Evidence map›Paper›PMID 34279239›Full record

ArticleJMIR cardio2021

The Danish Future Patient Telerehabilitation Program for Patients With Atrial Fibrillation: Design and Pilot Study in Collaboration With Patients and Their Spouses.

Birthe Dinesen, Josefine Dam Gade, Cathrine Skov Schacksen, Helle Spindler, Andi Eie Albertsen, Lars Dittmann, Mads Jochumsen, Dorthe Svenstrup Møller

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR cardio, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04493437 (Future Patient - Telerehabilitation of Atrial Fibrillation Patients), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT04493437 nacompletednot on this map

Future Patient - Telerehabilitation of Atrial Fibrillation Patients

TypeinterventionalSponsorAalborg UniversityRan2019 to 2021Enrolled20ConditionsAtrial FibrillationArmsTelerehabilitation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Exercise-based cardiac rehabilitation for adults with atrial fibrillation.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Birthe DinesenDepartment of Health Science and Technology, Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Aalborg University, Aalborg East Denmark, Denmark.ORCID https://orcid.org/0000-0001-5893-9676
Josefine Dam GadeDepartment of Health Science and Technology, Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Aalborg University, Aalborg East Denmark, Denmark.ORCID https://orcid.org/0000-0002-1784-9399
Cathrine Skov SchacksenDepartment of Health Science and Technology, Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Aalborg University, Aalborg East Denmark, Denmark.ORCID https://orcid.org/0000-0003-0815-2909
Helle SpindlerDepartment of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-7098-5699
Andi Eie AlbertsenDepartment of Cardiology, Viborg and Skive Regional Hospital, Viborg, Denmark.ORCID https://orcid.org/0000-0003-3046-7739
Lars DittmannDepartment of Photonics Engineering, Danish Technical University, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-3660-6165
Mads JochumsenDepartment of Health Science and Technology, Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Aalborg University, Aalborg East Denmark, Denmark.ORCID https://orcid.org/0000-0001-7729-4359
Dorthe Svenstrup MøllerDepartment of Cardiology, Viborg and Skive Regional Hospital, Viborg, Denmark.ORCID https://orcid.org/0000-0002-7555-5364
Aalborg University · DKRegionshospitalet Viborg · DKAarhus University · DKTechnical University of Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most common cardiac arrhythmia and is predicted to more than double in prevalence over the next 20 years. Tailored patient education is recommended as an important aspect of AF care. Current guidelines emphasize that patients become more active participants in the management of their own disease, yet there are no rehabilitation programs for patients with AF in the Danish health care system. Through participatory design, we developed the Future Patient Telerehabilitation (TR) Programs, A and B, for patients with AF. The 2 programs are based on HeartPortal and remote monitoring, together with educational modules.

objectiveThe aim of this pilot study is to evaluate and compare the feasibility of the 2 programs of TR for patients with AF.

methodsThis pilot study was conducted between December 2019 and March 2020. The pilot study consisted of testing the 2 TR programs, A and B, in two phases: (1) treatment at the AF clinic and (2) TR at home. The primary outcome of the study was the usability of technologies for self-monitoring and the context of the TR programs as seen from patients' perspectives. Secondary outcomes were the development of patients' knowledge of AF, development of clinical data, and understanding the expectations and experiences of patients and spouses. Data were collected through interviews, questionnaires, and clinical measurements from home monitoring devices. Statistical analyses were performed using the IBM SPSS Statistics version 26. Qualitative data were analyzed using NVivo 12.0.

resultsThrough interviews, patients articulated the following themes about participating in a TR program: usefulness of the HeartPortal, feeling more secure living with AF, community of practice living with AF, and measuring heart rhythm makes good sense. Through interviews, the spouses of patients with AF expressed that they had gained increased knowledge about AF and how to support their spouses living with AF in everyday life. Results from the responses to the Jessa AF Knowledge Questionnaire support the qualitative data, as they showed that patients in program B acquired increased knowledge about AF at follow-up compared with baseline. No significant differences were found in the number of electrocardiography recordings between the 2 groups.

conclusionsPatients with AF and their spouses were positive about the TR program and they found the TR program useful, especially because it created an increased sense of security, knowledge about mastering their symptoms, and a community of practice linking patients with AF and their spouses and health care personnel. To assess all the benefits of the Future Patient-TR Program for patients with AF, it needs to be tested in a comprehensive randomized controlled trial.

trial registrationClinicalTrials.gov NCT04493437; https://clinicaltrials.gov/ct2/show/NCT04493437.

Indexed as

atrial fibrillationcardiac rehabilitationpatient educationtelerehabilitation

Identifiers

PMID34279239
PMCPMC8329756
OpenAlexW3160846677

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.