Atrial Fibrillation Clinical Trial
Official title:
Internet-delivered Cognitive Behavior Therapy for Atrial Fibrillation - a Randomized Controlled Trial
The aim is to evaluate if internet- delivered cognitive behavior therapy (CBT), based on exposure principles and behavioral activation, improves QoL and symptom burden in patients with symptomatic atrial fibrillation (AF) compared to treatment as usual. The study will include 120 patients with symptomatic AF despite optimal medical treatment in accordance with current guidelines.
Atrial fibrillation (AF) is the most common cardiac arrhythmia (irregular heartbeat)
affecting 3% of the population. AF is associated with poor quality of life (QoL) and large
costs for society. In a considerable proportion of patients, AF symptoms (e.g., palpitations,
fatigue, and chest pain) are not alleviated by current medical or interventional treatments.
Psychological factors can worsen AF symptoms, and anxiety and depression are common among AF
patients. Symptom preoccupation and avoidance of social and physical activities are likely to
play important roles in the development of anxiety, depression, disability and healthcare
utilization.
The aim is to evaluate if CBT, based on behavioral activation and exposure principles,
improves wellbeing and QoL in symptomatic AF patients more than a wait list offered treatment
as usual.
Method: A randomized controlled trial. Participants are randomized to internet-delivered CBT
for 10 weeks (N=60) or to treatment as usual (N=60). The internet-delivered CBT-program will
last for 10 weeks and include weekly therapist support, consisting of online messages and
telephone calls. Patients on the treatment as usual wait list will be provided standardized
written information about basic self-management in AF. The treatment as usual wait list will
be crossed over to treatment 3 months after the treatment group has completed treatment.
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