scholarly journals Measurement of patient confidence in self‐management of atrial fibrillation: Initial validation of the Confidence in Atrial fibriLlation Management (CALM) Scale

2021 ◽  
Author(s):  
Connor Tripp ◽  
Anil K. Gehi ◽  
Lindsey Rosman ◽  
Scarlett Anthony ◽  
Samuel F. Sears
Keyword(s):  
Atrial Fibrillation ◽  
Self Management ◽  
Initial Validation ◽  
Patient Confidence

scholarly journals Measurement of Patient Confidence in Self-Management of Atrial Fibrillation: Initial Validation of The Confidence in Atrial fibriLlation Management (CALM) Scale

2020 ◽  
Author(s):  
Connor Tripp ◽  
Anil Gehi ◽  
Lindsey Rosman ◽  
Scarlett Anthony ◽  
Samuel Sears
Keyword(s):  
Atrial Fibrillation ◽  
Patient Experience ◽  
Reliability And Validity ◽  
Self Report ◽  
Self Management ◽  
Initial Assessment ◽  
Validity And Reliability ◽  
Factor Solution ◽  
Principle Components Analysis ◽  
Patient Confidence

Abstract Background: The patient experience of atrial fibrillation (AF) involves several daily self-care behaviors and ongoing confidence to manage their condition. Currently, no standardized self-report measure of AF patient confidence exists. The purpose of this study is to establish the reliability and validity of a newly developed confidence in AF management measure. Methods: This study provides preliminary analysis of the Confidence in Atrial FibriLlation Management (CALM) scale, which was rationally developed to measure patient confidence related to self-management of AF. The scale was provided to a sample of AF patients N=120, (59% male) electronically through a patient education platform. Principle components analysis (PCA) and Cronbach’s alpha were employed to provide preliminary assessment of the validity and reliability of the measure. Results: PCA identified a four-factor solution. Internal consistency of the CALM was considered excellent with Cronbach’s α = .910. Additional PCA confirmed the value of a single factor solution to produce a total confidence score for improved utility and ease of clinical interpretation. Conclusions: Initial assessment of a novel scale measuring patient confidence in managing AF provided promising reliability and validity. Patient confidence in self-management of AF may prove useful as a key marker and endpoint of the patient experience beyond QOL.

Educational and Self-Management Needs of Adults Living With Atrial Fibrillation: Perspectives of Patients, Clinicians, and Experts

2021 ◽  
Vol 30 ◽  
pp. S98
Author(s):  
C. Ferguson ◽  
L. Lombardo ◽  
L. Hickman ◽  
S. Inglis ◽  
B. Bajorek ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Self Management

Knowledge and self-management behaviors of patients with recently detected atrial fibrillation

Heart & Lung ◽  
2008 ◽  
Vol 37 (2) ◽  
pp. 79-90 ◽  
Author(s):  
Pamela J. McCabe ◽  
Shauna Schad ◽  
Andrea Hampton ◽  
Diane E. Holland
Keyword(s):  
Atrial Fibrillation ◽  
Self Management ◽  
Management Behaviors

scholarly journals Effect of a virtual self‐management intervention for atrial fibrillation during the outbreak of COVID‐19

2021 ◽  
Author(s):  
Lindsey Rosman ◽  
Tiffany Armbruster ◽  
Sayyad Kyazimzade ◽  
Zachary Tugaoen ◽  
Anthony J. Mazzella ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Self Management ◽  
Management Intervention ◽  
Virtual Self

scholarly journals Current status and influencing factors of self-management in patients with non-valvular atrial fibrillation under different anticoagulant therapy in Jiangsu province, China: A multi-center across‑sectional study

2020 ◽  
Author(s):  
ting Liu ◽  
mengxiao Ren ◽  
lingling Cui ◽  
bingqing Lu ◽  
jie Hui ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Regression Analysis ◽  
Linear Regression ◽  
Linear Regression Analysis ◽  
Jiangsu Province ◽  
Self Management ◽  
Current Status ◽  
Sectional Study ◽  
Factors Associated ◽  
Warfarin Group

