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Title: | Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring for atrial fibrillation management: data from the TeleCheck-AF project | Authors: | Gawalko, Monika Hermans, Astrid Nl van Der Velden, Rachel Mj Betz, Konstanze Verhaert, Dominique Vm Hillmann, Henrike Ak Scherr, Daniel Meier, Julia Sultan, Arian Steven, Daniel Terentieva, Elena Pisters, Ron Hemels, Martin Voorhout, Leonard Lodzinski, Piotr Krzowski, Bartosz Gupta, Dhiraj Kozhuharov, Nikola PISON, Laurent Evens, Stijn GRUWEZ, Henri DESTEGHE, Lien HEIDBUCHEL, Hein Svennberg, Emma de Potter, Tom Vernooy, Kevin Pluymaekers, Nikki Aha Manninger, Martin Duncker, David Sohaib, Afzal Linz, Dominik Hendriks , Jeroen M. |
Issue Date: | 2023 | Publisher: | OXFORD UNIV PRESS | Source: | European journal of cardiovascular nursing, 22 (4) , p. 412-424 | Abstract: | Aims The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF). Methods and results Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (>= 3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period. Data from 990 consecutive patients with diagnosed AF [median age 64 (57-71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (>= 100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53-100%) vs. 100 (64-100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01-1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28-0.86, P = 0.013, respectively]. Patients with 100% motivation also had >= 100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00-1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29-2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03-1.07, P = 0.028). Conclusion In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence. | Notes: | Linz, D (corresponding author), Maastricht Univ Med Ctr, Dept Cardiol, Univ Single 50, NL-6229 HX Maastricht, Netherlands.; Linz, D (corresponding author), Cardiovasc Res Inst Maastricht, Univ Single 50, NL-6229 HX Maastricht, Netherlands.; Linz, D (corresponding author), Radboud Univ Nijmegen Med Ctr, Dept Cardiol, NL-6525 GA Nijmegen, Netherlands.; Linz, D (corresponding author), Univ Adelaide, Ctr Heart Rhythm Disorders, Adelaide, SA 5000, Australia.; Linz, D (corresponding author), Royal Adelaide Hosp, Adelaide, SA 5000, Australia.; Linz, D (corresponding author), Univ Copenhagen, Fac Hlth & Med Sci, Dept Biomed Sci, DK-2200 Copenhagen, Denmark. dominik.linz@mumc.nl |
Keywords: | Atrial fibrillation;Mobile health;Photoplethysmography;Risk factors;Thromboembolic risk | Document URI: | http://hdl.handle.net/1942/38032 | ISSN: | 1474-5151 | e-ISSN: | 1873-1953 | DOI: | 10.1093/eurjcn/zvac061 | ISI #: | 000836640400001 | Rights: | The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com. Open access | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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