ArticleArquivos brasileiros de cardiologia2018
Oral Anticoagulation in Atrial Fibrillation: Development and Evaluation of a Mobile Health Application to Support Shared Decision-Making.
Article in Arquivos brasileiros de cardiologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 6 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 6 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Use of digital patient decision-support tools for atrial fibrillation treatments: a systematic review and meta-analysis.BMJ evidence-based medicine · 2025Pooled it
- Systematic Review of Patient Decision Aids for Stroke Prevention Therapy in Atrial Fibrillation Management.Reviews in cardiovascular medicine · 2022Pooled it
- A Systematic Review on Mobile Health Applications' Education Program for Patients Taking Oral Anticoagulants.International journal of environmental research and public health · 2021Pooled it
- Shared Decision Making Tools for People Facing Stroke Prevention Strategies in Atrial Fibrillation: A Systematic Review and Environmental Scan.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Pooled it
- The Quality of Mobile Apps Used for the Identification of Pressure Ulcers in Adults: Systematic Survey and Review of Apps in App Stores.JMIR mHealth and uHealth · 2020Pooled it
- Accuracy of mHealth Devices for Atrial Fibrillation Screening: Systematic Review.JMIR mHealth and uHealth · 2019Pooled it
- Health Literacy Interventions and Outcomes in Patients WithAtrial Fibrillation: A Systematic Review and Meta-Analysis.JACC. Advances · 2026Article
- Lessons Learned From Shared Decision-Making With Oral Anticoagulants: Viewpoint on Suggestions for the Development of Oral Chemotherapy Decision Aids.JMIR cancer · 2024Review
- Article
- Decision aid for prostate cancer screening in Brazil.Revista de saude publica · 2022Article
- Patient Perspectives on Performance of a Smartphone App for Atrial FibrillationSelf-Management.Patient preference and adherence · 2022Article
- World Heart Federation Roadmap on Atrial Fibrillation - A 2020 Update.Global heart · 2021Review
- [Empowerment for our patients : Innovation in everyday urology].Der Urologe. Ausg. A · 2021Review
- Evaluating the use of a mobile device for detection of atrial fibrillation in primary care.The British journal of cardiology · 2021Article
- Development and Usability of a Smartphone Application for Tracking Oncology Patients in Gaborone, Botswana.Methods of information in medicine · 2020Article
- Mobile health applications for atrial fibrillation: A readability and quality assessment.International journal of cardiology · 2019Review
- Patient compliance with an anticoagulation management system based on a smartphone application.Journal of thrombosis and thrombolysis · 2019Article
- The Year in Cardiology 2018: ABC Cardiol and RPC at a glance.Arquivos brasileiros de cardiologia · 2019Article
- Implementation of the Management of Anticoagulation in the Periprocedural Period App Into an Electronic Health Record: A Prospective Cohort Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAtrial 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.
objectiveTo develop and evaluate a mobile application to support shared decision about thromboembolic prophylaxis in atrial fibrillation.
methodsWe 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.
resultsThe 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.
conclusionsThe 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.
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