Arrhythmias & electrophysiology

Nurse-Led Multicomponent Behavioral Activation Intervention for Patients With Atrial Fibrillation: A Randomized Controlled Trial

Circ Arrhythm ElectrophysiolPublished Randomised controlled trial

Primary result · Health-related quality of lifeResult — go to the resultβ −6.702 95% CI −9.556 to −3.847

Authors' conclusion

The nurse-led multicomponent behavioral activation intervention improved patient-reported outcomes and increased OAC prescription among patients with AF.

Study context

Population
Patients with atrial fibrillation (AF)
Participants
198 vs 194
Comparison
Intervention vs Standard care
  • Interventionn = 198
  • Standard caren = 194reference
Primary endpoint
Health-related quality of life
Follow-up
After completion of the intervention (T1)

Primary result

As reported in the abstract

immediate post-intervention

β

−6.702

95% CI −9.556 to −3.847

P < 0.001

Secondary outcomes

OutcomeOR (95% CI)P value
OAC prescription · 6 months5.870 (1.957–12.331)P = 0.012
Outcomeβ (95% CI)P value
AF knowledge · immediate post-intervention−1.989 (−2.342 to −1.635)P < 0.001
Medication adherence · immediate post-intervention0.340 (0.148–0.532)P < 0.001
  • AF knowledge: significantly greater improvement with intervention; sustained at 6 months
  • Medication adherence: significantly greater improvement with intervention; sustained at 6 months

Patient-physician decision concordance on OAC use, anxiety, depression · both time points

No significant between-group differences

Original publication

Nurse-Led Multicomponent Behavioral Activation Intervention for Patients With Atrial Fibrillation: A Randomized Controlled Trial. Circ Arrhythm Electrophysiol. Published 19 December 2024. doi:10.1161/circep.124.013236

Summarised from the published abstract; every number is checked against it

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