TY - JOUR
T1 - Patient motivation and adherence to an on-demand app-based heart rate and rhythm monitoring for atrial fibrillation management
T2 - data from the TeleCheck-AF project
AU - Gawałko, Monika
AU - Hermans, Astrid Nl
AU - van der Velden, Rachel Mj
AU - Betz, Konstanze
AU - Vm Verhaert, Dominique
AU - Hillmann, Henrike Ak
AU - Scherr, Daniel
AU - Meier, Julia
AU - Sultan, Arian
AU - Steven, Daniel
AU - Terentieva, Elena
AU - Pisters, Ron
AU - Hemels, Martin
AU - Voorhout, Leonard
AU - Lodziński, Piotr
AU - Krzowski, Bartosz
AU - Gupta, Dhiraj
AU - Kozhuharov, Nikola
AU - Pison, Laurent
AU - Gruwez, Henri
AU - Desteghe, Lien
AU - Heidbuchel, Hein
AU - Evens, Stijn
AU - Svennberg, Emma
AU - de Potter, Tom
AU - Vernooy, Kevin
AU - Pluymaekers, Nikki Aha
AU - Manninger, Martin
AU - Duncker, David
AU - Sohaib, Afzal
AU - Linz, Dominik
AU - Hendriks, Jeroen M
N1 - © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.
PY - 2022/8/6
Y1 - 2022/8/6
N2 - AIMS: The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF).METHODS AND RESULTS: Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (≥3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period.Data from 990 consecutive patients with diagnosed AF [median age 64 (57-71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (≥100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53-100%) vs. 100 (64-100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01-1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28-0.86, P = 0.013, respectively]. Patients with 100% motivation also had ≥100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00-1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29-2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03-1.07, P = 0.028).CONCLUSION: In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence.
AB - AIMS: The aim of this TeleCheck-AF sub-analysis was to evaluate motivation and adherence to on-demand heart rate/rhythm monitoring app in patients with atrial fibrillation (AF).METHODS AND RESULTS: Patients were instructed to perform 60 s app-based heart rate/rhythm recordings 3 times daily and in case of symptoms for 7 consecutive days prior to teleconsultation. Motivation was defined as number of days in which the expected number of measurements (≥3/day) were performed per number of days over the entire prescription period. Adherence was defined as number of performed measurements per number of expected measurements over the entire prescription period.Data from 990 consecutive patients with diagnosed AF [median age 64 (57-71) years, 39% female] from 10 centres were analyzed. Patients with both optimal motivation (100%) and adherence (≥100%) constituted 28% of the study population and had a lower percentage of recordings in sinus rhythm [90 (53-100%) vs. 100 (64-100%), P < 0.001] compared with others. Older age and absence of diabetes were predictors of both optimal motivation and adherence [odds ratio (OR) 1.02, 95% coincidence interval (95% CI): 1.01-1.04, P < 0.001 and OR: 0.49, 95% CI: 0.28-0.86, P = 0.013, respectively]. Patients with 100% motivation also had ≥100% adherence. Independent predictors for optimal adherence alone were older age (OR: 1.02, 95% CI: 1.00-1.04, P = 0.014), female sex (OR: 1.70, 95% CI: 1.29-2.23, P < 0.001), previous AF ablation (OR: 1.35, 95% CI: 1.03-1.07, P = 0.028).CONCLUSION: In the TeleCheck-AF project, more than one-fourth of patients had optimal motivation and adherence to app-based heart rate/rhythm monitoring. Older age and absence of diabetes were predictors of optimal motivation/adherence.
KW - Atrial fibrillation
KW - Mobile health
KW - Photoplethysmography
KW - Risk factors
KW - Thromboembolic risk
U2 - 10.1093/eurjcn/zvac061
DO - 10.1093/eurjcn/zvac061
M3 - Article
C2 - 35932189
SN - 1474-5151
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
ER -