ArticlePilot and feasibility studies2025
Atrial fibrillation and primary care prevention and rehabilitation - a feasibility 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. It is linked to trial NCT06337045 (Atrial Fibrillation and Municipality-based Prevention and Rehabilitation - a Feasibility Study), which is not on this map. Not yet cited in PubMed.
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Atrial Fibrillation and Municipality-based Prevention and Rehabilitation - a Feasibility Study
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe increasing prevalence of atrial fibrillation (AF) poses a global healthcare challenge, necessitating effective management strategies. AF is associated with reduced health-related quality of life (HRQoL), higher mental distress, and frequent hospital readmissions. Interventions like patient education and physical exercise have shown promise in reducing these burdens, yet their integration into primary care in a complex intervention set-up lacks thorough qualification and evidence.
aimThis study aimed to investigate the feasibility of delivering a comprehensive prevention and rehabilitation intervention for individuals with AF in a primary Healthcare Center. Secondary objectives explored participant experiences and acceptability, needs and preferences, and changes in HRQoL, anxiety, and depression as well as feasibility of collecting patient-reported outcome measures (PROMs). TRIAL
designA single-arm, intervention, feasibility study was conducted.
methodsThe primary feasibility outcomes were to investigate acceptability among participants and impact on the key outcomes HRQoL, anxiety and depression. Participants were consecutively recruited from a university hospital outpatient AF-clinic and referred to a primary Healthcare Center. The complex intervention included patient education, physical exercise, Medicinal yoga, psychosocial support and risk factor management. Quantitative data were collected using PROMs for HRQoL, anxiety and depression, while qualitative data were obtained through focus group interviews and field notes. Data analysis involved descriptive statistics and thematic analysis in a mixed-methods evaluation.
resultsOf the 50 participants enrolled, 43 (86%) completed the intervention. The complex intervention was feasible in a primary Healthcare Center with high acceptability. HRQoL improved from baseline to end-intervention and maintained at two-month follow-up, and symptoms of anxiety and depression decreased. Qualitative findings highlighted the importance of support from healthcare professionals and peers, alongside increased knowledge and tools to manage AF symptoms. HARMS: No adverse events were reported.
conclusionsThe study demonstrated the feasibility of a complex prevention and rehabilitation intervention for individuals with AF in a primary care setting and valuable insights were gained into the potential effectiveness and acceptability of the intervention. These findings underscore the importance of implementing comprehensive AF management programs and warrant further evaluation through large-scale randomized controlled trials.
trial registrationClinicalTrials Identifier: NCT06337045.
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