Stroke Clinical Trial
Official title:
Storytelling for Reducing Gap in Anticoagulation Use in African Americans With Atrial Fibrillation Randomized Trial (STORY-AF Trial)
The overall goal of this study is to evaluate the effectiveness of a previously developed storytelling intervention on anticoagulation (AC) initiation/persistence in African American and Black patients with atrial fibrillation/flutter. The investigators hope to gain knowledge that may help treat atrial fibrillation or flutter and lower stroke and adverse cardiovascular event risks for African American and Black patients by increasing the use of blood thinning medications known as anticoagulants.
Status | Not yet recruiting |
Enrollment | 80 |
Est. completion date | November 2026 |
Est. primary completion date | November 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - African-American patients aged 18 or older with elevated stroke risk (CHA2DS2-VASc =2 for men and =3 for women) who are not currently on anticoagulation (AC) but for whom a cardiology provider or primary care provider at the two study sites recommended AC recently Exclusion Criteria: - Non-African American and other non-Black patients under the age of 18 patients without an ICD-10 diagnostic code consistent with AF or atrial fibrillation or atrial flutter - Patient without a visit with a primary care provider, cardiovascular medicine specialist, or ambulatory care provider in the previous one year - Patient who is pregnant or a prisoner. - Patients with left atrial appendage surgery or device, hospice status, ongoing bleeding, and intracranial bleeding in intralobar territory |
Country | Name | City | State |
---|---|---|---|
United States | University of Michigan Medical School | Ann Arbor | Michigan |
United States | UMass Chan Medical School | Worcester | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
University of Massachusetts, Worcester | National Institute on Minority Health and Health Disparities (NIMHD), University of Michigan |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Fidelity via viewing time | Time spent viewing videos | 90 days from randomization | |
Primary | Fidelity via transportation | In intervention patients, measure transportation (absorption into a story) using a transportation scale short form where the minimum and maximum values are 1 (Not at all) and 7 (Very much), respectively. Higher scores mean a better outcome (high transportation). | 90 days from randomization | |
Primary | Feasibility in terms of recruitment rates | The investigators will calculate the proportion of patients recruited as well as the recruitment rate. The recruitment proportion will be the number of patients randomized over the total of patients approached. The recruitment rate will be the total time (in days) required to recruit the randomized sample. | 90 days from randomization | |
Primary | Feasibility in terms of retention rates | The investigators will calculate the per-group retention proportion as the number of individuals from each group remaining in the study after its completion over the total randomized to that group. | 90 days from randomization | |
Primary | Acceptability of participating in the study | Participants will be asked to use an acceptability scale (which the investigators will develop later during the study) to rate their agreement with statements about the acceptability of using the video website, completing the transportation scale short survey (intervention participants only), and participating in the study in general. | 90 days from randomization | |
Primary | Video testing on anticoagulation initiation behavior | The investigators will review charts (electronic medical records) of study participants for frequency of anticoagulation (AC) initiation (switch from being off AC to being on AC) in intervention vs. controls over the six months from randomization in patients who start AC. | 6 months from randomization | |
Primary | Video testing on anticoagulation persistence behavior | The investigators will review charts (electronic medical records) of study participants for anticoagulation (AC) persistence (duration of AC use measured in days from baseline) in intervention vs. controls over the six months from randomization in patients who start AC. | 6 months from randomization |
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