ArticlePilot and feasibility studies2025
Development of an online psychological intervention to prevent depression in patients with atrial fibrillation: lessons learned in a user-centered design study.
Article in Pilot and feasibility studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Involving people with lived experiences in the study of a behavioral stress-recovery e-intervention for myocardial infarction patients younger than 55 with cardiac distress: a study protocol.Research involvement and engagement · 2025Review
- Development of a guided internet-based psychological intervention for patients with ischemic heart disease and comorbid anxiety and/or depression: A patient and public involvement study.Internet interventions · 2025Article
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8 authors.
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Abstract
backgroundApproximately 30% of patients with atrial fibrillation suffer from depression. Depression in patients with atrial fibrillation is associated with poor health outcomes, reduced health-related quality of life, and elevated societal costs. Preventing depression in this population may therefore lead to better health outcomes for the individual patient and reduced burden on society. Online psychological interventions are innovative and evidence-based modes of healthcare delivery. The objective was-through a user-centered design-to develop a personalized online psychological intervention aiming at preventing depression in patients with atrial fibrillation.
methodsGuided by the Intervention Mapping framework for the development of complex interventions, we used a qualitative design and conducted a series of collaborative workshops with patients (n = 8) with atrial fibrillation.
resultsThrough intensive collaboration, we developed the HOPE-AF intervention targeting nine risk factors for depression that were meaningful to patients. It contains four basic modules that give effective tools to handle daily psychological struggles. Furthermore, patients will receive personal risk factors modules. The evidence-based psychological methodology was applied to all modules. Primary lessons learned were (1) engaging patients from the start to ensure the intervention becomes meaningful; (2) using positive phrasing in all patient-related materials to promote motivation; (3) incorporating patients' choice of preference where possible to personalize the intervention.
conclusionBased on a user-centered design, the HOPE-AF intervention aiming to prevent depression in patients with AF, was developed. It was confirmed that it is crucial to engage end-users in the development of complex interventions to accommodate their needs and preferences. The Hope-AF intervention will now be tested in a feasibility study.
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