Evidence map›Paper›PMID 40067344›Full record

Trial reportJournal of medical Internet research2025

The Effectiveness of Digital Animation-Based Multistage Education for Patients With Atrial Fibrillation Catheter Ablation: Randomized Clinical Trial.

Xiaoyu Shi, Yijun Wang, Yuhong Wang, Jun Wang, Chen Peng, Siyi Cheng, Lingpeng Song, Rui Li, Fuding Guo, Zeyan Li and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. A multi-layer retrieval-augmented large language model framework for enhancing hypertension education.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  7. Review
  8. Article
  9. Observational
  10. 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

15 authors.

Xiaoyu Shi *Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0009-6868-6655
Yijun Wang *Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0009-1051-1916
Yuhong Wang *Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0000-0002-7353-8202
Jun Wang *Department of Cardiology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China.ORCID https://orcid.org/0000-0002-7863-0331
Chen Peng *Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0002-8617-9349
Siyi ChengDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0009-1234-3290
Lingpeng SongDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0008-4704-5392
Rui LiDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0002-7314-1157
Fuding GuoDepartment of Cardiology, Yan'an Affiliated Hospital of Kunming Medical University, Kunming, China.ORCID https://orcid.org/0000-0001-8862-4333
Zeyan LiDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0001-6161-2233
Shoupeng DuanDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0009-0008-5281-4619
Xiaomeng YangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0000-0002-4689-9301
Liping ZhouDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0000-0002-0022-8334
Hong JiangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0000-0003-2895-3295
Lilei YuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID https://orcid.org/0000-0001-9229-2829

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital education for outpatient patients with atrial fibrillation (AF) has gradually increased. However, research on digital education for patients undergoing atrial fibrillation catheter ablation (AFCA) is limited.

objectiveThis study aimed to develop a novel digital animation-based multistage education system and evaluate its quality-of-life benefits for patients with AFCA.

methodsThis randomized controlled clinical trial included 208 patients with AF who underwent catheter ablation in the Department of Cardiology at Renmin Hospital of Wuhan University between January 2022 and August 2023. The patients were randomly assigned to the digital animation intervention (n=104) and standard treatment (n=104) groups. The primary outcome was the difference in the quality of life of patients with atrial fibrillation (AF-QoL-18) scores at 3 months. Secondary outcomes included differences in scores on the 5-item Medication Adherence Report Scale (MARS-5), Self-rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) at 3 months.

resultsIn the digital animation intervention group, the AF-QoL-18 score increased from 38.02 (SD 6.52) to 47.77 (SD 5.74), the MARS-5 score increased from 17.04 (SD 3.03) to 20.13 (SD 2.12), the SAS score decreased from 52.82 (SD 8.08) to 45.39 (SD 6.13), and the SDS score decreased from 54.12 (SD 6.13) to 45.47 (SD 5.94), 3 months post discharge from the hospital. In the conventional treatment group, the AF-QoL-18 score increased from 36.97 (SD 7.00) to 45.31 (SD 5.71), the MARS-5 score increased from 17.14 (SD 3.01) to 18.47 (SD 2.79), the SAS score decreased from 51.83 (SD 7.74) to 47.31 (SD 5.87), and the SDS score decreased from 52.78 (SD 5.21) to 45.37 (SD 6.18). The mean difference in AF-QoL-18 score change between the 2 groups was 1.41 (95% CI 2.42-0.40, P=.006) at 3 months. The mean difference in MARS-5 score change was 1.76 (95% CI 2.42-1.10, P<.001). The mean difference in SAS score was -2.91 (95% CI -3.88 to -1.95, P<.001). Additionally, the mean difference in SDS score was -1.23 (95% CI -0.02 to -2.44, P=.047).

conclusionsOur study introduces a novel digital animation educational approach that provides multidimensional, easily understandable, and multistage education for patients with AF undergoing catheter ablation. This educational model effectively improves postoperative anxiety, depression, medication adherence, and quality of life in patients at 3 months post discharge.

trial registrationChinese Clinical Trial Registry ChiCTR2400081673; https://www.chictr.org.cn/showproj.html?proj=201059.

Indexed as

Atrial FibrillationCatheter AblationPatient Education as TopicAgedFemaleHumansMaleMiddle AgedQuality of LifeAFCAanimation educationanimationsAsianatrial fibrillationatrial fibrillation catheter ablationcardiac arrhythmiacatheter ablationcomicsdigital animationdigital caredigital educationdigital healthdigital health caremHealthoutpatientrandomized clinical trialRCTtherapeuticvideo

Identifiers

PMID40067344
PMCPMC11937711

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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.