Atrial Fibrillation Clinical Trial
Official title:
A Mobile Health Application to Improve Anticoagulation Care in Atrial Fibrillation: Randomized Controlled Trial
This study will assess the benefits of using a mobile health application designed for shared decision aid in anticoagulation therapy in patients with Atrial Fibrillation (AF). The aim is to improve their treatment adherence and time in therapeutic International Normalized Ratio (INR) range. The results of this study have the potential to lead to a sustainable and resource-efficient strategy for better prevent thromboembolic events in patients with atrial fibrillation.
Atrial Fibrillation is a common disease, with important burden on morbidity and mortality
and a challenging management. Its incidence and healthcare costs have increased over the
decades. One of the most important features of this arrhythmia is its stroke risk, which can
be reduced with the use of anticoagulants. Deciding about anticoagulation therapy is
complicated due to frequent competing comorbidities and potential harms of the therapy
itself. To achieve better outcomes in preventing stroke, it is paramount that decisions
about atrial fibrillation treatment be shared between providers and patients.
Mobile health is empowering individuals to assume a more active role in monitoring and
managing their chronic conditions and therapeutic regimens. Also, health professionals are
being provided with fast and point-of-care information, which can facilitate
decision-making.
Therefore, this study will investigate the effects of an mHealth application idealized to
aid shared decision and improve anticoagulation care in atrial fibrillation.
Adults with atrial fibrillation will be recruited from anticoagulation outpatient clinics
and Basic Health Units and randomized to either (1) an intervention group in which the
mHealth application will be used during the consultations or (2) a control group receiving
the usual care with anticoagulation.
It is hypothesized that the intervention group will achieve better anticoagulation outcomes.
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