Abstract Background: There is little research focusing on the current status and influencing factors of self-management in patients with non-valvular atrial fibrillation (NVAF) under different anticoagulant therapy. This study aims to explore the current status of self-management of NVAF who took Warfarin, New Oral Anticoagulant (NOAC), Aspirin and No medication, and analyze the factors associated with their self-management ability in Jiangsu province, China. Methods: This was a multi-center, cross-sectional study that was conducted in six hospitals from December 2017 to October 2018. The general information and self-management of patients were collected by questionnaires and from the medical records. Multivariate linear regression analysis was used to identify factors associated with self-management.Results: A total of 555 participant completed the survey. The status of self-management was unsatisfactory in patients with NVAF, there were significant differences (P＜0.01) of self-management among patients in different anticoagulant groups and Warfarin group was relatively better (71.21±12.33). Multiple linear regression analysis demonstrated that the determinants of poor self-management in Warfarin group was the lower educational status (P＜0.01); in Aspirin group, comorbidities (P=0.015) and age＜65 years (P＜0.01) were the determinants of self-poor management; while in No medication group, age＜65 years (P=0.047), single (P＜0.01), poor sleep quality (P＜0.01) and permanent AF (P＜0.01) were the determinants of poor self-management. Conclusion: The current status of self-management among Chinese patientswith NVAF in Jiangsu province does not appear optimistic. Therefore, further studies should focus on how to improve the self-management among NVAF patients. In addition, policy makers should pay attention to identify patients at risk of poor self-management and take measures to improve their self-management.

Atrial Fibrillation Patient’s Treatment Experience: A Qualitative Analysis of Rivaroxaban and Warfarin

2021 ◽  
Author(s):  
Dan Sly ◽  
Margaret Husted ◽  
Lynn McKeague ◽  
Tamara Everington
Keyword(s):  
Atrial Fibrillation ◽  
Lived Experiences ◽  
Qualitative Interviews ◽  
Self Management ◽  
Patient Understanding ◽  
Advantages And Disadvantages ◽  
Qualitative Evidence ◽  
Anticoagulant Medication ◽  
Purposive Sample ◽  
Medication Changes

Objectives: In the treatment of atrial fibrillation (AF), anticoagulant medications such as warfarin and rivaroxaban are commonly prescribed to help reduce the risk of ischaemic strokes, and other thromboembolic events. Previous research has highlighted various advantages and disadvantages of each of these medications, but there remains an absence of qualitative evidence regarding the lived experiences of AF patients. The present study aims to address this gap and obtain a greater understanding of the patient experience and beliefs surrounding their selected anticoagulant medication. Design: Semi-structured qualitative interviews with a purposive sample of 20 participants (10 warfarin, 10 rivaroxaban). Interviews were transcribed verbatim and thematically analyzed. Results: Data analysis led to the generation of three key themes: positive perceptions of medication, distrust of alternatives, and inconsistencies in support experiences.Conclusions: Positive perceptions of one anticoagulant medication (ACM) and distrust of alternatives may influence patients’ confidence in switching medications. This is potentially problematic where there is a lack of patient engagement in medication changes. Gaps in patient understanding of anticoagulation, including lack of clarity around medications selection, and misconceptions about treatment, were evident. By addressing these misconceptions, clinicians may be better positioned to support people with AF in self-management of their ACM.

scholarly journals Lifestyle of Patients with Atrial Fibrillation Following Self-Management Interventions: a Randomized Clinical Trial

2019 ◽  
Vol 8 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Mahnaz Rakhshan ◽  
Hojatolah Najafi ◽  
Gholam Abbas Valizadeh
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Medical Condition ◽  
Intervention Group ◽  
Care Plan ◽  
Self Management ◽  
Control Group ◽  
Significance Level ◽  
Management Interventions

Introduction: Cardiovascular diseases are the most common cause of death in most countries, such as Iran. Cardiac arrhythmias, including Atrial Fibrillation (AF) comprise an important category of these diseases. During recent years, AF has become a serious medical condition. This study aimed to investigate the effect of self-management interventions on the lifestyle of patients with AF. Methods: In this Randomized Clinical Trial study, 88 patients were selected and randomly assigned to intervention and control groups. The intervention group received self-management interventions, including education and telephone follow-ups. The data were collected using a demographic questionnaire and Walker’s health-promoting lifestyle profile II, before the intervention and four and twelve weeks after the intervention. The significance level was considered to be 0.05. Results: The results showed a significant increase in the intervention group’s lifestyle mean score, four and twelve weeks after the intervention as compared with control group However, this increase was not similar in all the lifestyle dimensions. Conclusion: In conclusion, implementation of self-management interventions could improve the lifestyle of the patients with Atrial Fibrillation. The results can help nurses to conduct self-management interventions into such patients’ care plan and prevent many physical, psychological, and social problems that negatively affect patients and their lifestyle.

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