Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making
Abstract Background: Atrial fibrillation is responsible for one in four strokes, which may be prevented by oral anticoagulation, an underused therapy around the world. Considering the challenges imposed by this sort of treatment, mobile health support for shared decision-making may improve patients...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2018-02-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018005001104&lng=en&tlng=en |
| _version_ | 1818309992533458944 |
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| author | Laura Siga Stephan Eduardo Dytz Almeida Raphael Boesche Guimarães Antonio Gaudie Ley Rodrigo Gonçalves Mathias Maria Valéria Assis Tiago Luiz Luz Leiria |
| author_facet | Laura Siga Stephan Eduardo Dytz Almeida Raphael Boesche Guimarães Antonio Gaudie Ley Rodrigo Gonçalves Mathias Maria Valéria Assis Tiago Luiz Luz Leiria |
| author_sort | Laura Siga Stephan |
| collection | DOAJ |
| description | Abstract Background: Atrial fibrillation is responsible for one in four strokes, which may be prevented by oral anticoagulation, an underused therapy around the world. Considering the challenges imposed by this sort of treatment, mobile health support for shared decision-making may improve patients’ knowledge and optimize the decisional process. Objective: To develop and evaluate a mobile application to support shared decision about thromboembolic prophylaxis in atrial fibrillation. Methods: We developed an application to be used during the clinical visit, including a video about atrial fibrillation, risk calculators, explanatory graphics and information on the drugs available for treatment. In the pilot phase, 30 patients interacted with the application, which was evaluated qualitatively and by a disease knowledge questionnaire and a decisional conflict scale. Results: The number of correct answers in the questionnaire about the disease was significantly higher after the interaction with the application (from 4.7 ± 1.8 to 7.2 ± 1.0, p < 0.001). The decisional conflict scale, administered after selecting the therapy with the app support, resulted in an average of 11 ± 16/100 points, indicating a low decisional conflict. Conclusions: The use of a mobile application during medical visits on anticoagulation in atrial fibrillation improves disease knowledge, enabling a shared decision with low decisional conflict. Further studies are needed to confirm if this finding can be translated into clinical benefit. |
| first_indexed | 2024-12-13T07:38:59Z |
| format | Article |
| id | doaj.art-cfc8e748671144a783609dc68d5fe7d2 |
| institution | Directory Open Access Journal |
| issn | 1678-4170 |
| language | English |
| last_indexed | 2024-12-13T07:38:59Z |
| publishDate | 2018-02-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-cfc8e748671144a783609dc68d5fe7d22022-12-21T23:55:00ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia1678-41702018-02-01010.5935/abc.20170181S0066-782X2018005001104Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-MakingLaura Siga StephanEduardo Dytz AlmeidaRaphael Boesche GuimarãesAntonio Gaudie LeyRodrigo Gonçalves MathiasMaria Valéria AssisTiago Luiz Luz LeiriaAbstract Background: Atrial fibrillation is responsible for one in four strokes, which may be prevented by oral anticoagulation, an underused therapy around the world. Considering the challenges imposed by this sort of treatment, mobile health support for shared decision-making may improve patients’ knowledge and optimize the decisional process. Objective: To develop and evaluate a mobile application to support shared decision about thromboembolic prophylaxis in atrial fibrillation. Methods: We developed an application to be used during the clinical visit, including a video about atrial fibrillation, risk calculators, explanatory graphics and information on the drugs available for treatment. In the pilot phase, 30 patients interacted with the application, which was evaluated qualitatively and by a disease knowledge questionnaire and a decisional conflict scale. Results: The number of correct answers in the questionnaire about the disease was significantly higher after the interaction with the application (from 4.7 ± 1.8 to 7.2 ± 1.0, p < 0.001). The decisional conflict scale, administered after selecting the therapy with the app support, resulted in an average of 11 ± 16/100 points, indicating a low decisional conflict. Conclusions: The use of a mobile application during medical visits on anticoagulation in atrial fibrillation improves disease knowledge, enabling a shared decision with low decisional conflict. Further studies are needed to confirm if this finding can be translated into clinical benefit.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018005001104&lng=en&tlng=enAnticoagulants / therapeutic useAtrial FibrillationStrokeHemorrhageMedication AdherenceTelemedicine |
| spellingShingle | Laura Siga Stephan Eduardo Dytz Almeida Raphael Boesche Guimarães Antonio Gaudie Ley Rodrigo Gonçalves Mathias Maria Valéria Assis Tiago Luiz Luz Leiria Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making Arquivos Brasileiros de Cardiologia Anticoagulants / therapeutic use Atrial Fibrillation Stroke Hemorrhage Medication Adherence Telemedicine |
| title | Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making |
| title_full | Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making |
| title_fullStr | Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making |
| title_full_unstemmed | Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making |
| title_short | Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making |
| title_sort | oral anticoagulation in atrial fibrillation development and evaluation of a mobile health application to support shared decision making |
| topic | Anticoagulants / therapeutic use Atrial Fibrillation Stroke Hemorrhage Medication Adherence Telemedicine |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018005001104&lng=en&tlng=en |
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