke prevention. Interventions: Enrolled participants underwent a telephone-based orientation, provided verbal consent, and were randomized using a digital platform. They received a smartphone with intervention or control applications and a curriculum on usage tailored for study arm. Participants received study assessments by mail with telephone-based administration and contact for the 12-month trial. Main outcome measures: Successful adaptation to virtual engagement and recruitment. Results: The study enrolled 18 participants during in-clinic recruitment (January–March 2020). From 5/1/2020 to 5/6/2021 the study team enrolled 130 individuals (median age 72.4 years, range 40.8–92.2; 49.2% women, 63.1% without college degree, and 45.4% with limited health literacy). Retention of participants enrolled using virtual methods during the 4-month intervention phase is 92%. Conclusions: We report a virtual trial of a mobile health intervention for rural individuals with AF. Our successful implementation suggests promise for engaging geographically isolated rural individuals, potential to enhance digital health access, and advance rural health equity. |
| first_indexed | 2024-12-18T05:58:53Z |
| format | Article |
| id | doaj.art-9e01706ff5d143e79b22146a5152d27e |
| institution | Directory Open Access Journal |
| issn | 2666-6022 |
| language | English |
| last_indexed | 2024-12-18T05:58:53Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj.art-9e01706ff5d143e79b22146a5152d27e2022-12-21T21:18:44ZengElsevierAmerican Heart Journal Plus2666-60222021-03-013100017Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19Jared W. Magnani0Danielle Ferry1Gretchen Swabe2Deborah Martin3Xirun Chen4Maria M. Brooks5Samar R. El Khoudary6Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States of America; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, United States of America; Corresponding author at: University of Pittsburgh, 3609 Forbes Avenue, Second Floor, Pittsburgh, PA 15213, United States of America.Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States of AmericaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, United States of AmericaDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, United States of AmericaDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, United States of AmericaDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, United States of AmericaDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, United States of AmericaStudy objective: To summarize trial adaptation from in-clinic to virtual design in response to the SARS-2 coronavirus-2 (COVID-19). Design: A clinical trial of a mobile health intervention to improve chronic disease self-management for rural individuals with atrial fibrillation (AF). The trial has a 4-month intervention – accessible regardless of health or digital literacy – to enhance AF medication adherence and patient experience with 8- and 12-month assessments of sustainability. Setting: Rural, western Pennsylvania. Participants: Rural individuals with AF receiving oral anticoagulation for stroke prevention. Interventions: Enrolled participants underwent a telephone-based orientation, provided verbal consent, and were randomized using a digital platform. They received a smartphone with intervention or control applications and a curriculum on usage tailored for study arm. Participants received study assessments by mail with telephone-based administration and contact for the 12-month trial. Main outcome measures: Successful adaptation to virtual engagement and recruitment. Results: The study enrolled 18 participants during in-clinic recruitment (January–March 2020). From 5/1/2020 to 5/6/2021 the study team enrolled 130 individuals (median age 72.4 years, range 40.8–92.2; 49.2% women, 63.1% without college degree, and 45.4% with limited health literacy). Retention of participants enrolled using virtual methods during the 4-month intervention phase is 92%. Conclusions: We report a virtual trial of a mobile health intervention for rural individuals with AF. Our successful implementation suggests promise for engaging geographically isolated rural individuals, potential to enhance digital health access, and advance rural health equity.http://www.sciencedirect.com/science/article/pii/S266660222100015XAtrial fibrillationDigital healthRuralitySelf-managementHealth literacy |
| spellingShingle | Jared W. Magnani Danielle Ferry Gretchen Swabe Deborah Martin Xirun Chen Maria M. Brooks Samar R. El Khoudary Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19 American Heart Journal Plus Atrial fibrillation Digital health Rurality Self-management Health literacy |
| title | Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19 |
| title_full | Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19 |
| title_fullStr | Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19 |
| title_full_unstemmed | Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19 |
| title_short | Rurality and atrial fibrillation: A pathway to virtual engagement and clinical trial recruitment in response to COVID-19 |
| title_sort | rurality and atrial fibrillation a pathway to virtual engagement and clinical trial recruitment in response to covid 19 |
| topic | Atrial fibrillation Digital health Rurality Self-management Health literacy |
| url | http://www.sciencedirect.com/science/article/pii/S266660222100015X |
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