ArticleJMIR mHealth and uHealth2020
The Hospital-Community-Family-Based Telemedicine (HCFT-AF) Program for Integrative Management of Patients With Atrial Fibrillation: Pilot Feasibility Study.
Article in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04127799 (Northern Jiangsu Province People's Hospital), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Northern Jiangsu Province People's Hospital
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Self-reported barriers in self-management of women with gestational diabetes: A systematic review of qualitative studies.Nursing open · 2023Pooled it
- Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- Health Literacy Interventions and Outcomes in Patients WithAtrial Fibrillation: A Systematic Review and Meta-Analysis.JACC. Advances · 2026Article
- Effect of hospital-community-home collaborative health management on symptoms, cognition, anxiety, and depression in high-risk individuals for stroke.World journal of psychiatry · 2025Article
- Design and Evaluation of ACAFiB-APP, a clinical decision support system for anticoagulant considerations in patients with atrial fibrillation.BMC cardiovascular disorders · 2025Article
- Atrial fibrillation: epidemiology, screening and digital health.The Lancet regional health. Europe · 2024Review
- Standardized community management on the diagnosis, treatment, and risk factors control for non-valvular atrial fibrillation in elderly patients.BMC primary care · 2023Article
- The application of the county medical community HCH model in postoperative nutrition management for patients with advanced gastrointestinal carcinoma.American journal of translational research · 2023Article
- Application of trinity new model home nursing in postoperative management of children with Hirschsprung's disease.American journal of translational research · 2021Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe potential effectiveness of integrated management in further improving the prognosis of patients with atrial fibrillation has been demonstrated; however, the best strategy for implementation remains to be discovered.
objectiveThe aim of this study was to ascertain the feasibility of implementing integrated atrial fibrillation care via the Hospital-Community-Family-Based Telemedicine (HCFT-AF) program.
methodsIn this single-arm, pre-post design pilot study, a multidisciplinary teamwork, supported by efficient infrastructures, provided patients with integrated atrial fibrillation care following the Atrial fibrillation Better Care (ABC) pathway. Eligible patients were continuously recruited and followed up for at least 4 months. The patients' drug adherence, and atrial fibrillation-relevant lifestyles and behaviors were assessed at baseline and at 4 months. The acceptability, feasibility, and usability of the HCFT-AF technology devices and engagement with the HCFT-AF program were assessed at 4 months.
resultsA total of 73 patients (mean age, 68.42 years; 52% male) were enrolled in November 2019 with a median follow up of 132 days (IQR 125-138 days). The patients' drug adherence significantly improved after the 4-month intervention (P<.001). The vast majority (94%, 64/68) of indicated patients received anticoagulant therapy at 4 months, and none of them received antiplatelet therapy unless there was an additional indication. The atrial fibrillation-relevant lifestyles and behaviors ameliorated to varying degrees at the end of the study. In general, the majority of patients provided good feedback on the HCFT-AF intervention. More than three-quarters (76%, 54/71) of patients used the software or website more than once a week and accomplished clinic visits as scheduled.
conclusionsThe atrial fibrillation-integrated care model described in this study is associated with improved drug adherence, standardized therapy rate, and lifestyles of patients, which highlights the possibility to better deliver integrated atrial fibrillation management.
trial registrationClinicaltrials.gov NCT04127799; https://clinicaltrials.gov/ct2/show/NCT04127799.
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